Why isn't the wound beneath my foot painful?

IMPORTANT COVID-19 INFORMATION

At this time, our office continues to be open to new and existing patients. We use hospital-grade sanitizers and are taking measures to ensure patients maintain social distancing by not having anyone wait in our reception room with others. We are continuing operation in an effort to keep patients out of the urgent care clinics and hospital emergency departments, which increases the chances of being exposed to the virus. We have x-ray and ultrasound in the office to prevent you from having to go elsewhere.

For those patients who cannot or wish not to visit the office, we are offering private video telemedicine visits. Simply call the office at 713-785-7881 and ask for an e-visit and we will be happy to get you set up for an immediate appointment. You can also request an appointment through our website.

In many cases, a wound or ulcer beneath the foot is due to diminished sensation known as peripheral neuropathy. While common in people with diabetes, neuropathy can also be present in those without diabetes. Because the neuropathy causes the foot to be numb, the resulting wound is not painful.

Peripheral neuropathy causes the loss of protective sensation. This dulls the pain receptors of the foot, making it unable to feel something that is stepped on, like a splinter or tack, or something that is developing on the foot, such as a callus. Just because a wound is present without pain, it doesn't mean it is not serious. In fact, the opposite is true...it is a medical emergency. A non-healing ulcer has the potential to become infected, putting the limb at risk. If you see that an ulcer is developing, be sure to contact your Houston foot specialist immediately.
Dr. Andrew Schneider
Connect with me
Dr. Andrew Schneider is a podiatrist and foot surgeon at Tanglewood Foot Specialists in Houston, TX.