For diabetic patients, a routine diabetic foot exam does far more than check for obvious injuries. It catches the small things — a blister, a callus, an ingrown nail — before they become infections or worse. What heals quickly for most patients can spiral into a serious complication for someone managing diabetes. Understanding what a podiatrist for diabetic foot care looks for, and why, helps you stay ahead of problems.

The American Diabetes Association recommends a complete foot examination for diabetes patients at least once a year. You may benefit from more frequent visits if you’re dealing with diabetic neuropathy or circulation concerns. These regular check-ins help patients monitor long-term foot concerns and address smaller issues that can quickly become dangerous for people with diabetes.

Dr. Patrick Nunan, a podiatrist at Physicians Footcare, puts it plainly: "It is much easier to keep you out of trouble than to try and fix you if you get in trouble."

Why Diabetes Makes Minor Foot Problems More Dangerous

Diabetes affects the feet through two primary mechanisms: nerve damage and reduced blood flow. Diabetic neuropathy — specifically, peripheral neuropathy — dulls sensation in the feet over time. A small cut or blister may cause no pain at all, which means you may not notice it until the problem has already advanced.

At the same time, poor circulation caused by blood vessel damage slows healing and limits the body's ability to fight infection. People with diabetes face a significantly higher risk of developing diabetic foot ulcers — open sores that can become infected and, in serious cases, lead to amputation. Controlling blood pressure and blood sugar levels are both essential to slowing that progression.

Common Foot Problems That Can Become Serious in Diabetes Patients Without a Diabetic Foot Exam

Several common foot conditions that cause mild discomfort in most people become serious threats for diabetic patients. During a foot examination for diabetes, your podiatrist carefully assesses each of the following.

Blisters: A Minor Nuisance That Can Turn Into a Major Problem

Blisters on the feet form when friction or pressure creates fluid-filled pockets under the skin. Because diabetes can reduce sensation in the feet, a blister may rupture and become infected before you notice it. Even a small, seemingly harmless blister can progress into an open wound without proper attention.

What Your Podiatrist Checks: Skin integrity, signs of infection, circulation in surrounding tissue, and whether footwear is contributing to the friction.

What to Expect From Treatment: A podiatrist for diabetic feet will typically leave small intact blisters to heal on their own, draining and dressing larger ones in a sterile clinical setting. Footwear adjustments or cushioned padding often prevent recurrence.

Minor Cuts and Wounds: Why They Demand an Immediate Foot Examination for Diabetes Patients

A minor cut is rarely cause for concern in most people. When diabetes is involved, even a small wound can become a high-stakes situation. Reduced sensation means injuries often go undetected, and slower healing creates a longer window for bacteria to take hold and infection to set in.

What Your Podiatrist Checks: Wound depth, active signs of infection, surrounding tissue health, and blood flow to the affected area.

What to Expect From Treatment: Diabetic foot pain treatment for open wounds typically involves thorough cleaning, debridement if needed, and antibiotics for any active infection, along with close follow-up visits to monitor the healing process.

Corns and Calluses: How Pressure Buildup Becomes a Danger Zone Without a Diabetic Foot Exam

Corns and calluses develop from repeated pressure or friction on the skin. In diabetic patients, thick skin buildup creates concentrated pressure points that can break down into open sores over time. Reduced sensation often means the buildup advances faster than you might think.

What Your Podiatrist Checks: Callus thickness and location, whether ulceration is forming, and whether gait mechanics or footwear are the main cause.

What to Expect From Treatment: Diabetic foot pain treatment for corns and calluses involves safe professional removal by a foot specialist. Taking care of your feet at home and avoiding sharp self-treatment tools between visits reduces the risk of accidental injury.

Ingrown Toenails: A Small Nail Problem With Serious Infection Risk

An ingrown toenail occurs when the nail edge grows into the surrounding skin. In most people, this produces localized pain and mild swelling. In diabetic patients, even a minor ingrown nail can become a gateway for bacteria, with infection spreading into the surrounding tissue quickly and sometimes without obvious warning signs.

What Your Podiatrist Checks: Redness, swelling, drainage, and whether infection has spread beyond the nail border.

What to Expect From Treatment: A podiatrist for diabetic foot care may lift or partially remove the nail under local anesthesia, followed by careful dressing and close monitoring. Diabetic foot pain treatment for ingrown toenails often includes antibiotics when infection is present.

Fungal Infections: Why Diabetic Patients Can't Afford to Ignore Them

Fungal infections, like athlete's foot and fungal toenails, thrive in warm, moist spaces. For diabetics, these infections create entry points in the skin that bacteria can exploit. Reduced immune response and circulation make fungal infections harder to clear and more likely to spread.

