Advanced Wound Healing Institute
Dr. Kevin Lam * Dr. Drew Chapman
Dr. Isin Mustafa * Dr. Patrick Bartholomew
Dr. Sahiba Singh * Dr. Lori DeBlasi * Dr. Joseph Altepeter
Dr. Karan Malani * Dr. Robert Bello * Dr. Eileen Rivero
Welcome to the Family Foot & Leg Center Opened in 2005 by Dr. Kevin Lam
as the premier center for foot / ankle medical & surgical care.
Diabetes remains the 7th leading cause of death in the United States in 2010, with 69,071 death certificates listing it as the underlying cause of death, and a total of 234,051 death certificates listing diabetes as an underlying or contributing cause of death1. One of the common contributing causes of death in diabetes is a diabetic foot ulcer (DFU), and if left untreated could lead to lower extremity amputation (LEA). Five-year mortality rates after new-onset diabetic ulceration have been reported between 43% and 55% and up to 74% for patients with lower-extremity amputation2. These rates are higher than those for several types of cancer including prostate, breast, colon, and Hodgkin’s disease.
Did you know that approximately 15% of all diabetic patients will get a foot ulcer in their life3. Foot ulcers occur due to lack of sensation to the foot. Peripheral neuropathy, another condition commonly found in diabetics, damages the nerves, impairing sensation to the foot. This allows injuries to go unnoticed, leading to infections and ulceration. Diabetic foot ulcers are extremely difficult to treat, and it would take months for the wound to heal and incidence of reoccurrence is high. In the U.S., approximately 67% of all lower extremity amputations occur in diabetics, and approximately 85% are preceded by a foot ulcer4.
What to do? The key in stopping diabetic foot ulcers and possible amputations is to practice proper foot care and to control diabetes. Below are some commonly overlooked practices that can help maintain good foot health. Foot care regimen:
Wash feet regularly. Use a mild antibacterial soap and towel dry.
Keep foot dry. Use antiperspirant powder when wearing shoes to keep your feet dry. Excess moisture can soften the skin, making it vulnerable to skin breaks and infections.
Moisturize. A foot that is too dry is susceptible to skin cracks, moisturize with your favorite lotion.
Cut nails carefully.
Daily Foot inspections: Look for cracks or scratches and treat immediately with an antibiotic ointment.
Check for sensation on your foot. If there is decreased sensation than usual, immediately visit your doctor.
From time to time, inspect the insides of your shoes if there is a pebble or anything protruding that could injure your foot.
Control Diabetes:Take medications regularly.
Go on a diet. Control food consumption to prevent increase in blood sugar levels.
Do not miss your doctor’s appointments/check-ups.
Did you know that diabetics are eligible for a pair of diabetic shoes once a year through Medicare?
Medicare provides coverage for depth-inlay shoes, custom-molded shoes, and shoe inserts for people with diabetes who qualify under Medicare Part B. Designed to prevent lower-limb ulcers and amputations in people who have diabetes, this Medicare benefit can prevent suffering and save money.
If you have diabetes, you should see your podiatrist a minimum of once every 6 months for a thorough examination.
2 “Mortality Rates and Diabetic Foot Ulcers” in Journal of the American Podiatric Medical Association, Vol 98, No 6, November/December 2008
3 National Diabetes Data Group: Diabetes in America, Vol. 2. Bethesda, MD, National Institutes of Health 1995 (NIH publ. no. 95-1468)
4 Pecoraro RE, Reiber GE, Burgess EM. Pathways to diabetic limb amputation: basis for prevention. Diabetes Care 1990;13:513–21.
Go to a podiatrist or a foot doctor at least once or twice a year, whether or not you think you have a foot issue. A comprehensive foot examination will determine the risk factors that may result in foot ulcers or worse, consequent foot amputation.
For more information, you may contact Advanced Wound Healing Institute at (239) 430-3668 (FOOT). Advanced Wound Healing Institute is part of Family Foot and Leg Center, P.A.
