What is Diabetic Foot?
What are diabetic foot problems?
- Foot infection
- Foot ulceration
They can also develop neuropathy (damaged nerves) or peripheral vascular disease (blocked arteries) of the legs and either can lead to foot ulceration..
How to prevent diabetic foot problems?
Who is at risk of developing a diabetic feet ulcer?
- Severe neuropathy
- Severe peripheral vascular disease
- Coexisting abnormalities of the shape of the foot which makes them prone for callus
- In poorly controlled diabetics
- There is a past history of foot ulceration due to diabetes (because the above factors often persist)
Foot Care for Diabetic Foot
Daily foot care to prevent Diabetic FootExamine your feet carefully daily for:
- Cracks in skin
- Soggy skin
- Dry skin
- Corns and calluses
- Ingrown toenails
- Sharp toe nails
Check for Corns and Calluses
Corns and calluses can be a problem. They cause pressure and can lead to ulceration. Never trim or cut a corn yourself. Never use a corn pad, it can burn the skin and may develop an ulcer from this. Using a pumice stone can also be dangerous, as you cannot feel your feet. The only safe way to treat a corn or callus is to see a podiatrist.
Wash your feet every day with warm water and mild soap. Make sure it is not too hot. Dry your feet , especially between the toes. If the skin between your toes becomes white and soggy apply some methylated spirits using a cotton bud. If the problem doesn't go away in a couple of days, see your doctor. Apply cream or moisturizer into your feet to stop them getting dry and cracked.
Do not cut your nails too short. Cut your nails straight across. Always check your nails for sharp edges. To smooth sharp edges use a nail file.
Removal of callus on a regular basis. Again this is preferably done by a podiatrist in this group of high risk individuals.
Three pronged approach for diabetic foot ulcer management
- Diagnosis & treatment of good blood flow
- Infection control
- Pressure offloading to promote healing
Treatment of poor blood flow
Color Doppler of the blood vessels of legs is performed to look for blood supply in foot. If any blockage is found, it can be coprrected either by angioplasty and ballooning of blocked vessels or surgical bypass of blocked vessels.
Proper and timely antibiotic treatment is crucial to prevent sepsis. Ulcer if present should be managed by proper dressing and wound care.
Foot Scan is done to map the normal & abnormal pressure areas when we walk. It predicts the areas under stress that are prone to ulceration in future. Special insoles & foot wear are designed to offload the high pressure areas.
What are the benefits from the treatment?
Treatment for diabetes foot care improves the quality of life and prevents the occurrence of gangrene and ulcers.
What is the expected outcome of the surgery?
Your discharge depends on the procedure you have undergone. You may resume your activities depending upon your physical strength and the evaluation of post operative condition.