Diabetic Foot Care

Diabetes and Foot Care

With diabetes comes the need to pay extremely careful attention to the feet. Diabetes can lead to two complications, (1) nerve damage (neuropathy), and (2) poor circulation. Neuropathy can cause you to lose sensation in your feet which will cause you to be unaware if there is an injury or irritation. This in conjunction with poor circulation can be extremely detrimental because it will reduce your ability to heal, and even the smallest cut can become difficult to protect from infection. 


Diabetes will increase the risk of developing foot problems and it can cause even the smallest issues to turn into serious complications and potentially an amputation. 

Diabetes-Related Foot and Leg Conditions 

• Infections and Ulcers that do not heel - An ulcer is skin sore which can go as deep as the bone. Poor circulation and neuropathy can cause minor cuts and blisters to turn into ulcers and become infected. This is very common in diabetes patients and can lead to severe complications including amputation and death. 

Corns and Calluses - When neuropathy is present you may not be able to tell when pressure from your shoes is causing corns or calluses. If not properly dealt with they can develop into ulcers. 

Dry, cracked skin - Dry and cracked skin can easily form when there is poor circulation and neuropathy, and although it may not seem serious, cracked skin can lead to infection and further complication. 

• Poor Blood Flow - In diabetes blood vessels below the knee often become narrow and constrict the blood flow which can prevent injuries from healing and may cause tissue death. 

Hammertoes and Bunions - When nerve damage affects the muscles, it can cause muscle weakness loss of tone in the feet and lead to hammertoes and bunions. These deformities untreated can lead to ulcers. 

Charcot Foot - When Charcot foot occurs, the patient has a broken bone that is undetected because of loss of sesnsation. This leads to the destruction of soft tissue in the foot. Because of neuropathy, this goes undetected and the patient continues to walk on the broken bone, making it worse and leading to potentially the need for surgery and potential amputation. 

Nail Disorders - Ingrown toenails and fungal infections can go undetected and lead to infection. 


You Podiatrist

Your podiatrist and foot and ankle surgeon help wounds heel to prevent further complications and amputation. There are many new technologies and procedures available to help feet and legs. It is very important to get regular foot checkups and seek immediate attention if you see something may be wrong to prevent things from worsening. Your podiatrist will work together with other healthcare providers to prevent and treat foot and leg complications that can occur from diabetes. 

Preventative Measures


Inspect your feet daily, if you cannot see your feet well have someone else inspect for you 

         • Skin and nail problems - check regularly for cuts, scrapes, redness, drainage, swelling, bad odor, rash,                         discoloration, loss of hair on toes, injuries or nail changes. 

         • Sings of fracture - If your foot is red, swollen, warm, or has changed in size, shape, or direction see your                     podiatric surgeon immediately. 

• Don't ignore pain in the legs - pain in the legs that occurs during low activity or at night could be a blocked artery, see medical attention immediately. 

• Cut your toenails properly - if you have nail problems make sure your toenails are always properly trimmed. 

• No DIY home treatments or remedies  - do not trim corns and calluses yourself, and don't use OTC medications or treatments. 

• Keep floors clean and clear - Make sure no sharp objects such as needles or insulin syringes are on the floor. 

• Don't walk barefoot - always wear shoes, outdoors and indoors.  

• Check shoes and socks - shake out your shoes before putting them on to make sure nothing is stuck inside that will irritate your foot. Make sure your socks are not bunched up. 

• Test your circulation and sense of feeling test - you podiatric surgeon will test your feet for sensation to check for lost feeling or circulation. 

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Highland Podiatry Associates, Highland Heights, OH & Sagamore Hills, OH

Cleveland Podiatry | Podiatrist in Cleveland | Cleveland Foot Doctor


previously the office of Daniel Cavolo, DPM


Phone (appointments): (440) 473-0550

Fax (toll free): 1(888) 433-5998


Address: 850 Brainard Rd, Highland Heights, OH 44143  |  Address: 885 W Aurora Rd, Bldg 2, Ste 4, Sagamore Hills, OH 44067


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