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Posts for tag: arch supports

 

I had a wonderful question by a newly diagnosed diabetic patient that recently visited Atlantic Podiatry Associates in Orange City.  “Why do so many diabetics have problems with their feet, Dr. McBroom?”  The answer is simple and complex.

Diabetes, in the uncontrolled state, damages the blood flow causing peripheral vascular disease to the feet and legs and can make the feet lose feeling, also known as diabetic peripheral neuropathy.  Imagine not being able to feel that you have stepped on a sharp object. A minor infection develops, and the foot lacks the proper blood flow to heal.  A few days pass and the entire foot becomes swollen and red, but no pain. A few more days go by, and now the foot hurts and there is some darkening of the skin near one of the toes.  At this point, most diabetic patients realize something is not right and head to the emergency room.  One look at the foot by the ER doctor and the patient is admitted and an urgent podiatric surgical consultation must be done.

So many Americans are diagnosed each year with diabetes, including celebrities like Halle Berry and Bret Michaels, and it is important for a diabetic to understand how “at risk” they are regarding their feet.  A routine foot examination by a podiatrist can let you know which risk factors you may have.  If you have great pulses and feel every little touch to your feet, more than likely you are “low risk”.  If you have decreased pulses and some tingling to the toes, you are probably “moderate risk”.  If you have no pulses and cannot feel much of anything, you are most likely “high risk”.  Each risk category may need different levels of podiatric care ranging from a once-a-year examination, nail trimming, and special shoes with arch supports.  

Diabetic foot problems can be avoided.  See your podiatrist to understand what you can do to prevent foot problems.

By Dr. Dennis B. McBroom

 



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