What Your Podiatrist Checks: Skin condition between the toes, nail discoloration or thickening, and skin breakdown in or near affected areas.

What to Expect From Treatment: Treatment during a foot examination for diabetes typically includes prescription topical or oral antifungal medications. Your podiatrist will also recommend specific footwear hygiene and moisture management practices to reduce the chance of recurrence.

Daily Habits That Help Prevent Diabetic Foot Complications

Taking steps to protect your feet every day is one of the most effective ways to prevent diabetic foot complications before they require medical intervention. As Dr. Kevin Uren of Physicians Footcare reminds his patients: "Diabetics out there: Take care of your feet, and they will take care of you."

Building these daily foot care habits into your routine makes a measurable difference:

• Check Your Feet Daily. Inspect the entire foot — top, bottom, sides, and between the toes. Look for cuts, blisters, redness, swelling, or any skin changes that weren't there before. Use a mirror if you have trouble seeing the bottom of your feet.
• Wear Proper Footwear. Well-fitted shoes with adequate cushioning reduce the friction and pressure that lead to blisters, corns, and calluses. Avoid going barefoot, even indoors.
• Keep Feet Clean and Moisturized. Wash and dry your feet thoroughly each day. Apply moisturizer to prevent dry, cracking skin, but skip the areas between your toes to avoid trapping moisture where fungus thrives.
• Manage Your Blood Sugar Consistently. Elevated blood sugar accelerates damage to nerves and blood vessels throughout the body, and your feet bear the consequences more than most areas.
• Schedule Regular Diabetic Foot Exams. A podiatrist for diabetic foot care catches the small problems before they escalate into serious ones. Those with neuropathy or circulation concerns should schedule a foot examination for diabetes more than once a year.

When to See a Podiatrist for Diabetic Foot Problems

Knowing when to call a podiatrist for a diabetic foot exam is a critical part of managing diabetes effectively. Seek professional help right away if you notice a wound that isn't healing, worsening redness or swelling, discharge or odor coming from a cut or blister, nail changes, or numbness that spreads. Don't wait to see if something resolves on its own. With diabetes, waiting typically makes things worse. A foot examination for diabetes is the best way to prevent serious issues from developing.

For expert diabetic foot care, the podiatrists at Physicians Footcare bring both clinical expertise and genuine personal commitment to every patient they see. Dr. Keyoka Smith, one of Physicians Footcare's podiatrists with a special focus in diabetic foot care, speaks to that mission directly: "Inspired by my grandparents' journey with diabetes, I've dedicated my career to helping patients heal, prevent complications, and advocate for themselves in partnership with their doctors."

That patient-first approach is reflected across Physicians Footcare's seventeen locations in South Carolina and Georgia. Our team of podiatrists provides thorough foot examinations for diabetes care, diabetic foot pain treatment, and ongoing support for your foot health. Whether managing a chronic condition or simply due for a diabetic foot exam, our podiatrists will get you back on your feet and build a care plan around your specific needs. 

Schedule your appointment today or call (833) PFC-FOOT to get started.

Florence, SC- Physicians Footcare, the Southeast’s premier podiatric practice is pleased to announce that Dr. Silvestro will be joining our team. He will begin treating patients in our Florence office in April.

Dr. Silvestro completed his residency at INVOA Fairfax Medical Campus in Falls Church, VA. He is a member of the American Board of Podiatric Medicine and the American Board of Foot and Ankle Surgery. He brings extensive knowledge in the areas of biomechanics, wound care and reconstructive surgery.

“I look forward to joining Physicians Footcare and sharing my passion for foot and ankle health to improve patient mobility and quality of life,” says Silvestro.

"Physicians Footcare is thrilled to announce the addition of Dr. Silvestro to our Florence team. As the 2022 valedictorian of New York College of Podiatric Medicine, he brings an unparalleled level of academic excellence and modern clinical insight to our practice,” said Dr. Ray, CEO Physicians Footcare. He views foot & ankle health as the literal foundation of a patient’s well-being, and his superior training ensures that our Florence patients are in the most capable hands.”

To schedule an appointment with Dr. Silvestro, contact our Florence Office at (843) 665-4567. To learn more about Physicians Footcare and the array of healthcare services we provide, visit www.physiciansfootcare.com.

About Physicians Footcare

Physicians Footcare is one of the largest podiatric practices in the southeast and the nation. It is the Southeast’s premier podiatry practice, independently and privately owned. Since opening our first location in 2006, we have grown to locations in South Carolina, Georgia, and New York. Our mission is simple-To Be the Best Medical Practice.

You roll your ankle, feel sudden pain, and then the question hits fast: Is it a sprain or a break? When symptoms like swelling, bruising, or difficulty walking appear, it can be hard to tell the difference between a sprained ankle vs. a broken ankle.

