Diabetic Feet

Patient's with Diabetes loose normal feeling (protective sensation) in their feet. In addition, the tendons and ligaments in the feet and ankles become shortened (biomechanical changes), causing a change in the way the weight of the body is distributed in the foot. This results in development of thick skin (callus formation) as a means to protect the foot. Sadly, this can become self defeating as the callus may become so thick that it causes pressure on the underlying tissue, resulting in a pressure sore. In patient's with abnormal feeling in their feet, this is called a neuropathic ulcer. These pressure ulcers may look small from the outside, this is usually the tip of the iceberg and if left untreated could result in loss of limb. 

This can, to a large extent be prevented. Correct, well fitting shoes, regular visits to the Podiatrist to remove excess callus, daily foot and shoe inspection and daily application of moisturising lotion to the feet and legs.

Next posting will focus on correct selection of shoes and daily shoe and foot inspection. Look forward to meeting with you again!