Treatment FAQ

diabetic foot when to seek treatment

by Prof. Adolfo O'Keefe Published 2 years ago Updated 2 years ago
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A diabetic foot ulcer is a wound, or sore, on the foot of someone living with diabetes. If left untreated, these ulcers can lead to severe infections that may result in amputation. Because the consequences of not treating a diabetic foot ulcer are so potentially dire, it’s important to seek treatment as soon as you realize an ulcer is present.

When should I see my health care provider about diabetic foot problems?
  1. A cut, blister, or bruise on your feet that doesn't start to heal in a few days.
  2. Red, warm, or painful skin on your feet.
  3. A callus with dried blood inside.
  4. A foot infection that becomes black and smells bad that could be gangrene.
Feb 8, 2022

Full Answer

How should I take care of my feet if I diabetes?

Jan 24, 2018 · Diabetes Canada recommends that people with diabetes have their feet checked by a specialized healthcare professional at least once a year. Because diabetic neuropathy can dull the ability to feel pain or other sensations, it is important that people who have this condition see a foot specialist more frequently.

How often should I get my feet checked if I have diabetes?

Treatment may include: Cleaning the wound. Draining any fluid or pus from the ulcer. Removing or cutting away dead or infected tissue (called debridement). Applying special bandages and ointments to absorb extra fluid, protect the wound and help it heal. Prescribing a wheelchair or crutches to take weight off the affected foot (called offloading).

What is diabetic foot pain and how to treat it?

Jun 05, 2021 · People with diabetes are at increased risk of foot infections. You can protect your feet with these simple foot care guidelines: Inspect and wash your feet daily. Look for redness, swelling, cuts, blisters and nail problems. When washing your feet, use lukewarm water and dry gently, especially between the toes.

When should a person with diabetes seek medical help?

Treatment of Diabetic Foot. Of course, the treatment for diabetic feet depends upon the severity of the wound. Both surgical and nonsurgical treatments are available. Non-surgical Treatment. First, the doctor will make attempts to treat the diabetic foot without doing any kind of surgery. Some of the non-surgical methods are:

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When should you see a doctor for a diabetic foot?

When to See Your Doctor Tingling, burning, or pain in your feet. Loss of sense of touch or ability to feel heat or cold very well. A change in the shape of your feet over time. Loss of hair on your toes, feet, and lower legs.May 7, 2021

Is diabetic foot an emergency?

Diabetic foot infections are all too common, and if you develop one that goes untreated, you could lose your feet. This is a serious condition and one that cannot be taken lightly for the sake of your health and your future.

What does a diabetic foot infection look like?

Infections can cause constant pain, redness around an ulcer, warmth and swelling, pus, or an ulcer that does not heal. You should see your doctor as soon as possible if you have any of these signs.Jul 1, 2008

What happens if diabetic foot is not treated?

Diabetic feet develop sores, deformities and infections more easily. If not treated quickly, a diabetic foot ulcer or blister can get infected. Sometimes a surgeon must amputate (remove) a toe, foot or part of the leg to prevent the spread of infection.Apr 26, 2021

How serious is a diabetic foot infection?

In patients with diabetes, any foot infection is potentially serious. Diabetic foot infections range in severity from superficial paronychia to deep infection involving bone. Types of infection include cellulitis, myositis, abscesses, necrotizing fasciitis, septic arthritis, tendinitis, and osteomyelitis.Jul 1, 2008

How do I know if my foot is infected?

Signs and symptoms of foot infections may include the following:Change in skin color.Rise in skin temperature.Swelling and pain.Open wounds that are slow to heal.Breaks or dryness in the skin.Drainage.Odor.Fever.

What is septic diabetic foot?

Definitions of Terms: • DFS: Diabetic Foot Sepsis. • Charcot's Joint / Foot: Neuropathic osteoarthropathy. Non infective, progressive, painless degeneration of one or more weight bearing joints, with joint dislocation, bone destruction, resorption and eventual deformity.Sep 2, 2010

Is diabetic foot curable?

