We see many conditions related to or caused by diabetes. Diabetic conditions can sometimes be life-threatening and it is therefore recommended to deal with them quickly. We offer a variety of simple treatment plans to help manage these conditions.
Below are some of our most common diabetic conditions we encounter. It all begins with neuropathy in the foot and each condition thereafter is a result of foot neuropathy.
Foot Neuropathy – This is one of the most common conditions we see associated with diabetic patients. Foot neuropathy occurs when the nerves on the hands or feet become damaged. Patients with foot neuropathy often describe feeling burning, stabbing, and or tingling sensations. It's difficult to treat neuropathy as it's nerve related. However, medication can do a lot to alleviate symptoms.
Calluses – Patients with neuropathy often get calluses as a direct result. Calluses are caused by abnormal pressure to the foot. Because patients with neuropathy have difficult feeling their feet sometimes it's difficult for them to notice where they're placing load on their feet. This abnormal pressure often causes skin to build up in order to cushion the area. Calluses can be treated by using orthotics, having regular debridements of the calluses, and routinely applying urea cream.
Ulcerations of the Foot and Ankle – As a result of having calluses, ulcerations may begin to form. Calluses create pressure points that break down the underlying tissue. Once underlying tissue has been broken down an ulcer has formed. Ulcers can lead to life-threatening infections, which can lead to amputation. Therefore, they are best to be avoided. Ulcers are best treated through prevention but can also be treated with regular debridement of calluses, wound care, off-loading of the foot through orthotics or limited use, and or infection control.
Charcot Foot – This condition tends to affect individuals with neuropathy. Charcot foot is the weakening of bones in the foot due to increased blood flow stripping an excessive amount of minerals away. It is made up of three stages. The first stage is an injury that sets it in motion. An injury causes the inflammation response to activate increasing blood flow into the area. People that have neuropathy are hyperemic (increased blood flow to tissues), this is why they're susceptible to Charcot foot. Once blood flow is increased bones begin to weaken from decreased mineral availability. When bones become weak they can fracture and cause the foot to collapse. Leading to ulcers and infection. We treat Charcot foot through prevention. In order to treat this condition we perform an evaluation of all the stages, prescribe off-loading through orthotics or limited use, and or medication.
Below are some of the treatments we use to treat the conditions that were mentioned above.