Doctor insights on:
Diabetic Foot In Children
Normal or abnormal: A diabetic foot may loot completely normal, or it may have skin color changes due to poor circulation. Diabetics also may commonly have an increased risk of developing digital contractures. The presence of neuropathy is also a main contributor to the development of ulceration. ...Read more
Multiple factors: Wound care requires multi-discipline input for proper wound healing. There are multiple modalities and multiple strategies to get a wound closed but it takes a knowledgeable well trained specialist to know when to implement the appropriate treatment during the course of wound healing. ...Read more
Hopefully, not much:
Diabetic foot wounds if not healed can lead to life-threatening infections. This can lead to amputation or death as worse case scenarios.
Good control of blood sugars, adequate nutrition, good wound care and compliance with doctor's instructions can reduce one's risk of serious complication. ...Read more
Foot Examination: The feet are carefully inspected for any signs of current or potential problems. During a foot exam four general categories or areas are evaluated by the examiner (neurologic, orthopedic, dermatologic, and vascular). ...Read more
Miracles: Well, maybe not visible ones. The doctor will examine your skin for any cuts, nail problems or growths, evaluate your circulation, test your sensation and muscle strength. He or she will also educate you on proper foot care, the importance of daily foot inspections and well fitting shoes. If you are diabetic and have not been to a podiatrist you should go as soon as you can. ...Read more
Diabetic foot infect: The diabetic can develop ulcers in the foot that can get colonized with bacteria and infected easily. The ability of the diabetic to heal is compromised. Often, these ulcers are colonized with more than one type of bacteria. The level of infection can advance (become deeper) very quickly and then muscle, tendon and bone become exposed creating further treatment challenges. ...Read more
Multi-factorial: Diabetics often develop nerve damage, which can decrease sensation especially over the lower extremities. Ulcers can then develop on the feet, usually on pressure points from standing or a tight-fitting shoe. Diabetics may also have poor circulation, which can lead to breakdown of tissue and impaired healing of the ulcer, and high blood sugar allows bacteria to grow and cause infection. ...Read more
Foot ulceration: Diabetics have loss of protective sensation to their feet. This occurs because excess glucose in the blood causes pathological changes to the nerves. Poor sensation can lead to the development of sores or ulcers. Diabetic also have poor blood supply to their feet so it is difficult to heal the ulcers. The ulcers can get infected and cause gangrene of the foot. ...Read more
Multifactorial: Inspect feet and shoes daily. Check feet every day for cuts, bruises, sores, or changes to the toenails, such as thickening or discoloration. Exercise and walking can keep weight down and improve circulation. Be sure to wear properly measured and fitted shoes. Never try to remove calluses, corns, or warts by yourself. Control you blood sugar. Have regular checkups by a podiatrist. ...Read more
Too broad a question:
It depends on what you are focussing on - the cause of the diabetic foot pain or the symptom itself or both.
This is too broad of a question to answer because the first thing that has to be determined is how well controlled is the diabetes. Treating the pain is treating the symptom but the cause of the pain may be related to the damage to the nerves caused by the disease. ...Read more
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