Posts Tagged ‘diabetic foot’
When there is a lack of blood flow and circulation is impaired from the heart to the foot, a condition known as ischemic foot may arise. Arterial insufficiency may occur due to a blood clot, cholesterol build up in the main artery or injury to the artery.
Ischemic foot means that there is not enough blood flow reaching the foot and providing the area with oxygen and nutrients needed to operate and function properly. The result can be extremely painful and cause the affected individual a lot of problems. Mobility problems, skin integrity disorders and even tissue death may occur due to the lack of circulation and blood flow to the foot.
Diagnosis of Ischemic Foot
Early symptoms of ischemic foot may include discoloration of the skin, cramping of the foot and toe muscles when walking, and extremely cold feet that are difficult to warm up. Later symptoms, after the condition has progressed, may include ulceration and dying skin. Gangrene and severe infection may result from the decreased blood flow in the foot.
Your Phoenix foot doctor will use a series of tests to help diagnose ischemic foot. A physical examination, arterial Doppler testing, and x-rays may be needed to determine the severity of the problem.
Treatment for Ischemic Foot
The earlier the condition is diagnosed, the earlier it can be treated. When an ischemic foot problem is treated early, the patient has a better chance of improvement.
During the early stages of the condition, your podiatrist in Phoenix may recommend walking exercises to improve circulation. Protective shoes may be necessary to prevent friction and rubbing against the skin. When excessive rubbing occurs, ulcers and skin wounds may occur. Medications are also recommended for improved blood flow to the foot.
When the condition has advanced, more aggressive treatment may be required to eliminate the painful symptoms and improve blood flow to the feet. Your foot and ankle doctor may refer you to a vascular specialist who can work with your condition and design an effective treatment plan. If surgery is required to remove a blood clot, further evaluation may be required.
Your podiatrist will work wit you to improve circulation and prevent serious problems from occurring. Serious problems that can arise if treatment is not received include infected ulcerations on the skin and tissue death. In the event that tissue death is severe, amputation could be the end result. It is important to see a podiatrist concerning your ischemic foot problems and have the condition evaluated and treated.
Scottsdale Neuropathy Institute provides first rate treatment to those suffering from painful feet due to neuropathy and other conditions. For the best diabetic neuropathy and peripheral neuropathy treatment in the Southwest, call (480) 994-5977.
A person with diabetes should carefully examine their feet daily to properly care for the integrity of the skin. Since neuropathy in the lower extremities can occur in patients with diabetes, it is important to properly care for the feet. Numbness may result in decreased sensitization and result in feet abrasions, sores, cuts and ulcers.
When proper foot care is unlikely at home, patients who require medical treatment do so from an AZ foot doctor. Medical treatment may be necessary if diabetic foot ulcers have developed due to improper care. Even patients who instill proper home remedies and daily foot care are susceptible to foot ulcers where medical treatment is required. Below are the medical treatments commonly offered by a Scottsdale podiatrist for diabetic foot care.
Administration of Antibiotics
If the Phoenix foot doctor determines that a wound or ulcer on the patient’s feet or legs is infected, or if the wound has high a risk of becoming infected, antibiotics will be prescribed to treat the infection or the potential infection. It is critical that the patient take the prescribed antibiotics as instructed to prevent and fight off any infection.
Generally, the patient should see some improvement in the wound in two to three days and may see improvement the first day. If the infection is limb or life threatening, the patient may be admitted to the hospital and given antibiotics intravenously. The Scottsdale foot and ankle doctor may give a single dose of antibiotics as a shot or IV dose prior to starting pills in the clinic or emergency department.
Some foot specialists also care for wounds, especially those diabetic related. Lower extremity wounds and ulcers can be extremely difficult to heal due to necrosis and the lack of skin integrity. For the most severe wounds, patients may be ordered to see a wound care specialist for further treatment in healing of the open ulcer.
Treatment plans may include surgical debridement of the wound, improvement of circulation through surgery or therapy, special dressings, and antibiotics. The plan may include a combination of treatments.
Callus Removal and Related Issues
If the patient has bone-related problems, toenail problems, corns and calluses, hammertoes, bunions, flat feet, heel spurs, arthritis, or have difficulty with finding shoes that fit, a physician may refer the patient to a specialist – a Scottsdale podiatrist.
They create shoe inserts, prescribe shoes, remove calluses and have expertise in surgical solutions for bone problems. The podiatrist can also be an excellent resource for how to care for the patient’s feet routinely.
Severe Cases – Home Health Care
A patient’s foot doctor may prescribe a home health nurse or aide to help with wound care and dressings, monitor blood sugar, and help the patient take antibiotics and other medications properly during the healing period. While a podiatrist in Phoenix is the most optimal route, those patients who are unable to move around may require home health care until they are able to regain mobility. Once mobility is gained, regular visits to the podiatrist may be required to adhere to a proper treatment plan.
The Scottsdale Neuropathy Institute has been successfully treating peripheral and diabetic neuropathy for decades. Dr. Rick Jacoby, an Award Winning Scottsdale podiatrist, has helped thousands of patients avoid amputations from diabetic neuropathy with both nonsurgical and surgical means.
