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Intrinsicly evisculate emerging cutting edge scenarios redefine future-proof e-markets demand line
Diabetes can affect the health and function of the feet in several ways. Over time, nerve damage can reduce sensation in the feet, making it difficult to notice pressure, minor injuries or changes in the skin. In some people, diabetes-related nerve damage can also contribute to changes in the structure of the foot.
Foot deformities such as bunions, hammertoes and Charcot foot are important in diabetic foot care because changes in foot shape can create areas of increased pressure. When sensation is reduced, this pressure may continue without the person realising it, increasing the risk of calluses, skin breakdown and foot ulcers.
One of the important complications of diabetes is peripheral neuropathy. It can cause numbness, tingling, burning or reduced sensation in the feet. A person with reduced protective sensation may not recognise repeated pressure or a minor injury.
A more specific condition is Charcot foot, which can occur in people with diabetes and neuropathy. It can damage the bones and joints of the foot and, if not recognised and treated early, may lead to significant changes in foot shape.
A change in foot structure can alter the way pressure is distributed when you stand and walk. Areas such as prominent bones, toes or other pressure points may be exposed to repeated stress.
This becomes particularly important when sensation is reduced. The person may continue walking on an area that is being repeatedly injured without experiencing the expected pain.
For this reason, the ADA recommends that a comprehensive diabetic foot examination include assessment of foot deformities, sensation, skin condition and circulation.
Not every foot deformity can be prevented. However, early identification and proper foot care can help reduce the risk of complications.
People with diabetes should have a comprehensive foot examination at least once a year.
Those with loss of protective sensation, foot deformities, previous ulcers or other risk factors may need more frequent assessment.
Shoes should fit properly and accommodate the shape of the foot. People with diabetes who have foot deformities or a high risk of ulceration may require specialised therapeutic footwear.
A new change in foot shape, particularly when accompanied by warmth, redness or swelling, should be assessed promptly. In a person with diabetes and neuropathy, these can be signs of Charcot foot.
Diabetic foot care is not only about treating ulcers. Identifying risk factors such as neuropathy, foot deformity and circulation problems before a wound develops is an important part of prevention.
If you have diabetes and notice a change in the shape, sensation, colour, temperature or condition of your foot, it is important to have it assessed by a qualified healthcare professional.
Early assessment can help identify problems before they become more serious.
