Medicine and Surgery of the Foot and Ankle
1214 E. National Avenue-Ste. 130 (Main Floor)
Brazil, Indiana  47834
888-448-9294
 Email

Home
About Dr. Goodale
About Dr. Harms
Buying shoes
Heel Pain
Diabetic Foot Care
Other Foot Issues
Foot Trivia
Links
Photo Gallery
Dr. Goodale forms
Dr. Harms forms
Legal Information

Site maintained by
Compass
Consulting
Service

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:

bulletUlceration usually caused by excessive pressure, or trauma; pre-existing foot deformities greatly increase the risk of ulceration.
bulletPoor circulation, restricting adequate delivery of oxygen and nutrients, in turn contributing to mobility reduction and the ability of wounds to heal properly.
bullet

Neuropathy causes reduced sensation leading to unnoticed symptoms and possible delays in treatment of infection, ulceration, and progressive foot deformities.

bullet

Decreased resistance to infection due to white blood cell difficulties, especially problematic with the above conditions.

Foot Deformities
 

bullet

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.
 

bullet

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:
 

bullet

Daily foot inspections are an important part of preventative care. A hand mirror can help when checking the feet.
 

bullet

Give feet good preventative care, avoid injury, protect the skin, wear properly fitting shoes, and do not attempt self-treatment (Absolutely no bathroom surgery)
 

bullet

Diabetics should get regular foot exams by their podiatrist, since nerve damage diminishes feeling in the feet and foot problems could go unnoticed.
 

bullet

Shoes that are too tight are a contributing factor to many preventable foot problems, make sure shoes fit appropriately.
 

bullet

Special insoles may provide excellent protection against ulcers and other problems.
 

bullet

Don’t take your feet for granted, treat them like gold.
 

bullet

Medicare and many other insurance carriers provide a diabetic shoe benefit. Dr. Goodale dispenses diabetic shoes.  Talk to her about whether you may qualify.

*According to the American Diabetes Association

 

Home ]