Podiatry

Podiatrist Foot Specialist

The most important fact it is a preventable . One has to visit a Diabetic foot specialist

How can diabetes affect my feet?

What can I do to keep my feet healthy?

When should I see my health care provider about foot problems?

What Happens To The Feet In Diabetes?

• Usually in diabetics the nerves get numb, so one often fails to notice injury as there is no pain felt. The sense of temperature is also lost, therefore, one might not feel hot water or hot tiles while walking bare feet
• Feet get deformed, altering the mechanics of weight bearing, thus, exposing the areas of the feet to abnormally high pressures which results in breakdown of the skin
• One sweats less in the feet, so the foot skin becomes rough and dry, leading to cracks, which allow bacteria to enter and cause infection
• The ability to fight infection is reduced in Diabetes as the body’s defense mechanism is weakened. Wound healing mechanisms are also affected, leading to prolonged time in healing of the wounds
• Adding to the problem is the fact that 20% of diabetics with foot problems have narrowed or blocked blood vessels in their feet. This further impairs the healing process as adequate blood flow is required for healing any wound

Foot problems are common in people with diabetes. You might be afraid you’ll lose a toe, foot, or leg to diabetes, or know someone who has, but you can lower your chances of havingdiabetes-related foot problems by taking care of your feet every day. Managing your blood glucose levels, also called blood sugar, can also help keep your feet healthy.

How can diabetes affect my feet?
Over time, diabetes may cause nerve damage, also called diabetic neuropathy, that can cause tingling and pain, and can make you lose feeling in your feet. When you lose feeling in your feet, you may not feel a pebble inside your sock or a blister on your foot, which can lead to cuts and sores. Cuts and sores can become infected.

Diabetes also can lower the amount of blood flow in your feet. Not having enough blood flowing to your legs and feet can make it hard for a sore or an infection to heal. Sometimes a bad infection never heals. The infection might lead to gangrene.

Non healing ulcer - Gangrene, Charcoatfoot:
Gangrene and foot ulcers that do not get better with treatment can lead to an amputation of your toe, foot, or part of your leg. A surgeon may perform an amputation to prevent a bad infection from spreading to the rest of your body, and to save your life. Good foot care is very important to prevent serious infections and gangrene.

Although rare, nerve damage from diabetes can lead to changes in the shape of your feet, such as Charcot's foot. Charcot's foot may start with redness, warmth, and swelling. Later,bones in your feet and toes can shift or break, which can cause your feet to have an odd shape, such as a "rocker bottom."

Illustration of Charcot's foot showing an enlarged sole of the foot with a rounded shape. Charcot's foot can cause your feet to have an odd shape, such as a "rocker bottom." for easier access.

What are diabetic foot ulcers?

Diabetic foot ulcers occur on the foot or below the ankle. Diabetic foot ulcers are non-healable wounds & these ulcers is a major cause of organ amputation due to diabetes.

This is why if you’re living with diabetes and have a sore, or an open area, on your foot that:

If a wound doesn’t appear to be healing

• . is red
• . is hot to the touch
• . is draining pus
• . or just keeps coming back

You may have a non-healing diabetic foot ulcer, and should make an appointment with your doctor as soon as possible.

Causes of Venous Ulcers / Varicose Ulcer

Venous ulcers most often form around the ankles.

Venous ulcers typically occur because of damage to the valves inside the leg veins. These valves control the blood pressure inside the veins. They allow it to drop when you walk. If the blood pressure inside your leg veins doesn't fall as you're walking, the condition is called sustained venous hypertension. That increase in blood pressure causes ulcers to form on your ankles.

Foot angiography in diabetic patients with gangrene

Abstract

The most unpleasant side effect of peripheral angiography is an intense pain and a burning sensation following the injection of the contrast material. It was recently shown (1) that the use of a non-ionic and less hypertonic contrast medium (metrizamide) in femoral angiography was associated with less pain when compared to an ionic medium (metrizoate). We thought it therefore advisable to perform foot angiography with such a non-ionic contrast medium (Amipaque, Nyegaard & Co, Oslo, Norway) in 9 diabetic patients with soft tissue and skeletal lesions of the foot. The angiographic examination was considered valuable for planning of therapy and predicting the prognosis. The results of the examinations are illustrated and discussed with regard to visualization of the digital arteries, subjective reactions to the angiographic examination and relationship of the vascular findings to soft tissue and skeletal lesions. It is stated that foot angiography performed with a non-ionic contrast medium is painless and allows contrast filling of the most peripheral digital arterial branches. On the basis of the angiographic findings the gangrenous lesions were categorized as ischemic or non-ischemic.

Foot Deformities

Summary

Foot deformities are a heterogeneous group of congenital and acquired conditions involving structural abnormalities or muscular imbalances that affect the function of the foot. The deformities are classified according to clinical appearance. The most recognizable congenital foot deformity is the clubfoot deformity, which is characterized by plantar flexion of the ankle, inversion of the foot, and adduction of the forefoot. Manipulative treatment of congenital foot deformities, which requires manual repositioning and serial casting, should be initiated immediately after birth. The outcome depends primarily on whether the deformity responds well to manual repositioning (flexible deformities). Resistant deformities often require surgical correction.

We have many patients from various suburbs of Mumbai, Navi Mumbai, Thane, Kalyan zone, Badlapur, Khopoli, Karjat Area and from Vasai Virar, and even from Pune, Nashik and various districts of Maharashtra. taking treatment from our expert and specialist doctor Dr. Milind Ruke and got cured....