Diabetic Foot Problems — How A Chiropodist Can Help
Foot Alert: Special Care is Critical for Diabetics
Foot care is important for everyone but for the person with diabetes it is essential. This disease affects circulation, the immune and the nervous system. It slows the natural healing process, and increases the risk of infection, so that minor injuries may quickly become serious.
The feet are often the first part of the body to be affected by this disease, but serious problems can be prevented by paying careful attention to your feet on a daily basis.
“An ounce of prevention is worth a pound of cure” was never so true as for feet affected by diabetes.
Special attention needs to be placed on those affected with diabetes as their feet are vulnerable to circulatory and nerve damage which can lead to wounds, ulceration, and amputations. Poor care can lead to serious problems. Seeing a chiropodist as soon as possible is extremely important.
Why is special care required?
Foot problems are common in people with diabetes. You must regularly check your feet for cuts, abrasions, and signs of irritation every day and to protect them with proper footwear. When you do not protect your feet properly, infections can develop from minor injuries. Here are a few reasons why this happens:
- Diabetes can damage nerves in the feet, making them less sensitive to pain. This means that you may not feel a minor cut or abrasion until severe infection develops.
- Diabetes can cause reduced circulation. This is a problem since proper blood flow is necessary for healing injuries.
- Elevated blood glucose can interfere with the body’s ability to fight infection from cuts and abrasions. It also hampers the healing process.
You can reduce your risk of infection by keeping your blood glucose under control. Also, learn now how to properly care for your feet. It will pay off as you get older.
How to care for your feet
Your chiropodist and foot specialist will teach you how diabetes affects your feet, and will set up a foot care program for you. Most people with diabetes can care for their own feet, however diabetics with diminished eyesight and neuropathy should be seen on a regular basis for evaluation and foot care.
To properly care for your feet, you should do the following each day:
1. Wash your feet properly
- Wash your feet with mild soap and lukewarm water. Always check the water temperature with your elbow or another part of your body where sensation is good before putting your feet in. Never put your feet into hot water before checking.
- Never soak your feet. This dries the skin and makes it more prone to cracking and infection.
- Use a soft washcloth to clean your feet thoroughly and to get all the soap off.
- Use a soft towel to dry your feet, especially between your toes. Never dry or warm your feet by putting them on or near a radiator or heater.
2. Examine your feet every day
- Inspect your heels and the tops and bottoms of your feet for skin irritation or breakdown.
- Look for sores, cuts, blisters, cracks between the toes, and blue, purple, or white spots.
- Be sure your feet feel warm and that there are not any red “hot” spots or swelling.
- Check for irritation or scaling between the toes, too. If you cannot see the bottoms of your feet, use a mirror.
- If you are unable to examine your feet yourself, have someone do it for you.
- Notify your chiropodist right away if anything looks unusual.
3. Take care of the skin on your feet
- Apply a water-soluble moisturizing cream such as Eucerin, Vaseline Intensive Care or Nivea to keep skin soft. This is especially important for dry and callused skin.
- Never use cream between your toes or on open sores. Do not use, mineral oil, or perfumed lotions that contain alcohol.
4. Get your Chiropodist to remove corns and calluses
- Gently and gradually rub down corns, calluses, and other hard skin with a dry washcloth, pumice stone, or emery board. This is most effective after a bath or shower.
- See your chiropodist if you cannot see your feet adequately, if you have reduced sensation, or if you have poor circulation. Have your chiropodist remove corns or calluses if they are a problem; never do it yourself.
- Do not cut corns or calluses. Also avoid over-the-counter corn and callus removers or remedies.These contain acid and will burn the skin.
5. Be careful when cutting your toenails
- Cut your toenails after a bath when they are softest.
- To avoid cutting skin around the toe, trim toenails straight across using nail clippers, or file with an emery board. Do not use scissors.
- Carefully file sharp toenail edges to prevent them from cutting into adjacent skin.
- If it is too difficult to trim your own nails, or is you have reduced sensation or poor circulation, schedule an appointment with your chiropodist.
6. Wear proper footwear
- Wearing of proper footwear is essential in the prevention and healing of foot ailments.
- Diabetics and high risk patients should schedule a footwear education appointment with their chiropodist. It is also advisable to bring along the footwear that you are presently wearing.
- Sometimes special insoles are made to go into your shoes to make you comfortable and prevent problems.
What should I do if I have an infection?
An infection may be present if you see any combination of these symptoms:
- Open sores
- Red streaks
You may not feel any pain in this area due to a loss of sensation. The first thing you should do is call your chiropodist or physician. If it is after office hours, call your doctor’s emergency number.
For a minor infection, your chiropodist will clean the infection and may give you antibiotics to keep the infection from spreading and to help it heal. Be sure to take the antibiotics for the entire length of the treatment, since it will not work if you skip doses.
You will need to dress your wound at least once a day. Your chiropodist will want to see you for follow-up visits to be sure the infection is healing properly.
Prompt detection of an infection in its earliest stages will help to avoid a possible hospital stay.
In addition to diabetics, the following conditions are also at risk for severe foot problems and should be seen regularly by a chiropodist:
- Poor Circulation
- Visual impairments
- Systemic Disorders
- Foot Infections
I am a registered chiropodist and foot care specialist and have been helping patients for over 20 years.
Are you unsure if you should go to a chiropodist or podiatrist? Chiropodists and podiatrists provide the same care. There are 600 registered chiropodists in Ontario and only 60 podiatrists. The College of Chiropodists of Ontario stopped using the name podiatrist in Ontario in 1993, over 26 years ago — but the name is still common and used in other provinces in Canada, also USA and UK.
Chiropodists today must complete 7 years of post-secondary education. We do complete case management of foot problems, assessing and treating the entire foot and its complications.
Chiropodist Trina Scarrow, BSc, DCh treating a patient with foot pain — for proper foot functioning and overall well-being.
I provide full biomechanical exams and gait analysis — I will be able to help address your foot discomfort by foot care treatment, custom orthotics and orthopaedic shoes, surgery, medication, laser or physical therapy.
Chiropodists and podiatrists are the only regulated health professions who have the ability to prescribe and provide custom orthotics as defined in the Regulated Health Profession Act of Ontario.
I want to help get your feet functioning better so you can feel better.