Diabetic Limb Preservation

Preventative Diabetic Foot Care
Regular foot screenings are key to preventing foot complications due to diabetes. Many potential problems lie under the surface and cannot easily be seen. Calluses and blisters that are often dismissed as insignificant can quickly become major problems for diabetic patients. In addition to regular screenings, S.F. Foot Specialist can also perform routine nail care to help ensure the health of your feet. ·

Neurovascular Evaluation
Diabetes, over time, can restrict blood circulation and damage nerves throughout the body. This damage is often seen in the extremities, such as the feet and legs, and can cause tingling, numbness, or even complete loss of feeling. Pain is often the first sign of a problem, but in people with diabetic neuropathy this early warning may not exist. Something as simple as a splinter can go undetected and develop into an open wound. Simple tests exist to determine the extent of the nerve damage and sensitivity to various stimuli.

Ulcer and Wound Management
The majority of diabetic foot complications that result in the need for amputation begin with skin ulcers. Early detection and appropriate treatment of these ulcers is key to limb preservation. Ulcer management treatments have improved rapidly over the past years and continue to evolve. S.F. Foot Specialist is committed to staying on top of the latest advances in foot care and is constantly evaluating new treatments and techniques to help ensure you receive the best care possible.

Treatment of Charcot Arthropathy
Charcot Arthropathy, often referred to as Charcot’s Foot, is a very complex complication of diabetes. Charcot’s Foot is a swelling and deformity of the foot that often seems to develop for no apparent reason. The likely cause is actually usually associated with severe neuropathy that leads to a weakening of the bones in the foot. These weakened bones may fracture without any noticeable trauma and because of the severe nerve damage there is often no detectable pain. The patient usually continues to walk on the foot without realizing there is a problem, causing more damage. Charcot’s Foot is often under-diagnosed by general physicians because of its similar appearance to a bone infection on x-ray films and other imaging technologies. If there has not been a break in the skin and no other apparent cause of infection exists Charcot’s Foot should be considered. Bone scans, MRI, and bone tissue biopsies may be helpful in confirming a diagnosis.

Treatment of Acute and Chronic Osteomyelitis
Osteomyelitis is a potentially destructive bone infection. Diabetic patients are at an increased risk due to poor circulation issues and an increased risk of open foot sores. Although a bone infection may be the result of an infection elsewhere in the body, in diabetic patients a likely source is a deep foot ulcer, especially if it reaches the bone. Treatments range from administering antibiotics to surgical procedures to remove affected tissues depending on the severity of the infection. Thorough and ongoing treatment are key to the successful healing of this condition. ·

Diabetic Orthotics and Prescription Shoe Gear
S.F. Foot Specialist can provide customized orthotics and shoes designed specifically for diabetic patients. Proper shoe gear with the right fit is key to the prevention of ulcers and other foot complications. Shoes are available in a variety of styles for comfort, fashion, and ease.