Background. Diabetic foot infections are a frequent clinical problem. About 50% of patients with diabetic foot infections who have foot amputations die within five years. Properly managed most can be cured, but many patients needlessly undergo amputations because of improper diagnostic and therapeutic approaches.Oct 24, 2014

How do you fix diabetic feet?

Dry them thoroughly, and don't forget to dry between your toes. Moisturize your feet, but avoid moisturizing between your toes. Keep your toenails trim, and use an emery board to file down sharp edges. Check your feet for sores, cuts, blisters, corns, or redness daily.

How do you treat diabetic foot gangrene?

Treatment of gangrene will usually consist of 1 or more of these procedures:Antibiotics. These medicines can be used to kill bacteria in the affected area. ... Surgery to remove the dead tissue. This is called debridement. ... Maggot debridement. ... Hyperbaric oxygen therapy. ... Vascular surgery.

Checking your feet

When checking your feet every day, here are some things you should be looking for, and contacting your healthcare team about, as needed:

Visiting your healthcare team to assess your feet

It is very common to feel intimidated when going to your doctor for foot-related issues. However, by preparing yourself in advance, you will be able to make the most of your appointment time.

How to diagnose diabetic foot?

To diagnose diabetic foot, a healthcare provider will: Ask about your symptoms and how well you’re controlling blood glucose. Examine your toes, feet and legs. Touch the toes, feet and legs with various tools to check whether you have numbness. If a diabetic ulcer or blister is present, the healthcare provider will likely: ...

Why do diabetics have foot problems?

Foot problems often occur in people with diabetes, especially among those who have: Nerve damage or poor blood flow in the feet. Trouble managing blood glucose levels over long periods, including frequent episodes of hyperglycemia (blood sugar that’s too high). Weight problems.

What is the best way to heal a wound?

Removing or cutting away dead or infected tissue (called debridement). Applying special bandages and ointments to absorb extra fluid, protect the wound and help it heal . Prescribing a wheelchair or crutches to take weight off the affected foot (called offloading).

Why do you need to amputation?

Sometimes amputation is necessary to prevent infection from spreading to other parts of the body.

What happens if you have diabetes?

If you have diabetes, tell your healthcare provider right away if you experience: Any changes in foot shape. Any changes to the skin on the feet, including a wound, redness or darkness, warmth or a funny smell. Hair loss on your toes, feet or legs. Loss of feeling in the toes, feet or legs.

How to prevent ingrown toenails?

Cut them straight across to prevent ingrown toenails. Maintaining blood flow to the feet. For example, keep your feet elevated when you sit, and wiggle your toes often. Stay active, but choose activities that are gentler on the feet, such as walking or swimming.

Can diabetic neuropathy cause a blister?

Diabetic neuropathy can occur throughout the body, but most often in the legs and feet. The condition might make you lose feeling in your feet. If your feet are numb, you might not notice a blister, cut or sore. You might not even feel a pebble in your sock that is cutting your foot, for example.

How to treat diabetic foot infection?

People with diabetes are at increased risk of foot infections. You can protect your feet with these simple foot care guidelines: 1 Inspect and wash your feet daily. Look for redness, swelling, cuts, blisters and nail problems. When washing your feet, use lukewarm water and dry gently, especially between the toes. 2 Wear clean, dry socks and properly fitting shoes. 3 Don't go barefoot. 4 Trim your toenails carefully. Cut the nails straight across. You might want to have this task done professionally, especially if you have thickened nails, vision impairment or numbness in your feet.

How to get rid of a swollen toe?

When washing your feet, use lukewarm water and dry gently, especially between the toes. Wear clean, dry socks and properly fitting shoes. Don't go barefoot.

What Are Diabetic Foot?

Diabetic foot are one of the complications of diabetes. Over time, people with diabetes start feeling numbness in their foot because of poor blood flow. Nerve damage is the main reason for this. One can have nerve damage in any part of the body. But nerves in your legs and foot are mostly affected areas.

