Diabetic Neuropathy - Danger Lurks Behind Every Sensation You Are Not Feeling

(Photo credit: Wikipedia)

It can’t be stressed enough - good foot care is vital to your health and overall well-being. Just ask someone who has impeded mobility due to a foot or ankle injury or the athlete who is sidelined. The verdict is in - foot and ankle pain or injury is darn inconvenient to say the least. Those in reasonably good health can usually take precautions and preventive measures and a lot of time just knowing what to do and when to do it can save costly trips to the doctor because it can be treated at home. People who suffer from diabetes, though, are not so lucky. When you have diabetic neuropathy every little condition, and injury becomes a potential hazard to your health.

Diabetic neuropathy is damage to nerves due to blood sugar levels being too high, which is caused by diabetes. Nerve damage will affect about half of all people with diabetes, although symptoms may be slow to appear. Symptoms vary and may affect different parts of the body. One location commonly affected is arms and legs and sensation from tingling to deep pain may be experienced. As damage to the nerves continues, sensation decreases due to poor circulation. This is where the danger really begins. Because of the loss of feeling, you may not feel objects you step on, know you have an open wound or realize you have no concept of heat, and actually burn yourself. An untreated wound may result in an infection and with poor circulation the body’s ability to heal itself is greatly diminished. Neuropathy may also mask other things going on in the body such as the pain that functions as early warning of heart attack.

Every person who has diabetes needs to be seen at least annually, more often if warranted. A thorough foot examination should be done each time you visit your doctor. Dr. Blaakman can help diffuse problems with early detection and he can teach you to be more aware of your own feet.  Conduct a daily foot exam and make it routine.

Call Dr. Blaakman at (877) 941-3338 for a comprehensive foot examination. Make sure you are writing down all your questions about diabetic neuropathy.  Arm yourself for survival with good information and work at controlling your blood sugar.

References:

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001713/
http://www.mayoclinic.com/health/diabetic-neuropathy/DS01045/DSECTION=symptoms

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In With the Right Growth and Out With the Ingrown

Toenails (Photo credit: Wikipedia)

An ingrown toenail occurs when the nail grows into the soft tissue at the corner or side of your toe. Although any toenail can become ingrown it usually is the big toe. They can be very painful and are usually visibly red and swollen. If neglected, or not cared for properly, they can become infected. Usually, you can treat an ingrown toenail by yourself, but if it is extremely painful your doctor can assist you. If you have diabetes, it is important that you have your podiatrist examine and treat your foot so that you avoid further problems. 

Symptoms include:

    •    Pain along one or both sides or corners of your nail

    •    Redness and swelling

    •    Infection alongside the nail

Ingrown toenails can be caused by:

    •    Shoes that are poorly shaped and crowd the toes

    •    An injury to the toe

    •    Poorly trimmed nails or nails that are trimmed too short

    •    Toenails that grow in an unusual manner

If caught in the early stages, treatment of an ingrown toenail may be able to be done at home.   However, repeated cutting of the nail can compound the situation. If there is a sign of infection, you are better off to have your doctor treat it, especially if you have any additional medical concerns like diabetes that make your feet more vulnerable.

Beneficial home remedies for ingrown toenails include room temperature soaks with Epsom salts added to the water. After the soak gently rub the area around the nail. This may help to alleviate swelling. Wedging cotton under the nail is not recommended as this provides an area for bacteria to grow, which can lead to infection. Over the counter medications are not beneficial because they may disguise the pain, but they do not improve the situation. If pain continues for more than a couple of days, it’s time to see your doctor.

Sometimes after treatment an ingrown toenail can return. If this is the case, Dr. Blaakman may recommend a slight in office surgical procedure to remove the side of the nail, or in more serious cases the root of the nail. Once the offending nail is gone, so is the pain.

If you have an ingrown toenail that is still aggravating you, call for an appointment today (877) 941-3338. For more information visit our website.

References:

http://www.mayoclinic.com/health/ingrown-toenails/DS00111/DSECTION=complications
http://www.foothealthfacts.org/footankleinfo/ingrown-toenail.htm

Related articles

• Ingrown toenails (yourfeet.co.nz)
• High Heels Can Bring on Ingrown Toenails (news.health.com)
• Diabetes: Tips for Daily Foot Care (diabetes.webmd.com)

Diabetic Shoes

Image via WikipediaDid you know that there are shoes out there that are made specifically for diabetics?  Well there are!  A lot of people with diabetes face neuropathy, which in short, means that their feet are numb, so they can’t feel their feet at all.  This means that they can’t feel when they cut their feet or burn them.  That is why it is especially important for diabetics with neuropathy to pay extra attention to their feet.  What happens is that regular shoes can cause friction and over time, constant friction can cause a cut, which in turn if not treated, will open the cut further, become infected and an ulcer.  If the ulcer is not treated, it will become gangrene and the infection attacks the whole foot and the only treatment can be amputation of the foot.

So in order to protect their feet better, there are specialized shoes that can be made. It’s not just neuropathy that these shoes help with, but they also help with poor circulation and foot deformities.  If you have hammertoes, bunions, flatfeet or other deformities.  The shoes can be formed fitted to keep your feet and in turn the rest of your body in balance.

The shoes prevents foot problems such as foot ulcers, because it lowers the friction and pressure put on the foot.  That in turn prevents infection and amputation, which is what has to occur if an infection goes untreated for long periods of time.  The protection comes from inserts that form to your feet and the use of softer materials so that there is no rubbing that causes friction. 

If you have diabetes, you should check into diabetic shoes, especially if you have neuropathy.  Upstate Footcare can fit you in a pair!  Give us a call at 877-941-FEET (3338) and set up an appointment!  Or check out our website.

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