Diabetic neuropathy is a nerve condition that develops when high blood sugar levels damage the nerves, most often in the feet. It may appear as tingling, burning, numbness, or sharp pain that can worsen over time. Some people notice a loss of sensation, which makes it difficult to feel cuts, blisters, or pressure. Causes are linked to long-term diabetes, poor blood sugar control, and reduced circulation. Risk factors include the duration of diabetes, age, and other health conditions that affect nerve health. A podiatrist plays a key role in identifying early signs through detailed exams and sensory testing. They can help manage complications, monitor skin and nail health, and create a plan to prevent serious issues such as ulcers or infection. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can treat foot neuropathy, and help you to manage this serious condition.

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 Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. 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 office located in Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Gout is a well-known and ancient form of arthritis that occurs when excess uric acid in the blood forms crystals inside a joint. The big toe is often affected, leading to sudden pain, swelling, redness, and warmth that can make walking difficult. These episodes may develop quickly and feel severe even at rest. Several factors can increase the likelihood of gout, including inherited traits, regular alcohol use, and diets high in red meat or sweetened beverages. Being overweight and having certain health conditions can also raise risk. A podiatrist can confirm the cause of joint pain and provide treatment to reduce inflammation and prevent long-term damage. If you have symptoms of gout, it is suggested that you seek evaluation from a podiatrist.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our office located in Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetic foot infections develop when high blood sugar damages nerves and reduces circulation in the feet, making it harder for small cuts or blisters to heal properly. Many people first notice redness, swelling, drainage, or a sore that becomes painful or develops an unpleasant odor. Some patients feel very little discomfort because nerve damage can limit sensation. Without treatment, the infection may spread into deeper tissue, bone, or surrounding skin. A podiatrist can examine the wound, order imaging tests, clean infected tissue, and recommend advanced wound care or antibiotics when needed. Early treatment often lowers the risk of serious complications, including hospitalization or limb loss. Prompt medical attention can protect mobility and improve long-term health. It is strongly suggested that if you have signs of a diabetic foot infection, you schedule an immediate evaluation with a podiatrist.

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 Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. 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 office located in Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar fasciitis involves inflammation of the thick band of tissue along the bottom of the foot, often causing heel pain with the first steps of the day. Most cases improve with conservative care, but when chronic pain persists and limits daily or physical activities surgery may be considered . The procedure typically involves releasing a small portion of the plantar fascia to reduce tension and improve movement. Good candidates are those who have not responded to other treatments and continue to experience significant discomfort. Risk factors include overuse, poor footwear, and foot structure. A podiatrist can provide non-surgical care, and determine if surgery is appropriate. If you have symptoms of plantar fasciitis, it is suggested that you consult a podiatrist who can provide a proper diagnosis and determine the best treatment option for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Anthony Ricciardi Jr., DPM of Foot & Ankle Specialists of Nevada. 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 Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle pain is common among runners because each step places force on the ankle joint. Over time, this pressure can lead to injury. One likely cause is an ankle sprain, which occurs when ligaments, the bands that connect bones, stretch or tear after a twist. Another is an ankle strain, resulting from tearing or overstretching the muscles or tendons attached to the bones. Inflammation of a tendon may develop from overuse or changes in training distance, while stress fractures are hairline cracks in a bone caused by repeated impact. Runners may notice swelling, tenderness, weakness, or pain that worsens during activity. A podiatrist can evaluate foot structure and joint stability to find the source of discomfort. Treatment may include bracing and orthotics to improve proper alignment and reduce strain. If you are experiencing ankle pain from running, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Anthony Ricciardi Jr., DPM of Foot & Ankle Specialists of Nevada. Our Doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries? 
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

If you have any questions, please feel free to contact our office located in Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Cuboid syndrome occurs when there is an injury to the joint and surrounding ligaments of the cuboid bone on the outer side of the foot. It is often seen in athletes, gymnasts, and dancers, due to repetitive stress and movement. Symptoms include pain along the outside of the foot that worsens with weight bearing, difficulty walking, and a decreased range of motion. Some people may also notice weakness or instability in the foot. Risk factors include overuse, improper footwear, and previous ankle injuries. A podiatrist can assess the foot, restore proper alignment, and recommend supportive treatment. If you have pain on the outside of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact our office located in Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Finding the right running shoe begins with understanding your foot type and gait. Pronation refers to how the foot rolls inward during movement. Neutral pronation occurs when weight is evenly distributed, providing balanced support. Overpronation happens when the foot rolls inward excessively, increasing strain on joints. Supination occurs when the foot rolls outward, reducing shock absorption. Stability running shoes are designed to support overpronation by controlling motion and improving alignment. Neutral running shoes provide cushioning and are best for those with balanced gait or mild supination. Risk factors for improper fit include foot structure and activity level. A podiatrist can evaluate gait, recommend proper footwear, and help with  injury prevention tips. If you enjoy running and have sustained a foot or ankle injury, it is suggested that you consult a podiatrist who can treat foot and ankle conditions and guide you on what type of running shoes to buy.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

• Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
• There should be little to no slipping at the heel
• Don’t assume your size in one shoe brand will be your size in another
• Do not lace up your shoes too tightly
• Walk around in the store with your new shoes before you buy them

If you have any questions, please feel free to contact our office located in Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Hammertoe is a deformity where one of the smaller toes bends at the middle joint. This can lead to pain and difficulty wearing shoes. When the hammertoe becomes stiff or painful, surgery may be needed to correct its position. One type of procedure is a tendon transfer. This moves a tendon to help pull the toe into a straighter position. Another option is joint resection. This procedure removes part of the joint to allow the toe to lie flat. Fusion surgery is often used in more severe cases. It involves joining the bones together to keep the toe straight. If pain is particularly severe, other options may be considered. A podiatrist can examine the toe, order imaging to determine the severity, and recommend the most effective procedure for improved alignment and reduced pain. If you have a painful hammertoe, it is suggested that you make an appointment with a podiatrist for treatment.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. 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 office located in Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot care needs.