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Diabetic Feet

 Diabetic Ulcers

A diabetic foot ulcer is essentially a wound or open sore that usually appears on the bottom of the foot. These ulcers are serious business because they can lead to an amputation if they are not treated correctly!

Wound Care

Every wound, whether big or small, needs to be taken seriously and requires special care and treatment while the body helps heal itself. We have treated many wounds over the years and have seen much confusion among patients regarding proper care of their wounds.

 Neuropathy

Peripheral neuropathy is a condition that can cause tingling, burning or numbness in your feet. It can be commonly seen in diabetic patients.

This disease causes weakness, numbness and pain (usually in your hands or feet), as well as a loss of sensation that may be compared to the feeling of wearing a thick stocking.

 Cracked Heels

Cracked heels and heel fissures start out as dry skin and turn into a painful health problem.

They occur when the skin on the edge of the heel becomes too dry, hardens into a callus and then starts to crack.

 Obesity

Obesity can wreak havoc on your feet and ankles.

Multiple studies have linked a higher BMI (body mass index) with foot and ankle problems, and even amounts as small as an extra 10 pounds can cause issues.

Diabetic Feet Can Have Serious Complications

If you are diabetic, then you need to know that your feet need extra attention. If you suffer from numbness in your feet, then you can’t feel if you have a sore, cut, or gash on your feet.

 

People will diabetes also may suffer from poor circulation which hinders healing. These side effects of diabetes can result in an abrasion becoming severely infected to the point that a toe, foot, leg or knee may have to be amputated in order to stop the infection from spreading.

 

If it sounds scary, that’s because it is. Up to 24% of diabetic patients who suffer from a foot ulcer will end in an amputation. If you are diabetic you are at high risk for a limb amputation. Diabetes is the main cause of non-traumatic lower-limb amputations. It is important that you take care of your feet if you are diabetic. We don’t want to remove a limb, but if you don’t take care of any complications, we will have to in order to save your body.

Diabetic Amputation Prevention

  • Examine your feet every day for cuts or other abrasions.
  • Don’t skip your yearly podiatry appointment.
  • Always wear shoes, never go barefoot. You want to protect your feet as much as possible.
  • Never try to do any “home surgery” on your feet. If you have a callus or an ingrown toenail you want removed visit a podiatrist where they can remove it safely.

Amputations can be prevented if proper care is taken. Never just assume that a small cut will heal itself. The better you are informed, the better you can take care of yourself.

Cold feet can be one sign of poor circulation.

 

In our office, many of our patients with cold feet and poor circulation happen to be diabetics as well. We actually offer a quick, in-office test that evaluates poor circulation problems such Peripheral Arterial Disease “PAD” or Chronic Venous Insufficiency (CVI).

 

Those with Type 1 and Type 2 Diabetes are at risk to suffer from chilly feet as well as diabetic neuropathy.

 

Neuropathy often includes sharp stabbing pains and numbness, but it can be managed.

Tips For Managing Neuropathy 

  1. Always wear shoes! If you can’t feel when you’ve stubbed or scraped your foot and you create a wound, an infection can develop.
  2. Check your feet every day. This goes for all diabetics, but if you do create a wound, you need to detect it as soon as possible.
  3. Choose shoes with a wide toe box and lots of protection. No sense in flaunting the toes in sandals if you’re prone to injury.
  4. Clean your room! Don’t have any obstructions in your way that you could trip over in the night.
  5. Avoid soaking your feet in hot, hot water which could result in a thermal burn. For example, if you’re going to have a pedicure, make sure it’s a healthy pedicure that takes place under conditions that are safe for diabetics.

Think You May Have Neuropathy?

Dr. Brooks performs a test in-office, as a convenience to our patients, that evaluates possible nerve damage. Catching the neuropathy in the early stages means that managing it is easier and there are more options.

Additional Diabetic Services

We provide in-house testing to evaluate for the following nerve conditions. This allows you to avoid long hospital waits to be scheduled and lengthy waits for results and reports.

  • Diabetic neuropathy – Peripheral neuropathy is a condition that can cause tingling, burning or numbness in your feet. It can be commonly seen in diabetic patients.
  • Paresthesia of the lower extremity – abnormal sensation of the body, such as numbness, tingling, or burning.
  • Radiculopathy – the damage of nerves that result in pain, weakness, numbness, or difficulty controlling specific muscles.
  • Sciatica – pain that radiates along the path of the sciatic nerve — which branches from your lower back through your hips and buttocks and down each leg.

Cold feet can be one sign of poor circulation.

 

In our office, many of our patients with cold feet and poor circulation happen to be diabetics as well. We perform an in-office examination that evaluates poor circulation problems such Peripheral Arterial Disease “PAD” or Chronic Venous Insufficiency (CVI).

 

Those with Type 1 and Type 2 Diabetes are at risk to suffer from chilly feet as well as diabetic neuropathy.

 

Neuropathy often includes sharp stabbing pains and numbness, but it can be managed.

Insurance May Cover Your Shoes

Taking care of your feet needs to be one of your top priorities if you are living with diabetes.

 

The good news is that most insurance plans cover one pair of diabetic shoes per year.

 

Shoes that are made for diabetic feet have defensive properties built in to help protect you and your feet. They come in several styles, so you can have different styles for different occasions as well.

 

Diabetic Shoe Difference

Apex shoes are specifically designed for diabetics because they are:

  • Wider in the toe box allowing your toes to move around and prevents potential cuts or blisters.
  • Form fitted to your feet. Custom shoes mean a better fit and less chance of injuries.
  • Stabilizing, which helps protects patient with neuropathy that have a greater chance of bumps, scrapes and falls.
  • Helpful in preventing diabetic foot ulcers. The less cuts and abrasions you have, the less risk of amputation you have.

As a diabetic, the best way to protect your feet is to wear shoes at all times.

 

Remember to take the proper steps for your foot care. Check your feet daily and keep your yearly appointment checkups. Take the right steps towards healthier feet.

Trimming Nails Can Be Dangerous?!

It may seem like a simple task, but trimming your nails can be dangerous if you have diabetes. Neuropathy (or loss of feeling) is common in those with diabetes. You may not notice if you nick yourself. Having a podiatrist trim your nails can also help prevent ingrown toenails. Ingrown toenails can become irritated and infected. Because diabetes can affect your ability to heal properly, a small wound or ingrown could become a severe issue. Prevention is key when it comes to diabetic foot care and we are here with you, every step of the way.

Insurance May Cover Your Nail Care

Nail trimming can potentially be hazardous to those with diabetes, therefore many health insurance companies will cover the cost of diabetic nail care. With insurance coverage, we can trim your nails every 9-12 weeks.

 

If you do not have diabetes but have circulation problems your insurance may cover for you to have your nails and calluses trimmed every 9-12 weeks.

 

Please don’t hesitate to call us if you have questions or would like to check if your insurance plan would cover your diabetic nail care.

Nail Care Appointments At Lexington Podiatry

During your nail appointment, one of our providers will trim your nails. Your feet will be also examined for any skin breakdown or spots that may need attention. After your nail trim, we will smooth your nails and apply lotion to your feet while giving you a gentle massage!

IF YOU ARE EXPERIENCING FOOT PAIN, CALL OUR OFFICE OR MAKE AN ONLINE APPOINTMENT

Free Foot Health Guides

Learn the common causes and preventative measures for Heel Pain and Diabetic Foot Care. Understand how different treatments may help alleviate your pain and discomforts. Request your FREE copies and join our newsletter today.

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