SKIN LESION EVALUATION
Skin Rashes & Lesions on the Foot
Rashes that won't go away. Moles that have changed. Skin changes you're not sure about. We evaluate and treat or refer as appropriate.
(406) 256-0077Skin Problems on the Foot Need Attention
Foot skin gets stressed in ways the rest of the body doesn't. Constant pressure inside shoes, moisture, sweat, friction, and exposure to floors and pools all create conditions for skin problems to develop. When something persists or looks unusual, it deserves a real evaluation.
A board-certified foot and ankle surgeon looks at the skin in context: circulation, pressure patterns from footwear or gait, underlying conditions like diabetes, and any structural issues that might be contributing. We treat what we can treat, and we refer to dermatology when a case calls for specialty input or biopsy.
What We Evaluate and Treat
Persistent Rashes
A rash that hasn't responded to over-the-counter treatment after a couple of weeks needs a real diagnosis. The causes range from contact dermatitis (reactions to sock materials, dyes, or detergents) to psoriasis, eczema, fungal infections, or other dermatologic conditions. Each has different treatment. We identify what's actually there and treat accordingly.
Abnormal or Changing Moles
Any new mole, a mole that's changing in size, shape, or color, or a dark spot appearing under a toenail should be evaluated. Melanomas can occur on the feet and are sometimes missed because they're not the place people think to check. If something looks off, get it looked at. We evaluate and coordinate biopsy with dermatology or pathology when needed.
Plantar Warts
HPV-related warts on the bottom of the foot. They often appear as hard, callused spots with small black dots. We offer prescription topical treatments, cryotherapy, and surgical removal for warts that haven't responded to over-the-counter options.
Skin Ulcers and Non-Healing Wounds
Skin that breaks down and doesn't heal is always worth evaluation, especially in patients with diabetes or vascular disease. We assess the underlying cause, treat the wound directly, and coordinate care with other providers when systemic factors are involved.
Unusual Skin Changes
Color changes, thickening, persistent itching, or any skin change you're not sure about. When in doubt, get it evaluated. Catching something early is always easier than catching it late.
When We Recommend Biopsy
Most foot skin issues are diagnosed clinically and don't require biopsy. But when the diagnosis is unclear, when a lesion has features suspicious for cancer, or when a persistent ulcer doesn't fit any common pattern, we recommend biopsy. We coordinate with dermatology or pathology for the tissue sampling and analysis. Once we have a definitive diagnosis, we proceed with the right treatment.
Related Conditions
Questions? Call us at (406) 256-0077.