Persistently cold feet are not always related to weather and can sometimes signal Raynaud's syndrome, a condition that affects blood flow to the toes. Raynaud's causes small blood vessels to narrow excessively in response to cold or stress, leading to pale or bluish skin, numbness, tingling, and aching sensations. During an episode, toes may feel stiff or painful, and normal color and warmth can take time to return. Over time, repeated episodes can increase the risk of skin breakdown, slow healing, or ulcer formation, particularly in people with circulation or nerve issues. A podiatrist can evaluate circulation in the feet, review symptom patterns, rule out other causes of discolored toes, and assess severity. Treatment may focus on foot health, monitoring skin changes, and managing complications. For help dealing with chronically cold feet, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Paula F. Angelini, DPM from Board Certified Foot Care. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please contact our offices located in Attleboro, Foxborough, Southborough, and Sudbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot wounds can develop on the surface of the skin or beneath it and they range from minor injuries to serious medical concerns. External wounds affect the outer skin while internal wounds involve deeper tissues, such as muscles, tendons, or bone. Open wounds include cuts, abrasions, punctures, lacerations, and surgical wounds where the skin is broken. Closed wounds, such as bruises or hematomas, cause damage beneath intact skin. Because the feet carry body weight and have limited blood flow in some people healing can be slow. A podiatrist can identify the wound type, check for infection, and guide proper care. Early evaluation helps prevent complications and supports healthy healing and mobility. Prompt treatment is especially important for people with diabetes, circulation problems, or nerve changes that reduce feeling in the feet and balance. If you have any type of foot wound, it is suggested that you see a podiatrist for care.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Paula F. Angelini, DPM from Board Certified Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our offices located in Attleboro, Foxborough, Southborough, and Sudbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Peripheral neuropathy affects the feet by damaging the nerves responsible for sensation, balance, and muscle control. When these nerves do not function properly, people may notice numbness, tingling, burning, or sharp pain in the toes and soles. Reduced sensation can make it difficult to feel pressure, temperature changes, or minor injuries, which increases the risk of cuts, blisters, and skin breakdown going unnoticed. Muscle weakness related to nerve damage may also change the way the feet move during walking, leading to instability and a higher risk of falls. Over time, altered pressure points can contribute to calluses, ulcers, and joint strain in the feet and ankles. A podiatrist can evaluate nerve-related symptoms, monitor skin and nail health, address walking changes, and recommend appropriate treatment to protect foot function and reduce complications. If you have symptoms of peripheral neuropathy in your feet, it is suggested that you make regular appointments with a podiatrist for evaluation and treatment.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Paula F. Angelini, DPM from Board Certified Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Attleboro, Foxborough, Southborough, and Sudbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A hammertoe can develop when the soft tissues that guide toe movement stop working together the way they should. In some cases this includes a ligament in the foot that becomes overly tight or loses its normal support, causing the toe to lift at the middle joint and settle into a curved position. When this happens, the toe may feel stiff, sore, or crowded in a shoe because its alignment no longer matches the surrounding toes. The skin can become irritated from rubbing, and pressure points may form that make walking uncomfortable. Addressing the problem depends on how rigid the toe has become and how much the involved ligament is influencing the deformity. A podiatrist can examine the toe, review how the ligament is functioning, and suggest options such as shoe adjustments, protective padding, inserts, or procedures that correct the underlying cause. If the toe is becoming painful or harder to move, it is suggested that you see a podiatrist for effective treatment solutions.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Paula F. Angelini, DPM from Board Certified Foot Care. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions, please feel free to contact our offices located in Attleboro, Foxborough, Southborough, and Sudbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.