How Can Diabetes Affect Foot and Legs?

If you have had diabetes for a long time now, and you have been suffering from high blood sugar levels, it causes severe complications in your foot.

Other Causes of Foot Problems

Corns are the buildup tissues or hard skin in the toes, especially near the bony area of a toe or between them. They might be the result of pressure or friction generated in the toes by the shoes.

Diabetic Foot Complications

Well, diabetic feet themselves are one of the severe complications of diabetes. But this doesn’t stop here. Diabetic feet further cause complications as well. Some are:

Treatment of Diabetic Foot

Of course, the treatment for diabetic feet depends upon the severity of the wound. Both surgical and nonsurgical treatments are available.

Tips For Healthy Foot

Don’t leave your foot unchecked even for one day. You need to avoid cuts and injuries. Checking for swelling, redness, blisters, corns, calluses, if any should be caught initially itself. Ask for someone’s help to check the bottom side of the feet. You can use a mirror also.

How often should I check my feet?

Take off your shoes and socks when you’re in the exam room so they will remember to check your feet. At least once a year, get a thorough foot exam, including a check of the feeling and pulses in your feet.

Why is it important to take care of your feet?

Good foot care is very important to prevent serious infections and gangrene. Although rare, nerve damage from diabetes can lead to changes in the shape of your feet, such as Charcot’s foot. Charcot’s foot may start with redness, warmth, and swelling. Later, bones in your feet and toes can shift or break, which can cause your feet ...

Why do I feel tingling in my feet?

Over time, diabetes may cause nerve damage, also called diabetic neuropathy, that can cause tingling and pain, and can make you lose feeling in your feet. When you lose feeling in your feet, you may not feel a pebble inside your sock or a blister on your foot, which can lead to cuts and sores. Cuts and sores can become infected.

What does it mean when your feet are hot?

A “hot spot” can be the first sign that a blister or an ulcer is starting.

How to keep your feet healthy?

You might be afraid you’ll lose a toe, foot, or leg to diabetes, or know someone who has, but you can lower your chances of having diabetes-related foot problems by taking care of your feet every day. Managing your blood glucose levels, also called blood sugar, can also help keep your feet healthy.

What is it called when you have a patch of skin on your foot?

Thick patches of skin called corns or calluses can grow on the feet. If you have corns or calluses, talk with your foot doctor about the best way to care for these foot problems. If you have nerve damage, these patches can become ulcers.

How to get rid of corn on your feet?

Cutting and over-the counter corn removal products can damage your skin and cause an infection. To keep your skin smooth and soft , rub a thin coat of lotion, cream, or petroleum jelly on the tops and bottoms of your feet.

Diabetic foot infections – What are they and why do they occur?

As with other infections, diabetic foot infections occur when bacteria enter the body through a wound on the foot. Everyday things like scrapes and blisters can lead to diabetic ulcers. Bacteria enter the bloodstream through these ulcers and cause an infection.

Diabetic foot infections occur due to two major reasons

Neuropathy is nerve damage, which is a common result of diabetes and sensory diabetic neuropathy is due to uncontrolled diabetes. It disturbs the sensations in the legs and feet of a diabetic patient. Hence, they may not feel blisters and other wounds on their feet if they get hurt or foreign materials such as pebbles enter their shoes.

Diabetes cellulitis – Diagnosis and treatment

Cellulitis is an infection of the deeper skin layers, occurring almost anywhere in the body, however, the foot is the most vulnerable area for diabetics. It is due to Streptococcus and Staphylococcus bacteria which exist symbiotically on the skin. However, if they enter the body through a cut, they can result in an infection.

Diagnosing diabetes cellulitis

It is best to seek professional help and let a physician examine the infected area and assess other symptoms. The infected area is usually red, swollen, tender, and warm. Lymph nodes may also swell up around the body, such as the groin if the leg or foot is infected.

Other diabetic infections

Diabetic foot infections are not limited to diabetic cellulitis. Other pathogens may also enter the wound, causing the following:

What to do if your foot hasn't healed?

