 | Ulceration usually caused by excessive pressure, or trauma; pre-existing
foot deformities greatly increase the risk of ulceration. |
 | Poor circulation, restricting adequate delivery of oxygen and nutrients,
in turn contributing to mobility reduction and the ability of wounds to heal
properly. |
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Neuropathy causes reduced sensation leading to unnoticed symptoms and
possible delays in treatment of infection, ulceration, and progressive foot
deformities. |
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Decreased resistance to infection due to white blood cell
difficulties, especially problematic with the above conditions.
Foot Deformities
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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.
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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 physician immediately.
Diabetic Foot Health Tips:
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Daily foot inspections are an important part of preventative care. A hand
mirror can help when checking the feet.
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Give feet good preventative care, avoid injury, protect the skin, wear
properly fitting shoes, and do not attempt self-treatment (Absolutely no
bathroom surgery)
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Diabetics should get regular foot exams by their podiatrist, since nerve
damage diminishes feeling in the feet and foot problems could go unnoticed.
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Shoes that are too tight are a contributing factor to many preventable
foot problems, make sure shoes fit appropriately.
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Special insoles may provide excellent protection against ulcers and other
problems.
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Don’t take your feet for granted, treat them like gold.
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Medicare and many other insurance carriers provide a
diabetic shoe benefit. Dr. Goodale dispenses diabetic shoes. Talk to her
about whether you may qualify. |