It is vital that people with diabetes take good care of their feet. A podiatrist can assess and advise a sensible daily foot care routine for people with diabetes.
Diabetes can affect feet in two main ways. Due to nerve damage, the ability of person with diabetes to feel pain and extremes of temperature, is impaired. Also, damaged blood vessels can reduce blood supply to the feet . Under these circumstances, even a minor foot problem(of little significance to other people) can be dangerous for people with diabetes.
The tissue trauma can eventually lead to serious complications, including amputation, if left unaddressed.
It is also essential that ankle and foot joint range of motion is maintained in people with diabetes. This is because any restriction in range can place excessive force through the forefoot, and combined with any sensation impairment, can result in tissue damage and possible ulceration.
All podiatrists at Macintosh Lower Limb Clinic are experts at assessing the feet of clients with diabetes and will check for the following and report findings back to your General Practitioner:
- Protective sensation (light touch, via monofilament testing)
- Vibratory sensation
- Proprioception (position sense)
- Thermal sensation
- Biomechanical status of the feet and ankles
- Skin atrophic changes
- Loss of hair on toes
- Dryness of skin
- Capillary refill
- Presence and triphasic quality of foot pulses
- Doppler testing as needed