Wilmington Wound Care and Podiatry Center
910.762.2404  |  910.762.4249  fax
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MEET THE TEAM

8/11/2016

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"When you meet the WW&PC team, you will find that, although we take our goal of limb preservation extremely seriously,
​we do not take ourselves very seriously."

DR. RICHARD RECKO is a podiatrist board-certified in foot surgery as well as
​board-certified in wound care.He has over 20 years experience in the treatment of high risk and non-healing wounds.
​He does not take your trust casually and is fully committed to wound care.
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MONICA

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BARB
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KRISTIN
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JEAN
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MICHELLE
To help us to achieve the highest level of care, the WW&PC has the support of vascular specialists, infectious disease specialists, orthopedists, home health nurses and other supportive staff.
 
 
MONICA, our greeter and gatekeeper, is the first person your meet as you come into the WW&PC. She will ask you for information and will also ask you to fill out forms necessary to serve you to the best of our ability.
 
BARB, our office manager and KRISTIN ,our insurance administrator, work behind the scenes to keep everything running smoothly. They have the formidable task and responsibility of making sure that all insurance information is gathered and posted accurately. All patient records are strictly confidential and are never shared with any other Individual or office without your permission.
 
JEAN  is an LPN, board certified in wound care and has been a wound care nurse for many years. Her experience is priceless. Jean coordinates  patient care with the home health service or with the nursing home.She is the liaison between the family and the staff.​

MICHELLE,who assumes responsibility for patient care and vascular testing, assists Dr. Recko and Jean. Whether it's comfort care, diagnostic testing or assisting in surgery they always put patients and their families first.
 
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Amniotic Fluid Fluid Therapy-is it for you?

7/31/2016

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​For those with challenging chronic, hard to heal wounds or inflammatory conditions such as tendonitis, joint pain associated with early arthritis and cartilage damage, a revolutionary breakthrough application is now available at the Wilmington Wound & Podiatry Center. 
 
Amniotic tissues have been used in a variety of medical applications and have been shown the ability to treat pathologies that were unresponsive to conventional therapeutic measures.

Amniotic tissue has anti-inflammatory, anti-adhesive, anti-microbial properties,
having the inherent advantage of being unadulterated by the effects of time.
 
Based on the extensive amount of screening and testing on the tissue and donor,
as well as the very nature of the tissue donation, Nanofactor is safe.
 
Nanofactor™ is a nutrient rich amniotic tissue transplant, which is obtained from healthy donors
who have volunteered to donate their placenta, after undergoing elective caesarian live birth.
An extensive medical review and prenatal evaluation is completed prior to the birth.
No fetal sacrifice is involved.
 
 Can this help you or a loved one? Contact me at 910-762-2404 and we will explore the options. 
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TREATMENT OF SERIOUS COMPLICATIONS 

7/21/2016

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​THE PODIATRIST IS OFTEN THE FIRST PROFESSIONAL TO DIAGNOSE THE DIABETIC PATIENT AND MUST ASSUME AN ACTIVE ROLE IN THE INDIVIDUAL'S CARE.
 
TREATMENT/MANAGEMENT
  • good control of blood sugar combined with appropriate footcare
  • surgery may be indicated depending on the type of problem
 
A TEAM APPROACH
  • the family or other loved ones observes, monitors and reports changes in the patient’s lower limbs
  • the family physician has the most intimate contact with the patient and provides a significant history and physical.
  • the endocrinologist manages the patient's diabetic treatment including all medications.
  • the vascular surgeon provides information on the blood flow and performs procedures
  • the podiatrist will monitor the health of the lower extremity with:
    1.  regular lower extremity foot checks and wound care  
    2. diabetic shoes
    3. possible surgical intervention.
    4. coordination of services: the podiatrist acts as a liaison between the pedorthatist and the patient, ensuring that the orthotics or custom-made shoes fit the patient accurately. The podiatry team will serve as a liaison between home health care nursing and the patient.
 
Our clinic offers supportive services for the diabetic and the vascular- impaired patient.
Diabetic shoes and orthotics are available. Nail care and debridement of corns and calluses are treated on an ongoing basis.
 