Understanding how to tell if an ankle is broken or sprained is important because the right treatment depends on the type of injury. While some sprains improve with rest and support, a fracture may require more advanced care. Ignoring the difference can lead to longer recovery times or complications.

In this guide, we’ll break down the key signs of a broken or sprained ankle, compare symptoms of a sprained ankle vs. a broken ankle, and explain what to do if you’ve rolled your ankle and aren’t sure what’s wrong. Let’s take a closer look at how to tell what your ankle injury really means.

What Is an Ankle Sprain?

An ankle sprain happens when the ligaments that support your ankle are stretched or torn. Ligaments are strong bands of tissue that connect bones and help stabilize your joints, so when they get injured, it can cause pain and affect your ability to walk or move comfortably. 

Sprains can range from mild overstretching to more severe tears and ligament damage, so it’s important to recognize the signs early.

Common Causes of Sprained Ankles

Ankle sprains occur during sports, exercise, or even routine daily movement when the foot twists inward or rolls awkwardly. If you have a rolled ankle that is broken or sprained, it can be difficult to tell which injury it is at first. In many cases, though, a rolled ankle causes damage to the ligaments that support the joint, which means the injury is a sprain. 

Common causes of an ankle sprain include:

• Rolling or twisting your ankle while walking on an uneven surface
• Landing awkwardly after a jump or fall
• Sudden changes in direction while running or playing sports

Symptoms of a Sprained Ankle

Symptoms can vary depending on the severity of the sprain, but common signs include:

• Pain around the ankle, especially when bearing weight
• Swelling and tenderness
• Bruising or discoloration
• Limited range of motion or difficulty moving the joint

These sprained ankle symptoms can sometimes overlap with broken ankle symptoms. That’s why a medical evaluation from a podiatrist is the best way to determine the nature of your injury and the best treatment option for you.

Ankle Sprain Diagnosis and Treatment

Even if you think you only have a mild sprain, it’s important to get a professional evaluation. A doctor may perform a physical exam and sometimes order an X-ray or MRI to rule out a fracture or more serious injury.

Treatment usually focuses on relieving pain, reducing swelling, protecting the joint, and helping the ankle heal correctly. Common approaches include:

• RICE method: Rest, ice, compression, and elevation can help reduce pain and swelling in the early stages.
• Bracing or support: An ankle brace or walking boot can stabilize the joint and limit further strain.
• Physical therapy: Guided exercises help restore strength, flexibility, balance, and range of motion.
• Pain relievers: Over-the-counter medications may help keep you comfortable during recovery.

With proper care, most ankle sprains heal well. However, returning to activity too soon or disregarding sprained ankle recovery guidelines can raise the risk of ongoing instability or re-injury.

What Is a Broken Ankle?

A broken ankle, also called an ankle fracture, occurs when one or more of the bones that form the ankle joint — the tibia, fibula, or talus — crack or break. Unlike a sprain, which affects the ligaments, a broken ankle involves the bones themselves and requires more intensive treatment to heal properly.

Common Causes of Broken Ankles

Broken ankles most often happen during high-impact activities or accidents, such as:

• Falling from a height or tripping on stairs
• Sports-related injuries involving sudden twists or collisions
• Car accidents or other high-impact trauma

Symptoms of an Ankle Break

An ankle fracture tends to be more obvious and severe than a sprain. Common signs include:

• Sharp or intense pain
• Swelling and bruising around the ankle
• Visible deformity or misalignment of the ankle or foot
• Inability to bear weight, walk, or put pressure on the affected ankle

These symptoms are often more severe when comparing sprained ankle vs. broken ankle symptoms, although both conditions may initially look similar.

Broken Ankle Diagnosis and Treatment

A broken ankle always needs professional evaluation. A podiatrist will examine the injured ankle and usually order imaging, most often an X-ray, to confirm the fracture and understand how severe it is. In some cases, additional imaging such as an MRI may be needed.

Broken ankle treatment depends on which bone is broken, whether the fracture is stable, and whether the bones have shifted out of place. Common treatment options include:

• Casting or splinting: A cast or splint helps keep the ankle bones in proper alignment while they heal.
• Surgery: More severe fractures may require surgery to reposition the bones and stabilize them with plates, screws, or other hardware.
• Physical therapy: Once the bone has healed enough, rehabilitation can help restore strength, mobility, and normal ankle function.

Prompt treatment is important. Unlike a sprained ankle, an untreated fracture can heal improperly and lead to ongoing pain, instability, or arthritis.

Sprained Ankle vs. Broken Ankle: Key Differences

Because sprains and fractures share many symptoms, like pain, swelling, and bruising, it can sometimes be difficult to tell if your ankle is broken or sprained. However, there are a few key differences that may help you better understand what type of injury you might be dealing with.

