M & H Foot and Ankle Clinic

04/17/2026

foot pain ?

https://www.mclaren.org/main/news/step-into-summer-three-tips-for-painfree-feet-6157

04/17/2026

foot pain ?

After a long, cold winter, it’s hard to imagine warm weather right around the corner. However, as the temperature rises, so does our time spent outdoors—walking, mowing the lawn, or heading to the beach. Many people don’t realize that the shift to warmer weather can lead to a spike in foot-rel...

04/17/2026

keeping feet dry!

Manna nurse takes care of feet and other ailments

04/15/2026

April is Limb Loss and Limb Difference Awareness Month ! Check your feet daily and if you are diabetic and/or have neuropathy in your feet make sure you have your callouses attended to by a Chiropodist - otherwise they will become ulcers !
This is an ex of a patient who developed an ulcer under his callous!

04/15/2026

April is Limb Loss and Limb Difference Awareness Month ( ), which focuses heavily on preventing chronic wounds—specifically diabetic foot ulcers and those caused by peripheral arterial disease (PAD)—that can lead to amputation. It is a time to promote wound care education to reduce limb loss.

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04/15/2026

Week 4 of wound healing in a Type 2 diabetic patient ; with Charcot Arthropathy .

03/25/2026

Why is wound debridement so important ????

because as you can see in these 2 pictures (before and after debridement) it converts a stalled, chronic wound environment into an acute, healing one.

:)

03/23/2026

part 2 - a week post treatment

03/23/2026

only 1 week apart !
Just wanted to share a success story!
This patient came in with a new wound on his R/Charcot foot which started on the plantar arch and blistered on the lateral aspect of the arch onto the dorsal lateral foot.
Cause: Biomechanical as most Diabetic wounds are ! ie . he was trying his new work boots
Treatment:
Short Term : Culture and Sensitivity, generic broad spectrum ab x 2 weeks , Wound debridement, offload ! offload ! and more offload! (Darco boot)
Dressing of choice and also my most fav dressing of ALL time for wounds that dont need packing/no depth = INADINE gauze.
change Q2D.
Midterm : 1 week later
Follow up in 7 days (picture you see in the "after")
More Debridement was completed (not shown in the picture) .
Addressed his biomechanical fault and spoke to his pedorthis to modify his safety shoes.
C & S shows Staph so so need to change his ab . Continue Ab until finish
Long Term :
moving forward , patient education (continuous! and indefinite! ) in terms of offloading , pressure , types of shoes, orthotics, diabetic control, etc
In addition , I would like to add this patient was a wonderful patient with great BG control and overall health! The willingness of a patient is what makes the outcome so wonderful!
I will see him in a week and I am sure his wound will be fully healed ! I can share the updates once I see him .

05/06/2024

How shockwave therapy can help wound healing

Extracorporeal shockwave therapy (ESWT) can induce wound healing by increasing tissue microcirculation. However, studies on the effect of ESWT on enhancing tissue microcirculation in diabetic foot ulcer (DFU), particularly on when the microcirculation ...

08/23/2022

PRP and diabetic foot ulcers

Objectives Platelet-rich plasma (PRP) has become quite a popular course of treatment and has tremendous healing properties. Our research question inquired about the effectiveness of injected formula of PRP as the cure for diabetic foot ulcer in comparison to the conventional dressing. Methodology A....