Diagnosing Wounds on the Foot and Ankle

How Do Podiatrists Assess and Diagnose Wounds on the Foot, Ankle, and Lower Leg?

Have you ever thought about how important your feet and lower legs are? They help us run, walk, jump, and do much more!

But what happens when they get hurt? Lesions on the foot, ankle, and lower leg can be a big problem if not taken care of right away. These can lead to infections or other serious issues if left untreated. That’s why getting them checked out as soon as possible is super important. Also, leading a healthy lifestyle of daily exercise and foods high in nutrients like protein, zinc, vitamin C, promote wound healing.

Now, you might wonder, “Who should I go to for help?” Dr. Elhiani and Dr. Tareen at All South Bay Footcare have spent a lot of time treating patients at the renowned Cedars-Sinai Medical Center in Los Angeles. Because of their experience, they’re some of the best doctors for treating leg and foot wounds in Torrance, CA. They have a special way of checking out injuries and finding out exactly what’s going on. Remember, caring for your feet and lower legs is a big part of staying healthy!

Podiatrist treating feet during procedure

The Role of Podiatrists in Wound Care

If you’ve ever had a blister or a scrape, you know how painful it can be. But imagine having a lesion that just won’t heal. This is a reality for many patients, particularly those with diabetes. These chronic wounds, often foot ulcers, require expert care to promote healing and prevent infection. That’s where podiatrists come in.

Podiatrists play a pivotal role in wound management, especially in acute and chronic wounds. They bring a deep understanding of lower extremity biomechanics. They are skilled at diagnosing and treating a wide range of foot and ankle conditions.

One key part of their job is the assessment and management of foot ulcers, which are common in diabetic patients. High blood sugar levels can lead to peripheral neuropathy (nerve damage) and peripheral artery disease. If left untreated, they can lead to severe complications, including amputation.

Remember, seeking timely treatment can save you from a world of pain and potential complications. Stay on top of your health, and keep stepping forward with confidence!

The First Step: Initial Evaluation and Patient History in Podiatry

When a new patient walks in with an open wound, the first step we take is a good look at what’s going on. We examine the full extent of the injury, paying close attention to its location and severity. Then, we’ll check out the edges and see if any dead tissue within needs to be cleaned away, a process known as debridement.

Next, we’ll dive into your medical history. This is important because medications, lifestyle factors, and past health conditions can affect how well a wound heals. For example, if you have diabetes, it could mean you’re more likely to get a diabetic foot ulcer, a type of wound that can be tricky to heal.

But it’s not just about treating the injury. It’s also about caring for the whole foot to ensure another lesion doesn’t pop up. This is why good foot hygiene is so important. Keeping the feet clean and dry can go a long way in preventing issues like ulcers.

Also, our podiatrists might team up with other specialists to give you the best care possible. This team approach to wound management ensures you get the help you need from all sides. So, whether it’s a vascular doctor to check on your circulation or a nutritionist to help with diet changes, you’ll have a whole team behind you.

Remember, if you ever get a lesion on your foot, don’t wait to get help. The sooner you get it checked out, the better chance you have of avoiding more serious problems down the line.

Next Our Physical Examination: A Closer Look at Foot Health

When you visit our foot and ankle specialist, they’ll conduct a physical examination to assess what’s going on. Here’s what that process might look like:

Physical Examination
  • Inspection: The doctor will first visually assess your lower limb. They’re looking for any signs of distress, such as redness, swelling, or changes in skin color. They’ll also look for wounds or ulcers, especially if you’ve been afflicted with chronic issues.
  • Palpation: Next, the podiatrist will gently touch and feel different parts of your foot. This helps them identify any areas of pain or discomfort, assess the severity, and understand the state of your tendons.
  • Skin Color and Temperature Assessment: By examining the color and feeling the temperature, the doctor can gain insights into your circulation. Skin color and temperature changes can indicate vascular disease, including peripheral arterial disease. These can affect the healing process.

