Diabetes and The High Risk Foot

The High Risk Foot

 

From a podiatric clinical perspective, our primary aim in management of the high risk foot is to reduce the risk of high risk associated complications. If we are unable to service the foot before these complications have developed we then aim to effectively manage the complications. Often involving wound care, infection control etc. 

As a podiatrist, multidisciplinary treatment is a fundamental role in high risk treatment. Your Podiatrist in Camden will determine your risk through a comprehensive screening and history taking process to ensure we are mitigating the risk of you developing these life changing complications. 

The Diabetic Foot 

There are many complications associated with periods of suboptimal diabetic control, resulting in often serious/permanent changes to the diabetic foot. Diabetic problems can be:


  • Neurological – Abnormal nerve impulse conduction due to elevated blood glucose levels results in reduced feeling at the feet. If this damage has occurred, you may be unaware if you have stepped on something causing tissue damage/infection. This is very dangerous when combined with the effects listed below. 
  • Vascular – Arterial damage involving the distal arteries – the arteries supplying the foot and ankle. Reduced blood flow to the lower extremity will result in delayed healing, increased ulceration risk and can lead to amputation
  • Infection – Blood component alteration causing change to white blood cells. These are less effective at destroying microorganisms responsible for infection. In summary, with reduced feeling to the feet, less blood getting to the feet diabetics are at an elevated risk of having serious complications if not reviewed routinely. It is essential you consult your Podiatrist in Camden to reduce the risk of diabetic associated complications. 
  • Wound’s – The above three factors elevate the risk of developing a wound. These become increasingly difficult to manage as diabetic health worsens. At Reform Podiatry we are equipped with the skills and equipment to aid in the management of wounds. 
  • Vision based – diabetic retinopathy will make it difficult to adequately self examine feet, meaning you may miss important symptoms or changes. Like all issues, the earlier these problems are identified, the better the treatment outcomes are for patients. 
  • Renal based – increased risk of vessel calcification and gangrene

 

If any of the above information applies to you, please book in an appointment with your Podiatrist in Camden to have these issues accurately assessed and begin a suitable treatment plan. 

 

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