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​SERIOUS COMPLICATIONS OF DIABETIC CONDITIONS

7/11/2016

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The lack of feeling in the lower extremities make it difficult and possibly impossible to respond to injury.If the patient cannot feel danger,the patient does not know if he or she is at risk. An innocent walk across the parking lot may result in severe burns of the feet. Peripheral neuropathy can also affect the muscles of the feet and legs leading to mal-alignment of the foot which can result in significant pressure points.These,in turn lead,to ulcerations, infections, resulting in amputations.
 
Individuals with diabetes have dramatic increases in ulcerations and damage to the feet.
The diabetic also may be faced with structural problems with the feet including bunions,
corns ,hammer toes-as well as dry skin and possibly ingrowing toenals.
 
Depending on the type of problem surgery may be indicated.

This is why good control of blood sugar combined with appropriate footcare can prevent many complications:
  • peripheral neuropathy can also affect the muscles of the feet and legs leading to mal-alignment of the foot which can result in significant pressure points these in turn lead to ulcerations, infections, resulting in amputations.
  • dramatic increases in ulcerations and damage to the feet including severe burns
  • structural problems with the feet including bunions, corns, hammertoes
  • dry skin and ingrowing toenails.
  • gangrene-tissue death due to the absence of blood flow. This most catastrophic complication may be life-threatening if bacterial infection and raised bloodstream become apparent.
 
Next: TREATMENT OF SERIOUS COMPLICATIONS OF DIABETIC CONDITIONS 

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LESS COMMON TYPES OF DIABETES

6/20/2016

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OTHER LESS COMMON TYPES OF DIABETES
 
GESTATIONAL DIABETES (GDM)

  • GESTATIONAL DIABETES is a form of diabetes that occurs during the second half of pregnancy and commonly resolves after delivery of the baby.

  • GESTATIONAL DIABETES seems to predispose the woman to develop type II diabetes later in life. Women with gestational diabetes are more likely to have large babies
 
METABOLIC SYNDROME X
 
 SYNDROME X this is an abnormality in which hypertension and type II diabetes present the following:
  • high fat levels in blood
  • increased serum lipids
  • elevation of low density lipoproteins cholesterol
  • decreased HDL
  • elevated triglycerides
 
 SYNDROME X ls also associated with a high rate of cardiovascular disease
 
If you are diagnosed with any type of Diabetes (Type 1, Type 2, Gestational or Syndrome X, it is imperative that you consult a wound care specialist at the first sign of a wound that is reluctant to heal. 
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TYPES OF DIABETES 

6/9/2016

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​COMMON TYPES OF DIABETES
 
TYPE I DIABETES (T1D)
  • occurs when the body stops making too little insulin to regulate the blood glucose levels.
  • due to destruction of the pancreas by alcohol, disease, or removal via surgery,
  • Type I also may result from the progressive failure of the pancreatic cells to produce any significant amount of insulin. Individuals with type I diabetes require insulin treatments to sustain their lives.
  • Formally called juvenile onset diabetes or insulin-dependent diabetes, TYPE 1 DIABETES may also occur in older adults. These terms are no longer used because type II diabetes can occur in youngsters and some people with type II diabetes may require insulin therapy

TYPE II DIABETES (T2D)

  • TYPE 2 DIABETES occurs when the pancreas still can secrete insulin but the person's body is partially or completely unable to utilize the insulin. This is commonly termed insulin resistance. Individuals with insulin resistance develop type II diabetes when they fail to secrete enough insulin to cope with their higher demands.
  • TYPE 2 DIABETES is usually controlled with diet weight control exercise and oral medications. It is common for people with type II diabetes to require insulin control the blood sugar
  • age 45-the approximate time when TYPE I DIABETES  is usually diagnosed.
 
BY THE NUMBERS:
  • 90% of all adult individuals have type II diabetes.
  • this usually involves approximately 10% of the diabetic population.
 
 
NEXT: LESS COMMON TYPES OF DIABETES

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    Author

    Richard R. Recko, DPM: Physician Certified in Wound Care by the Council for Medical Education & Testing Chair, New Hanover Regional Medical Center, Podiatry Section Member, New Hanover Regional Medical Center, Infectious Disease Committee Diplomate, American Board of Foot & Ankle Surgery Fellow, American College of Foot & Ankle Surgeons

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