expert type icon EXPERT

Richard Graves

Podiatrist (Foot and Ankle Specialist)

Richard H. Graves, DPM is a Sports Medicine Podiatrist at Sol Foot & Ankle Centers in Long Beach, CA. As a Sports Medicine Podiatrist Dr. Graves is trained to assess, diagnose, prevent, and treat sports injuries in patients of all ages, and refer those patients to further services if needed. Sports Medicine Podiatrist must complete specialized training in order to help each patient maximize function and improve quality of life.
26 years Experience
Richard Graves
  • Long Beach, CA
  • California College of Podiatric Medicine San Francisco
  • Accepting new patients

For a diabetic patient with gangrene in one toe, is foot amputation the only option?

It is difficult to answer this question specific to your father, but I can give you a general answer. Usually, if the gangrene is only in one toe, and it doesn't look like there's READ MORE
It is difficult to answer this question specific to your father, but I can give you a general answer. Usually, if the gangrene is only in one toe, and it doesn't look like there's a chance of saving the toe, we will try to amputate only that toe and save the others. One exception to that would be that if the circulation to the entire foot is too poor, then it may not be possible to heal from the single toe amputation. In that instance, it might be better to amputate the entire foot at a level where the blood flow is known to be adequate. If you amputate only the toe and then the surgical site doesn't heal you could possibly be subjecting your father to additional surgery. Another exception might be the presence of infection. If only the one toe has gangrene, but there is a serious infection involving other parts of the foot or other toes, then going ahead with the bigger amputation might be the proper course.

I hope this information is helpful. Good luck dealing with what I know is a difficult situation. Let us know if you have additional questions.

Richard Graves, DPM

I have chronic knee pain

Unfortunately, there was a bit of misinformation listed on the website. I am a sports medicine PODIATRIST and not a family practitioner. My primary focus is on conditions of READ MORE
Unfortunately, there was a bit of misinformation listed on the website. I am a sports medicine PODIATRIST and not a family practitioner.

My primary focus is on conditions of the foot, but I do help my patients to address certain types of knee pain as it relates to the alignment of the lower extremity. It sounds like your knee situation is a bit more complex and chronic than that. It also sounds like you've already seen an orthopedist (or two or three!).

I would suggest getting at least another opinion or two from the top knee replacement specialists in your area. Ask them if there is arthritis in your knee that is severe enough to warrant a knee replacement. Also, ask them the chances of achieving at least temporary relief from hyaluronidase injections or even PRP or amniotic membrane injections.

I hope that's helpful!

Dr. Richard Graves