4 Early Warning Signs of Foot Ulcers

At Goldsmith Podiatry, we know our Manhattan patients who have poor circulation are at higher risk for developing ulcers and wounds that are slow to heal on their feet. For patients with diabetes, this problem is compounded by the fact that in addition to poor circulation, they may also experience neuropathy, making it difficult to perceive pain and other sensations in the feet accurately. In such cases, they won't detect an injury when it first occurs, increasing the chance of a wound developing. Ulcers are the leading cause of lower-extremity amputations. One very important way to detect potential ulcers if you have reduced feeling in your feet is by inspecting them thoroughly every day with a mirror and flashlight to see your entire foot. Ask a family member or caregiver for help if you can't do this yourself. Below are four signs to look for that may alert you that an ulcer is developing.

  1. Changes in skin color. Before an ulcer or wound appears, you may notice a red area on your foot. Sometimes the skin may turn other colors as well.

  2. Extremes in temperature. If your feet feel very hot, it may be the first sign of an infection brewing in your foot. Feet that feel very cold may indicate a decrease in circulation: our podiatrists, Dr. Howard Goldsmith, Dr. Rosanna Troia, and Dr. Kristina Ruff can test and assess your circulation.

  3.  New or changing calluses. Although a callus appears on the surface of your foot, it is a symptom of a problem deep inside. A new callus may point to a part of the foot receiving excess pressure that may lead to an ulcer. Also of concern is an existing callus that changes color or forms dark blood-colored spots.

  4. Swelling of the feet or ankles. An injury can cause swelling or enlargement of one part of the foot or ankle.

If you notice any of the above symptoms when examining your feet, it’s essential that you contact our Upper West Side office as soon as possible by calling 212-877-1002 to make an appointment. Stopping an ulcer before it starts will significantly reduce your risk of infection and amputation.