• Pain intensity and location: An ankle sprain usually causes pain near the ligaments that support the joint. It may be more localized. A broken ankle often causes sharper, more severe pain directly over the affected bone.
• Ability to bear weight: Many people with a mild ankle sprain can still put some weight on the injured foot, even if it’s uncomfortable. It is extremely difficult, or impossible, to stand or walk on a broken ankle.
• Swelling and bruising patterns: Both injuries can cause swelling and bruising, but the timing and severity for a sprained ankle vs. a broken ankle can differ. Sprains may cause moderate swelling that builds slowly, while fractures often cause more swelling that starts soon after injury.
• Visible deformity: In some cases, a broken ankle can cause the affected foot or ankle to look misaligned or visibly out of place. This can be a strong sign that the bones are fractured and require immediate medical attention.
• Response to rest and elevation: Sprains sometimes begin to improve with basic at-home care such as rest, ice, compression, and elevation (RICE). A fracture, however, frequently fails to get better with these measures. It can still trigger intense pain and restrict movement.

While these differences can offer helpful clues, it’s not always easy to tell if an ankle is broken or sprained without a professional diagnosis. If you’re unsure about your injury, it’s best to seek medical care with a podiatrist you trust. 

How to Prevent Broken or Sprained Ankles

A few simple steps can help protect your ankles and reduce the risk of injury. Follow these practical tips:

• Strengthen and stretch your ankles: Regular exercises that improve ankle strength and flexibility can help prevent sprains and other injuries. Simple stretches, balance exercises, and light resistance training are great ways to keep your joints stable.
• Be cautious on uneven surfaces: Pay attention to where you step, especially on trails, stairs, or slippery surfaces. Taking your time and staying mindful of your footing can help prevent twists and falls.
• Wear the right footwear: Supportive shoes that fit well, custom orthotics, and are appropriate for your activity can make a big difference, especially during sports, workouts, or long walks. As Physicians Footcare certified pedorthist Natalie McCoy says, “When it comes to your footwear, being properly measured and knowing what general size is appropriate for your foot and its unique needs is imperative to good foot health and daily comfort.”

By incorporating these habits into your routine, you can help keep your ankles strong and reduce the likelihood of injuries.

Broken or Sprained Ankle? Here’s What to Do

Understanding the difference between a sprained ankle vs. a broken ankle is important for proper healing and preventing long-term problems. While some injuries may seem minor, it’s not always easy to tell the difference on your own. If you’re unsure how serious your ankle pain, swelling, or walking trouble is, a podiatrist can offer a professional diagnosis and get you on the right track toward recovery.

At Physicians Footcare, our experienced team of podiatrists and certified pedorthists can assess your ankle, provide an accurate diagnosis, and recommend the right treatment to help you recover safely. As Dr. Patrick Nunan, podiatrist at Physicians Footcare, says, "Our goal is to diagnose your problem, treat the problem, and return you to the activities that you enjoy." 

Schedule a podiatry appointment today to make sure your ankle gets the care it needs.

Columbia, SC - Physicians Footcare, the Southeast’s premier podiatric practice, is pleased to announce that Dr. Dolores Farrer will be joining our team. She will begin treating patients in our Cayce office on March 4th.

Dr. Farrer brings decades of podiatric experience to the Midlands, specializing in wound care. She is licensed in both South Carolina and Georgia. Additionally, she has been certified by the American Board of Wound Management for over 20 years and currently serves as the secretary of the Board of Directors for the Association for the Advancement of Wound Care.

"I am excited to join Physicians Footcare as the newest chapter in my 30-year career. My goal has always been to use my extensive clinical experience combined with the latest evidence-based treatments to provide quality footcare. By maintaining active professional memberships and leadership roles, I will ensure PFC patients benefit from the most advanced standards of care,” says Farrer.

“We are thrilled to welcome Dr. Dolores Farrer to our practice, said Dr. Ray, CEO of Physicians Footcare. After more than three decades in podiatric care, she has extensive knowledge in treating advanced conditions and expertise in improving outcomes for patients with hard-to-heal wounds. We look forward to her providing unparalleled service to the Columbia community.”

To schedule an appointment with Dr. Farrer, contact our Cayce Office at (803) 796-0616. To learn more about Physicians Footcare and the array of healthcare services we provide, visit www.physiciansfootcare.com.

About Physicians Footcare

Physicians Footcare is one of the largest podiatric practices in the Southeast and nationwide. It is the Southeast’s premier podiatry practice, independently and privately owned. Since opening our first location in 2006, we have grown to locations in South Carolina, Georgia, and New York. Our mission is simple: to be the best medical practice.