Make an Appointment with an Orthopedic Specialist. If your foot injury hasn’t healed and it’s been a few weeks, you may benefit from seeing a doctor. You can make an appointment with an orthopedic foot specialist who has expertise in treating foot injuries.

How long does it take for a foot injury to go away?

The good news is that if your pain is only mild, it’ll probably go away on its own after a couple weeks —especially if you rest. You should make a doctor’s appointment after a foot injury if: you feel pain in your foot for most of the day and it’s been a few weeks since your injury. your pain worsens over time.

What are the symptoms of a swollen toe?

You should go to urgent care for injuries with: 1 mild to moderate pain, 2 difficulty walking or bearing weight, 3 swelling that does not get better within a few days of an injury, 4 bruising, 5 new foot or toe deformities, or 6 tingling, burning, or numbness in your foot.

Why do my feet feel numb?

If you have tingling, burning, or numbness, you may have injured the nerves in your foot. Injured nerves can cause a condition called peripheral neuropathy. Some people with neuropathy also say it feels like having pins and needles in their feet. Over time, peripheral neuropathy can cause infections, burns, and falls.

What does it mean when your foot hurts?

mild to moderate pain, difficulty walking or bearing weight, swelling that does not get better within a few days of an injury, bruising, new foot or toe deformities, or. tingling , burning, or numbness in your foot. Go to the emergency room if: there’s an open wound on your foot. pus is coming out of your foot.

What does it feel like to have a broken bone in your foot?

there are broken bones coming through your skin. you feel lightheaded or dizzy. you think your foot could be infected. You may have an infection if the skin around your injury is warm, red, or tender. You may also have an infection if you have a fever over 100 degrees F.

Can diabetics feel cuts on their feet?

Nerve damage can make it harder to feel sensations in your feet. If you have diabetes, you may not feel cuts or sores on your feet. Even if your feet feel okay, it’s important to see a doctor after you’ve had a foot injury.

What is a diabetic emergency?

A diabetic emergency happens when symptoms relating to diabetes overwhelm the body. At this point, home treatment is unlikely to help, and delaying medical care could cause permanent damage or death. Some of the signs that can indicate a serious problem include: chest pain that radiates down the arm.

How many people died from diabetes in 2016?

However, the CDC state that diabetes, or complications related to it, is still the seventh most frequent form of death in the U.S., and it was responsible for nearly 25 deaths in every 100,000 in 2016. Hypoglycemia (low blood sugar), hyperglycemia (high blood sugar), diabetic ketoacidosis (DKA), greater susceptibility to infections, ...

Why does blood sugar drop when you have diabetes?

Hypoglycemia can occur for many reasons, but, in diabetes, it usually stems from the use of insulin or other medications that control blood sugar. Blood sugar levels may drop dangerously low when a person: takes more insulin than they need for their current food intake or exercise levels. consumes too much alcohol.

What is the difference between type 1 and type 2 diabetes?

In type 1 diabetes, the immune system destroys the cells that produce insulin. Type 2 diabetes reduces the body’s ability to respond to insulin. Consequently, the body does not produce enough insulin to manage the glucose in the body.

What are the factors that increase the risk of diabetes?

According to the AAFP, the following factors may increase the risk: infections, including pneumonia, a urinary tract infection, and sepsis. the use of some medications, including some psychiatric treatments and diuretics, which can lead to dehydration. not following treatment for diabetes.

What are the symptoms of hypoglycemia?

The warning signs of hypoglycemia include: confusion, dizziness, and nausea. feeling hungry. feeling shaky, nervous, irritable or anxious. sweating, chills, and pale, clammy skin. rapid heartbeat. weakness and tiredness. tingling in the mouth area. headaches.

How to maintain blood sugar levels?

Eating healthful, balanced, regular meals: People who use insulin or other medications that lower blood glucose should ask their doctor about what foods to eat, how much, and when, in order to maintain stable blood sugar levels. Small, frequent meals are better than fewer larger meals.

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