16 doctors weighed in:
When should diabetic foot patients be referred to vascular surgery?
16 doctors weighed in

Dr. David Laha
Podiatry
5 doctors agree
In brief: Any vascular concern
If there is a concern about circulation that may affect healing, have a vascular evaluation.
Not all diabetics have vascular problems that require treatment. This can always change. Having a good, diabetic foot evaluation yearly to check for concerns. Dr l.

In brief: Any vascular concern
If there is a concern about circulation that may affect healing, have a vascular evaluation.
Not all diabetics have vascular problems that require treatment. This can always change. Having a good, diabetic foot evaluation yearly to check for concerns. Dr l.
Dr. David Laha
Dr. David Laha
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Dr. Khurram Khan
Wound care
4 doctors agree
In brief: Multiple factors
Anyone with symptoms of claudication (cannot walk long distances due to pain in the legs and or calf), pain at rest in the feet or legs, non healing ulcers and gangrene.
A set of noninvasive vascular studies should be ordered.

In brief: Multiple factors
Anyone with symptoms of claudication (cannot walk long distances due to pain in the legs and or calf), pain at rest in the feet or legs, non healing ulcers and gangrene.
A set of noninvasive vascular studies should be ordered.
Dr. Khurram Khan
Dr. Khurram Khan
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Dr. Ellen Wenzel
Podiatry
2 doctors agree
In brief: Signs of Vascular Dx
Diabetic patients require appropriate referrals to a healthcare team to help them manage the other conditions that can occur with their diabetes.
Sometimes this includes referral to a vascular surgeon. This is done if there are signs of poor perfusion to the limbs, lack of pulses, and other signs we may note clinically.

In brief: Signs of Vascular Dx
Diabetic patients require appropriate referrals to a healthcare team to help them manage the other conditions that can occur with their diabetes.
Sometimes this includes referral to a vascular surgeon. This is done if there are signs of poor perfusion to the limbs, lack of pulses, and other signs we may note clinically.
Dr. Ellen Wenzel
Dr. Ellen Wenzel
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Dr. Libby Putnam
Podiatry
1 doctor agrees
In brief: Abnormal ABIs.
If their doctor cannot feel their foot pulses, if a vascular study (abi) returns with abnormal results, if they have a non-healing wound on their foot, if they have pain (especially overnight or with elevation), and for many other reasons.

In brief: Abnormal ABIs.
If their doctor cannot feel their foot pulses, if a vascular study (abi) returns with abnormal results, if they have a non-healing wound on their foot, if they have pain (especially overnight or with elevation), and for many other reasons.
Dr. Libby Putnam
Dr. Libby Putnam
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Dr. Payam Rafat
Podiatry
1 doctor agrees
In brief: Cause for concern
After a thorough history and physical exam a patient is referred to a vascular surgeon when there is any cause for concern.

In brief: Cause for concern
After a thorough history and physical exam a patient is referred to a vascular surgeon when there is any cause for concern.
Dr. Payam Rafat
Dr. Payam Rafat
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1 doctor agrees
In brief: Circulation problems
If your doctor believe that your problem is caused by circultion problems you should be sent for a vascular comsult.

In brief: Circulation problems
If your doctor believe that your problem is caused by circultion problems you should be sent for a vascular comsult.
Dr. Steven Frydman
Dr. Steven Frydman
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In brief: Diabetics
Should have there blood flow checked if no pulses are felt in foot and ankle and no capillary retun to toes.
Also, if excessive swelling is noted or pain to calf area or behind the knee.

In brief: Diabetics
Should have there blood flow checked if no pulses are felt in foot and ankle and no capillary retun to toes.
Also, if excessive swelling is noted or pain to calf area or behind the knee.
Dr. Jeffrey Bowman
Dr. Jeffrey Bowman
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Dr. Timothy Wu
Surgery - Vascular
In brief: Feet and diabetes
The fact that someone carries a label as a "diabetic foot patient" probably warrants a referral.
We know that diabetics have an incredibly high risk of major amputation of the legs because of peripheral arterial disease from diabetes and the "diabetic foot, " so getting baseline studies and regular follow up with a vascular surgeon makes sense. Waiting until there's a problem may be too late.

In brief: Feet and diabetes
The fact that someone carries a label as a "diabetic foot patient" probably warrants a referral.
We know that diabetics have an incredibly high risk of major amputation of the legs because of peripheral arterial disease from diabetes and the "diabetic foot, " so getting baseline studies and regular follow up with a vascular surgeon makes sense. Waiting until there's a problem may be too late.
Dr. Timothy Wu
Dr. Timothy Wu
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