Both Dr. Elhiani and Dr. Tareen use their foot and ankle research expertise to identify potential issues in this process. They’re considering all the information gathered during the examination. With this, they will formulate a comprehensive treatment plan. This could involve wound treatment, management of chronic wounds, or other options for care.

If you have diabetes, they will take extra precautions. Diabetic patients are more prone to develop foot conditions such as diabetic wounds. This requires specialized care.

Remember, following a proper care routine is essential to prevent ulcerations and promote healing. Foot and ankle specialists are there to guide you through this journey, offering care services tailored to your needs.

From X-Rays to MRIs: Diagnostics and Imaging in Podiatric Health

When understanding what’s going on with your lower extremities, a physical examination isn’t enough. In these cases, doctors may use various diagnostic tools and tests to get a clearer picture. Here are some of the most common ones:

  • X-rays: These are often used to assess bone structure and identify any abnormalities. They can help the care team detect fractures, dislocations, or signs related to chronic conditions such as arthritis.
  • Ultrasounds: This tool uses sound waves to create images of soft tissues. It can be used to assess wounds, especially non-healing wounds, and can help in the management and treatment of these conditions. It can also examine blood flow in the venous system.
  • MRIs (Magnetic Resonance Imaging): An MRI provides detailed images of hard and soft tissues, including ligaments and tendons. It can be beneficial when the wound location is deep within the foot or in the case of surgical wounds.
Foot X-rays

These tests are sometimes necessary when a more thorough examination is required. For example, pressure ulcers and sores due to diabetes can cause changes in the deeper layers of the foot. This may not be visible with a regular foot examination.

These tests aim to provide a comprehensive foot assessment. This is especially the case when dealing with cases like infectious diseases or ulcerations needing specialized care. So, if your doctor recommends one of these tests, it’s to ensure they can treat you in the best possible way.

Georgia Podiatrist Talks About Issues and Treatment of Foot Ulcers

YouTube video

Look at Underlying Causes

When treating lesions, there’s more to it than meets the eye. It’s crucial not only to address the injury itself but also to identify any underlying causes. Here’s why:

A close up view of a diabetic foot ulcer that has fully healed on the underside of a big toe
  • Diabetes: High blood glucose can damage blood vessels. Hence, this leads to poor circulation and makes healing harder. Patients with diabetes mellitus may also have a higher risk of developing lesions. This may be due to foot deformities, improper foot care, or ill-fitting footwear.
  • Poor Circulation: When circulation is reduced, healing takes longer. This is because the injury isn’t receiving the necessary nutrients and oxygen to repair itself.
  • Neuropathy: This condition, often related to diabetes, can lead to loss of sensation in the feet. Hence, this makes it easy to overlook wounds until they become serious.

Addressing these underlying conditions is vital in the treatment. By doing so, we can:

  • Prevent future lesions: For example, managing diabetes can help prevent wounds due to high blood sugar levels.
  • Improve wound healing: Enhancing blood circulation can speed up healing.
  • Reduce the risk of complications: Treating neuropathy can prevent unnoticed lesions from developing into ulcers.

Therefore, a thorough examination and understanding of the patient’s overall health are essential. This makes a world of difference in foot ulcer management. Identifying and addressing these underlying causes can provide more effective treatment. Hence, it can prevent future wounds from forming.

Blueprint for Healing: Personalized Treatment Plans

Dr. Elhiani and Dr. Tareen take a unique, personalized approach to treatment planning. They understand that every patient and their health needs are different. 

With a precise diagnosis in hand, they develop a personalized treatment recourse. This means considering the patient’s specific situation. With this, they will choose the most suitable treatments from various options.

Treatment Options

There are several ways to address wounds and their underlying causes. Depending on the patient’s condition, the doctors may recommend:

  • Wound Care: This involves cleaning and dressing the injury to prevent infection and promote healing. Some wounds require special dressings or bandages to help them heal.
  • Medications: These can help manage conditions related to wound formation, like diabetes or poor circulation. Medicines can also treat infections that ulcers may cause.
  • Surgery: In some cases, surgical intervention might be necessary. This could involve removing dead tissue from the lesion. It could also mean improving blood circulation to the area or even amputation in severe cases.
Diagnosing Wounds on the Foot and Ankle

The goal of any treatment regimen is not just to heal the current wound but also to prevent future ones. By addressing the causes and providing personalized care, we assist patients on their stride to wellness.

