
Heel pressure ulcers can develop when constant pressure reduces blood flow to the skin and tissue surrounding the heel. These wounds are more likely in people who spend long periods in bed or have reduced mobility. Early signs include redness, tenderness, or darkened skin. If not treated, the skin can break down and form deep wounds that are difficult to heal. Treatment includes relieving pressure, cleaning the area regularly, applying dressings, and using special shoes or heel protectors. Keeping the feet elevated and ensuring good nutrition can also help speed healing. Severe cases may require advanced wound care or surgery. If you notice skin changes, pain, or open sores on your heel, especially if you have diabetes or circulation issues, it is suggested that you see a podiatrist for a proper diagnosis and effective treatment.
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 Philip C. Caswell, DPM from Family Foot & Ankle 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 feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ingrown toenail surgery is a common procedure used to relieve pain and prevent recurring infections when a toenail grows into the surrounding skin. This condition often affects the big toe and can cause redness, swelling, and tenderness. When conservative care does not provide relief, surgical treatment may be recommended. One surgical approach involves removing a portion of the nail to ease pressure and allow healing. Another method includes removing the entire nail if the problem is severe or recurrent. In some cases, a chemical or laser is used to prevent the nail from growing back in the affected area. These procedures are typically performed in a clinical setting with minimal discomfort and a short recovery time. If you have an ingrown toenail that is bothersome or has become infected, it is suggested that you promptly contact a podiatrist who can determine if ingrown toenail surgery is right for you.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Philip C. Caswell, DPM of Family Foot & Ankle Care. Our doctor will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar fasciitis is one of the most common reasons for heel pain, especially in adults who spend a lot of time on their feet. It occurs when the thick band of tissue that runs along the bottom of the foot becomes irritated or strained. Repeated stress from walking, running, or standing for long periods can lead to small tears in the tissue. Wearing unsupportive shoes, having flat feet or high arches, and tight calf muscles can also increase the risk. Pain is usually worse with the first steps in the morning or after sitting for a long time. Left untreated, it can become a long-lasting issue that affects daily movement. If you are feeling sharp or aching pain under your heel, it is suggested you see a podiatrist for a proper diagnosis and appropriate treatment.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Split toenails can result from various underlying causes. Fungal infections often weaken the nail structure, causing it to become brittle and split. Physical injuries, such as stubbing the toe or repeated pressure from tight shoes, can also damage the nail. As people age, nails naturally lose moisture and strength, making them more prone to splitting. Frequent use of nail polish and harsh removers may further dry out and weaken the nail. Vitamin deficiencies, especially in biotin and other essential nutrients, can lead to fragile nails. A split toenail typically appears cracked or frayed, with parts of the nail lifting or peeling away. If you have noticed your toenails are splitting, it is strongly suggested that you contact a podiatrist who can help remedy this condition.
Toe pain can disrupt your daily activities. If you have any concerns, contact Philip C. Caswell, DPM of Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Causes Toe Pain?
Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.
Toe pain can be caused by one or more ailments. The most common include:
- Trauma
- Sports injury
- Wearing shoes that are too tight
- Arthritis
- Gout
- Corns and calluses
- Hammertoe
- Bunions
- Blisters
- Ingrown toenails
- Sprains
- Fractures (broken bones)
- Dislocations
When to See a Podiatrist
- Severe pain
- Persistent pain that lasts more than a week
- Signs of infection
- Continued swelling
- Pain that prevents walking
Diagnosis
In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.
If you have any questions please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.