Wound Care - what Podiatrists do
to save your feet
**There are approximately 29 million people with diabetes in the US and it is estimated that 1 in people over the age of 65 have diabetes. Over the next 20 years, it is expected that this problem is only going to get worse.
When peripheral neuropathy develops, the incidence of ulcer formation increases. The 3-year mortality for people with diabetes increases from 13% to 28% with an ulcer. Following a lower extremity amputation, the 5-year mortality increases to 60%.
Diabetic foot ulcers lead to amputation and mortality, and thus, it is very important to prevent them.
At Family Foot and Leg Center, we offer advanced wound care for your feet and legs.
Our doctors are well-trained from residency in conservative and advanced wound care options from simple debridement to advance grafting and flap techniques.
9 convenient locations throughout Collier, Lee, Charlotte, and Sarasota Counties
give us a call AT: (239) 430 3668 option 2
or use our patient portal
We keep you walking.
We welcome you as a patient to our podiatry practice in Florida. We currently have 8 locations across Lee, Collier, and Charlotte counties, We are grateful that you have chosen us as your complete foot and lower leg care center.
advanced healing technologies
At FFLC, we use advanced wound healing technologies to help keep patients out of the hospital and onto healing.
- Faster recovery time
- Better results
- Improved long-term outlook
- Optimal quality of life
We use in-office advanced wound healing products from Organogenesis
We help you heal faster without the need of going to a hospital where risk of catching MRSA may be higher.
If a hospital or facility surgery is necessary we offer ultrasound debridement,
split thickness grafting, full thickness grafting, muscle and vascular flap techniques.
We have several locations from Collier, Lee, & Charlotte Counties to serve your foot and ankle needs:
730 Goodlette Road
FFLC North Naples
840 111th avenue north
Management of Diabetic Foot Ulcers
- Offloading – taking away the pressure by putting pads around the area; surgical options
- Antibiotics to control infections
- Wound care – cleaning out the dead tissue to allow the wound to heal
- Restoration of blood circulation for PAD (peripheral artery disease) – along with vascular specialists
- Administration of activated collagen
- Skin flaps, skin grafts, and/or skin substitutes with growth factors to help in healing
- Tendo-Achilles lengthening
- Advise patient on proper shoe wear, inspection of feet everyday, medical management of diabetes, proper nutrition
- Follow-up with a podiatrist at least every 6 months, sooner if you have pre-ulcerative lesions on your feet / lower extremities
**There are approximately 29 million people with diabetes in the US and it is estimated that 25% people over the age of 65 have diabetes. Over the next 20 years, it is expected that this problem is only going to get worse.
The 3-year mortality for people with diabetes increases from 13% to 28% with an ulcer. Following a lower extremity amputation, the 5-year mortality increases to 60%.
Diabetic foot ulcers lead to amputation and mortality, and thus, it is very important to prevent them. At Family Foot and Leg Center, we offer advanced wound care for your feet and legs. Our doctors are well trained from residency in conservative and advanced wound care options from simple debridement to advance grafting and flap techniques.
If you have a foot, ankle, leg, knee wound, do not delay.
Schedule an appointment at any of our 8 offices in Florida across Lee, Charlotte, and Collier county
WHAT YOU NEED TO KNOW ABOUT P.A.D.
POPPING PERONEAL SYNDROME
A BUNION STORY
BEFORE AND AFTER
Don't have neuroma surgery until you see this
Call Today: 239 430 3668 (FOOT)
Self Service # (239) 420-7170
Fax: 239 692 9436
After a successful cure from a knee injury, I'm glad that one of my extended family member sought consultation from Dr. Dunleavy at the Fort Myers FFLC and is now absolutely fine. The patient had a bunion in the left foot which needed to be removed. He underwent the painless and scar free Bunionectomy at FFLC. We thank the specialized podiatrist panel of FFLC and recommend the center for anyone with conditions of the foot and leg.