Knowledge is Power: The Importance of Patient Education

Patient education is central to managing and healing wounds. It’s not just about what happens in the doctor’s office – a big part of the recovery journey occurs at home. Here’s how patient education plays a role:

The first step is understanding what’s going on. Doctors explain the nature of your condition, why it happened, and what it means for your health. 

Wounds on women foot

Learning Self-Care Techniques

Next, you’ll learn how to take care of yourself at home. This includes:

  • Dressing the Wound: Doctors will show you how to properly clean and dress the lesion. You’ll learn what materials to use, how often to change them, and signs of infection to watch out for.
  • Monitoring Progress: It’s essential to watch how your injury is healing. Doctors will teach you what a healthy recovery looks like and when to seek help.
  • Managing Pain: If it causes discomfort, doctors will advise you on safe and effective pain management methods.

In the journey towards wellness, understanding your condition is a significant step. An informed patient is an empowered patient. So stay proactive, ask questions, and learn as much as possible about your condition.

Preventing Wounds and Ulcers

We all want to keep our feet, ankles, and lower legs as healthy as possible. Here are some easy-to-follow tips that can help you do just that:

  • Keep it Clean: Wash your feet daily with mild soap and warm water. Dry them thoroughly, especially between the toes.
  • Moisturize: Apply a good quality lotion to keep your skin soft and prevent cracking. But avoid putting lotion between your toes, as this can cause fungal infections.
  • Right Size Matters: Always wear shoes that fit well. Shoes that are too tight can cause blisters and sores, while shoes that are too loose can lead to falls.
  • Sock it Up: Choose socks that wick moisture away from your skin to help prevent blisters and fungal infections.
  • Stay Active: Regular exercise improves circulation and helps keep your feet and lower legs healthy.
  • Quit Smoking: Smoking can decrease blood flow to your feet and make wounds heal slower.
  • Regular Checks: Regular check-ups prevent problems before they start, especially for those at risk. A healthcare professional can spot potential issues early and provide advice tailored to your needs.
moisturize foot with lotion

Prevention is truly the best medicine when it comes to wound management. Adopting healthy habits, understanding your condition, and staying proactive in your care is vital. It can lessen your risk of developing lesions.

So, let’s step forward together on this journey towards wellness.


Education plays a significant role in this process. You become an active participant in your care by understanding your condition and the preventive measures. And remember, early intervention is crucial. If you notice any issues, don’t hesitate to seek professional help.

Ultimately, the goal is simple: to keep you on your feet, comfortable, and able to enjoy the activities you love. Here’s to happy, healthy feet and lower legs! 

At All South Bay Footcare, we’re all about getting you back on your feet! Our team is ready to take a close look at what’s bothering you and come up with a plan to get you feeling better.

Imagine walking, running, dancing, or simply standing without discomfort. Sounds great, right? Well, that’s our goal for you. And guess what? The first step towards that goal is just a click away.

Visit our appointment booking page at https://www.allsouthbayfootcare.com/contact-us. With this, you can schedule an appointment with us. It’s as easy as pie! You can also give us a call at 310-326-0202.

Foot Wound Frequently Asked Questions

How long does it typically take for a foot, ankle, or lower leg wound to heal?

Healing time varies based on factors like severity and individual health. Minor cases may heal in a few days. Meanwhile, significant injuries or those associated with underlying issues may need a weeks or longer.

Can I exercise with a wound, or should I refrain from physical activity?

It depends on the severity and type. Gentle exercises that don’t put undue stress on the affected area may be permissible. But still, consulting with a healthcare professional is crucial to ensure you don’t compromise recovery.

Should I use over-the-counter wound treatments?

While over-the-counter treatments can be helpful, they should not replace professional medical advice. This is especially the case for larger or deeper injuries or for individuals with underlying conditions like diabetes.