I had come for acute pain in feet while walking. I just couldn't keep my foot down flat while walking. I had to walk on my toes. The doctor advised me to do the foot test. This is the first foot clinic I have ever seen. I was detected with acute neuropathy problem. The doctor had advised me to make insoles to resolve my problem. I am very happy with the correct diagnosis. The doctor is also friendly and always smiling. When you come to her with your medical problems, they are always resolved. I will recommend one and all to come to this clinic. It's the best. Thanks Doctor Benny.
Dr was polite and friendly and also a very nice human being by nature. Even all staff were very cooperative and had given me various information about the foot test. They also explained about diabetic footwear, socks and soles. I will definitely visit you in this center and also recommend your center to my friends and relatives.
Doctor is very friendly and courteous. Dr. Vijay is a very senior and experienced doctor. His diagnosis are perfect and treatment given is very effective. I have recommended him to neighbours, friends and relatives. The clinic has the only diabetic foot scanner and machine, which can detect abnormalities in one's foot and the same can be corrected. Thanks doctor.
The answer is yes. These are protective footwear for patients who have decreased foot sensations secondary to diabetic Neuropathy. These patients have abnormally high pressures under their feet making them susceptible to foot ulceration. These high pressure areas have to be reduced to prevent further risk and damage to the foot. One of the possible solutions is to use protective or therapeutic footwear consisting of custom designed shoes or custom made inserts. These inserts generally incorporate force redistributing features. Prescription of footwear depends on which risk category the patient falls in to
Risk category 0: are patients that have intact sensation in their foot, with absence of foot deformities and no history of planter ulceration. These patients do not need special therapeutic footwear and can wear “off the shelf” general purpose comfort footwear
Risk category 1: patients would have lost the intact sensation in their feet. Although there would be no foot deformities nor any history of plantar ulceration. These patients need footwear as shown in the figure below :
Risk category 2: These patients have decreased sensations and also show presence of foot deformities. They must be recommended special footwear with extra depth, soles for better accommodation of deformity as well as for providing for an orthosis.
Rocker sole with use of shank is advisable to prevent footwear from bending and also to limit toe and mid foot motion. Cushioned heels and Velcro closure may also be indicated.
Risk category 3: There high risk diabetic foot patients have decreased sensation, with or without deformities with previous ulceration and decreased lower limb blood supply. Customized footwear to accommodate the foot and relief from pressure is advised.
These protective footwear will help prevention of ulceration and amputation. When you visit your doctor, ask for the foot tests to find out which category your fall into, so that appropriate footwear can be advised.
Cherish your feet. “Thy feet thy fortune”
Diabetes is now a household term and diabetic foot is a well-known and well described entity. While prevention is the key to keep the feet healthy and safe, a multitude of problems can plague the foot crippling the person who is in most need of locomotion and exercise. These include redness and swelling (cellulitis), diabetic nail infections, minor ulcerations between the toes, major ulcers at the pressure areas of the foot.
These problems may need multiple visits to the diabetologist and the diabetic foot surgeon until the wound reaches a stable state where there is no presence of infection or dead tissue. Achieving total healing of the wound is a delicate balance of good foot care, offloading the pressure from the foot and blood sugar level control and may take a long time. To reduce the burden of costs and time for both patient and doctor a few dressing methods can be recommended for home care:
Concepts of wound care have changed over time with increasing understanding of wound biology and behaviour. The old school thought of “leave it open to air to heal” doesn't apply anymore and has proved to be more harmful for healing. The new mantra is to “cover the wound and keep it moist” to hasten healing.
Here are a few handy stepwise tips:1) Inspect your bandages regularly: If the bandage is showing soakage of wound fluid or emanating smell, it's time to change it. A soaked bandage is an open invitation to bacteria.
Certain things have to be always borne in mind while caring for diabetic feet: