Diabetic Footcare

Neuropathy

This is the reduction or alteration in sensation.  It occurs gradually, and as the ability to sense pain and sharpness is lost, so injuries and breaks in the skin can remain untreated increasing the risk of infection.

  • Never walk barefooted, wear slippers or a shoe with substantial sole.
  • Look at feet daily, between the toes and around the ball of the foot and heels, using a mirror or asking your partner.
  • If you do find any abrasions, cover with a sterile dressing and contact your Shore Footed Podiatry on 489 1011 if you are concerned.
  • Nerve damage can affect the sweat glands, and make the skin excessively dry, therefore apply moisturiser regularly.
  • Neuropathy is not dangerous if the feet are checked daily, and wounds are managed carefully by Jonathan or Wendy Hagon at Shore Footed Podiatry and your GP.

Ischaemia

This is the restriction of bloodflow to the tissues.  It occurs gradually, affecting the ability of wounds to heal and for waste products to be cleared from the tissues.  Thinning of skin and poor nail and hair growth can also occur as a result of ischaemia,

  • We recommend you should always have shoes measured and fitted correctly to avoid rubbing.
  • Keep active to encourage blood flow to extremities, keep warm also to encourage bloodflow.
  • Look out for areas of the feet that become particularly hot as this could be early stages of infection.
  • Poor circulation means the muscles cannot get enough oxygen, and can ‘cramp’ when walking.  There is medication that can reduce the discomfort of cramps.
  • Poor circulation can cause fluid retention, have a pair of loose fitting shoes for when the feet become swollen.
  • Ischaemia can be managed, if the warning signs of infection are known.  At Shore Footed Podiatry we can advise you on the warning signs and keep abreast of changes in your feet.

Wound Healing

This can be reduced as the blood supply cannot reach the furthest points of the feet, and cannot provide vital nutrients and infection fighting cells to the wound.

  • Wounds need to be carefully dressed and monitored by a healthcare professional, and pressure relieved from the wound to allow healing.  This can be helpe3d with orthotics, which can be provided by Jonathan Hagon at Shore Footed Podiatry.
  • Susceptible areas are exposed joints underfoot, the sides of the foot, the top of clawed toes and around the heels.

Footwear

The feet should be correctly measured EACH time you buy shoes.  Look for shoes with a heel strap and an adjustable buckle or lace or Velcro fastening across the top of the foot.  Never wear slip-ons, or court shoes as these cause the toes to claw and slide in the shoe.