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May 2024

Friday, 31 May 2024 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Tuesday, 28 May 2024 00:00

Complications of Peripheral Neuropathy

Peripheral neuropathy results from damage to the peripheral nerves, which are responsible for sending information from the brain and spinal cord to the rest of the body. This condition often results in tingling, numbness, and pain in the affected areas, typically the hands and feet. Due to high blood sugar levels common in diabetes, people with this disease are more prone to peripheral neuropathy and the associated lack of sensation in the feet. This loss of feeling means that injuries, pressure sores, or other foot problems may go unnoticed. Without prompt and proper care, such untreated injuries can develop into diabetic foot ulcers, serious wounds that heal very slowly due to impaired circulation. If these ulcers become infected and treatment is not working, the ulcer can progress to gangrene, which involves the death of body tissue. This sometimes necessitates amputation to prevent further health complications. Regular check-ups with a podiatrist, or foot doctor, can help manage peripheral neuropathy and prevent severe complications. If you have peripheral neuropathy, it is suggested that you add a podiatrist to your regular care team. 


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 Dale Delaney, DPM from InStride Kinston Podiatry Center. 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.


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 Kinston, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Neuropathy
Tuesday, 21 May 2024 00:00

How Systemic Diseases Can Affect Feet

There are a host of systemic diseases that can contribute to various foot problems, affecting mobility and quality of life. Sciatica, caused by compression of the sciatic nerve, can lead to radiating pain, numbness, and tingling sensations in the feet. Hypothyroidism, characterized by low thyroid hormone levels, may result in cold feet, swelling, and thickened skin. Embolic arterial occlusion, a sudden blockage of an artery by a traveling clot, can cause acute pain, discoloration, and decreased sensation in the feet. Treatment for these conditions varies, depending on the underlying cause and severity. Sciatica may require pain management or surgery in severe cases. Hypothyroidism typically involves hormone replacement therapy and lifestyle modifications. Treatment for embolic arterial occlusion can include blood thinners, thrombolytic therapy, or surgical intervention. If you are experiencing foot problems associated with a systemic disease, it is suggested that you schedule an appointment with a podiatrist for personalized care and treatment to improve foot function.

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 Dale Delaney, DPM from InStride Kinston Podiatry Center. 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 feel free to contact our office located in Kinston, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Systemic Diseases of the Foot
Tuesday, 14 May 2024 00:00

Measuring for the Right Shoe Size

Ensuring proper shoe fit begins with accurate measurements of your feet. Start by placing a piece of paper flat against the floor and standing on it with your heel against a wall. Using a pen or pencil, mark the longest point of your foot at the tip of your longest toe. Measure the distance from the edge of the paper to the mark to determine your heel-to-toe length. Next, find your heel-to-ball length by measuring from the back of your heel to the point where your foot arches at its widest. Finally, measure the width of your foot by placing a measuring tape or ruler across the widest part of your foot. By obtaining these three measurements consisting of heel-to-toe length, heel-to-ball length, and width, you can confidently select the right shoe size. This ensures optimal comfort and support for your feet. If you have developed foot conditions as a result of wearing shoes that do not fit properly, it is suggested that you consult a podiatrist who can offer effective treatment options, in addition to guiding you on how to obtain your proper shoe size.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Dale Delaney, DPM from InStride Kinston Podiatry Center. Our doctor will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

  • When visiting the shoe store, use the tools available to measure your foot.
  • Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
  • Do not always assume you are the same size, as manufacturers run differently.
  • Purchase shoes later in the day, as your feet swell as the day progresses.
  • If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

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

Read more about Getting the Right Shoe Size
Tuesday, 07 May 2024 00:00

Possible Causes of Heel Pain

Heel pain can stem from various factors, including plantar fasciitis, Achilles tendonitis, heel bursitis, Haglund’s deformity, heel spurs, or even stress fractures. Symptoms often manifest as sharp or dull pain, particularly when walking or standing, localized around the heel or bottom of the foot. Risk factors include obesity, wearing improper footwear, and overuse during activities like running, and age. Prevention strategies involve wearing supportive shoes, maintaining a healthy weight, stretching the calf and foot muscles regularly, and avoiding sudden increases in physical activity. Treatment may include rest, stretching exercises, custom orthotic inserts, or in severe cases, surgery. A podiatrist can offer a tailored treatment plan by diagnosing the underlying cause of heel pain and providing targeted interventions. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist for relief options.

Many people suffer from bouts of heel pain. For more information, contact Dale Delaney, DPM of InStride Kinston Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running


Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Kinston, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
Wednesday, 01 May 2024 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

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