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Diabetic Foot Problems
- Foot problems are a leading cause of hospitalization for the
sixteen million persons in the United States who have diabetes
(almost half of whom are unaware of their condition*). It is estimated
that 15% of all people with diabetes, will develop a serious foot
condition at some time in their lives. Each year more than 50,000
people with diabetes* must have a foot or leg amputated due to
diabetic complications. Many of these amputations may have been
prevented with early detection and prompt treatment. Common problems
include infection, ulceration and gangrene (too often leading
to amputation of toe, foot or even leg).
- Causes of diabetic foot problems:
- Ulceration usually caused by excessive pressure, or trauma;
pre-existing foot deformities greatly increase risk.
- Poor circulation, restricting adequate delivery of oxygen and
nutrients, in turn contributing to mobility reduction and the
ability of wounds to heal properly
- Neuropathy causes reduced sensation leading to unnoticed symptoms
and possible delays in treatment of infection, ulceration, and
progressive foot deformities.
- Decreased resistance to infection due to white blood cell difficulties,
especially problematic with the above conditions.
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- Foot Deformities
- Foot deformities such as hammertoes, bunions, and metatarsal
disorders have special significance in the diabetic population.
A deformity places the foot at increased risk for developing corns,
calluses, blisters and ulcerations. Neuropathy may render symptoms
relatively painless. When these deformities threaten the diabetic
patient’s health and mobility, corrective surgery may be
required.
- Special deformities can occur in persons with neuropathy regardless
of circulatory condition. A Charcot joint resulting from trauma
to the insensitive foot causes the foot to collapse and widen.
This destructive condition is often heralded by persistent swelling,
redness, mild to moderate aching, and an inability to fit into
shoes. If this occurs, it is important to stay off the foot and
see a podiatric surgeon immediately.
- Diabetic Foot Health Tips:
- Daily foot inspections are an important part of preventative
care. A hand mirror can help when checking the feet.
- Give feet good preventative care, avoid injury, protect the
skin, wear properly fitting shoes, and do not attempt self-treatment
(Absolutely no bathroom surgery)
- Diabetics should get regular foot exams by their podiatrist,
since nerve damage diminishes feeling in the feet and foot problems
could go unnoticed.
- Shoes that are too tight are a contributing factor to many preventable
foot problems, make sure shoes fit appropriately.
- Special insoles may provide excellent protection against ulcers
and other problems.
- Don’t take your feet for granted, treat them like gold.
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Associated Podiatrists,
L.L.P.