Call (480) 994-5977 for the best assistance with neuropathy.
Foot pain is one of the most reported symptoms as a result of diabetic neuropathy. Daily living must be modified in order to avoid pain and further damage to the nerves. As a result, the pain causes those affected to potentially give up on their quality of life. The good news is that with proper care, you do not have to live with pain. There are prevention tools and treatment that can help minimize the symptoms.
Causes of Diabetic Neuropathy
Diabetic nerve pain, also known as diabetic neuropathy, is caused by nerve damage. Most of the time the damage occurs because of the toxic effects of high blood sugar and poor circulation in the hands, feet, legs and arms.
Over time and long-term exposure to high blood sugar levels, the nerves lose their integrity and ability to transmit sensation to pain or heat. Diabetic neuropathy may contribute to numbness in the toes and feet, making the person more susceptible to injury and pain over the long term.
Home Treatment and Prevention
The most effective home treatment for neuropathy and the relief from symptoms associated with this condition is to control the blood sugar levels. When there is balance in the blood, further nerve damage can be prevented.
Most of the time when the blood sugar levels are controlled, over time, the nerve damage decreases. This is the most effective and important thing to do when you suffer from diabetic nerve pain.
It is nerve pain that typically forces a person to see a Phoenix podiatrist. However, other symptoms, such as numbness, land people in the hospital. Poorly healed ulcers and repetitive infections can cause major problems if left untreated or not recognized in time.
These symptoms can lead a person in the hospital for prolonged periods of time. If the feet and legs are not cared for properly and infection spreads, amputation may be the end result.
Proper Foot Care
Due to the number of problems that can occur because of numbness and desensitization to pain in the feet, preventative home care is often needed. Treatment such as cleaning and inspecting your feet daily is critical. Remember, it is that tiny cut or abrasion that goes unnoticed that could get you into trouble.
Wearing comfortably and roomy shoes can also help. This means that you should avoid tight fitting shoes that rub against any part of your foot. The rubbing sensation could cause sores or even deformation, and when they are desensitized you may not even be aware of the pain.
Seeing a foot specialist in Arizona can help you alleviate the problems associated with diabetic neuropathy, especially if you are experiencing foot pain. Remember, you do not have to live with pain or accept your diminished quality of life.
Dr. Richard Jacoby at the Scottsdale Neuropathy Institute has been successfully treating diabetic neuropathy for decades. He offers conservative methods along with surgical decompression known as the Dellon decompression. By offering the Dellon surgery, patients have been able to receive symptomatic relief and avoid amputation.
Call (480) 994-5977 for more information and scheduling.
Foot ulcers and amputations are a major cause of morbidity, disability, as well as emotional and physical costs for people with diabetes. Early recognition and management of independent risk factors for ulcers and amputations can prevent or delay the onset of adverse outcomes.
Routine Foot Exams and High Risk Factors
All individuals with diabetes should receive an annual foot examination with a Scottsdale podiatrist to identify high-risk foot conditions. This examination should include assessment of protective sensation, foot structure and biomechanics, vascular status, and skin integrity.
People with one or more high-risk foot conditions should be evaluated more frequently for the development of additional risk factors. People with neuropathy should have a visual inspection of their feet at every visit with a health care professional.
The skin should be assessed for integrity, especially between the toes and under the metatarsal heads. The presence of erythema, warmth, or callus formation may indicate areas of tissue damage with impending breakdown. Bony deformities, limitation in joint mobility, and problems with gait and balance should be assessed.
For those with high-risk conditions, especially diabetes with associated neuropathy, routine foot care is critical in the health of the feet. Without proper and routine foot care, the likelihood of developing foot ulcers leading to infection is significant.
Distal symmetric polyneuropathy is one of the most important predictors of ulcers and amputation. The development of neuropathy can be delayed significantly by maintaining glycemic levels to as near normal as possible. Smoking cessation should be encouraged to reduce the risk of vascular disease complications. Timely referral to a foot care specialist is critical.
Patient Education Leads to Proper Foot Care
Patients with diabetes and high-risk foot conditions should be educated regarding their risk factors and appropriate management. A non-judgmental assessment of a person’s current knowledge and care practices should be obtained first. Patients at risk should understand the implications of the loss of protective sensation, the importance of foot monitoring on a daily basis, the proper care of the foot, including nail and skin care, and the selection of appropriate footwear.
Patients with neuropathy should be advised to break in new shoes gradually to minimize the formation of blisters and ulcers. Patients with visual difficulties, physical constraints preventing movement, or cognitive problems that impair their ability to assess the condition of the foot and to institute appropriate responses will need other people, such as family members, to assist in their care. Patients at low risk may benefit from education on foot care and footwear.
Routine foot examinations and patient education are critical to the care of the diabetic foot. See your podiatrist today if you are at risk for neuropathy and associated issues. Preventative care may be the key to your quality of life.
Valley Foot Surgeons offers premier treatment for diabetic neuropathy, both preventive and for ulcers and other problems. Valley Foot Surgeons can help prevent an amputation and additional issues, call (480) 994-5977 today for scheduling.