My Blog

Posts for: April, 2014

By Raymond A DiPretoro Jr., DPM
April 28, 2014
Category: Diabetes

Diabetes and BarefeetFinally, warmer weather has arrived!  Before you kick off your shoes and head to the beach, remember, diabetes and bare feet are not a good combination. 

If you’re walking barefoot, even the slightest stub of the toe can lead to a foot ulcer, and if you have diabetes, this can mean big trouble. Peripheral neuropathy, which occurs due to nerve damage, can lessen pain sensation so you may not even know if you are damaging your feet.  That means cuts and abrasions could go undetected, and with loss of blood flow being common with this disease, the wound may not heal before an infection sets in. 

What does that mean for your next beach excursion? Unfortunately, walking on the beach barefoot is definitely a bad idea.  Just think of all the hazards such as seashells, glass, and other debris, that can cut your skin and cause possible infections. 

Another danger with diabetes and bare feet is hot black top.  Even if you’re just hurrying across the parking lot without shoes, you can obtain severe burns that can lead to infection. 

What’s the bottom line? To prevent serious problems, diabetics should never walk bare foot—not even indoors.  So whether you’re planning to attend a Memorial Day picnic, to enjoy a day at the beach, or to hang out around the house, make sure you wear proper fitting shoes this summer. Your feet will thank you for it!  

Learn more about diabetic foot care by contacting Dr. Raymond A. DiPretoro, Jr. at (302) 355-0056, or by visiting one of the three convenient locations of Advanced Foot & Ankle Center, Inc. We are located in Newark, Glasgow, and Wilmington, DE.

Photo Credit: David Castillo Dominici via

By Raymond A DiPretoro Jr., DPM
April 28, 2014
Category: Surgery

Information About Limb Salvage SurgeryIf you are faced with the prospect of amputation, you may have heard of an alternative called limb salvage surgery, also referred to as limb-sparing surgery. It sounds like something from the future, but actually there are plenty of inspirational stories about people right now who have undergone this procedure and living active lives that include running, biking, surfing and more. 

Limb salvage surgery is commonly performed for bone cancer. In recent years, the procedure has been extended to diabetic patients, those with degenerative bone diseases like rheumatoid arthritis, as well as those with serious limb wounds. Rebekah Gregory is an inspiring example. As a survivor of the 2013 Boston Marathon bombing, she is currently being treated by doctors who are performing surgery to salvage her leg. Her hope is to someday run again.

So, what is limb salvage surgery and how exactly is it performed? Basically, the procedure entails removing only the part of the bone and surrounding tissue that is damaged or affected. Using prosthetic rods and bone grafts from other parts of the patient’s body, or from a donor, the section removed is then reconstructed. The appearance of the limb is preserved and its function is restored.

Of course, physical therapy is highly recommended for successful rehabilitation and to accelerate the process of getting you back to the activities you love to do. Rebekah Gregory is just one of many who has chosen this path. 

To find out if it’s the right path for you, or to learn more about limb salvage surgery, contact Dr. Raymond A. DiPretoro, Jr. of the Advanced Foot and Ankle Center, Inc. Call (302) 355-0056 or visit one of his three convenient Delaware locations in Glasgow, Newark, and Wilmington.

Photo Credit: dcarson924 via

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Newark, DE Podiatrist
Advanced Foot and Ankle Center - Neuroscience & Surgery Institute of DE.
774 Christiana Road, Suite #105, Newark, DE 19713
(302) 355-0056

Wilmington Office
1415 Foulk Road, Suite #101, Foulkstone Plaza, Wilmington, DE 19803
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Middletown Medical Center 210 Cleaver Farm Road Building B, Suite 2 Middletown, DE 19709
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