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Oceanside Podiatrist | Oceanside Diabetic Foot Care | CA | Shin Foot and Ankle Center |

Shin Foot and Ankle Specialists

3230 Waring Court, Suite M
Oceanside, CA  92056
(760) 630-9200

Dr. Thomas Shin, DPM

The Foot Doctor

"Foot Care For Every Step of Life"

Diabetic Foot Care

 

Diabetic Foot Care



Why are Diabetics More Prone to Foot Conditions?

Over 29 million people in the United States have diabetes, and of that 30% will develop diabetic foot issues. Diabetics need to be extra vigilant about taking care of their feet, because diabetes affects the nervous system (that sends messages to and from the brain and spinal cord to various parts of the body).  This means that a diabetic will not necessarily feel pain, abrasions or nerve damage and may only notice a problem when something has become acutely severe (Neuropathy). Nerve damage may also lead to changes in the shape of the foot and toes.


Types of Diabetic Foot Conditions/Solutions

Neuropathy - The inability to feel pain, cuts, abrasions because of nerve damage.

Calluses – Because of high pressure under the foot, diabetics can build up calluses at a faster rate than others. When calluses are left to develop without treatment, they build up becoming denser and break down into ulcers or open sores. Drs recommend that a patient should never try to cut down a callus or corn themselves, as this can lead to sores and ulcers. Additionally, it is unadvisable to use chemicals for callus or corn removal as this can cause burns to the skin. Solution- Let your podiatrist cut your calluses. Also try using a pumice stone every to help keep the calluses under control. It is best to use the pumice stone on wet skin. Put on lotion right after you use the pumice stone.

Foot Ulcers – Ignoring an ulcer can lead to very serious conditions which could ultimately lead to a loss of a limb/amputation. Ulcers occur most often on the ball of the foot or on the bottom of the big toe. Not walking on an ulcer is paramount because it can enlarge the ulcer and force the infection deeper into the foot. Solution- Dr Shin may advise a special shoe, brace, or cast on your foot to protect it.

Other Treatments

Dr Shin will examine your ulcer and determine the appropriate type of action depending on the condition of the ulcer. He may do the following:

-Take x-rays of the foot to ensure that the bone is not affected

-Take a culture of the wound to determine which antibiotic will be most effective.

-Clean out the dead and infected tissue.

PAD (Peripheral Arterial Disease) which reduces blood flow to the feet. This means that diabetics are more likely to have a foot or leg amputated than non-diabetics.  

Custom made orthotics orthotics from a podiatrist vary in shape and size and are much better suited to treating foot conditions. Clinical research studies have shown that podiatrist-prescribed foot orthotics decrease foot pain and improve function.

Poor Circulation – Poor circulation which commonly affects diabetics makes the foot less able to fight infection and disease.

Changes in Skin – Diabetics are prone to very dry skin on the foot because the nerves that control the oil and moisture in the foot no longer work, the foot may prone to peel and crack. Solution - After bathing, dry your feet and seal in the remaining moisture with a thin coat of plain petroleum jelly, an unscented hand cream, or other such products. It is inadvisable to put oils or creams between the toes, as the extra moisture can lead to infection. Soaking your feet for prolonged periods can also dry the skin excessively.


Prevention

Wearing the Right footwear is crucial

Smoking - affects small blood vessels. It can cause decreased blood flow to the feet and make wounds heal slowly. A lot of people with diabetes who need amputations are smokers.

Exercise is good for poor circulation. It stimulates blood flow in the legs and feet. Walk in sturdy, good-fitting, comfortable shoes, but don't walk when you have open sores.

Using a pumice stone, petroleum jelly and not soaking the feet are all good preventive measures.


If you have any of the above problems contact Dr Shin’s office to set up an appointment.

 

 
 
 
Oceanside Podiatrist Shin Foot and Ankle Center is a poidiatry office providing Diabetic Foot Care, orthopedic, pain, diabetes, bunions and much more in Oceanside, CA. We also do Achilles Tendonitis, Allergic Contact Dermatitis , Athlete's Foot, Brachymetatarsia, Bunions, Calluses, Diabetic Foot Care, Flatfoot (Fallen Arches), Toenail Fungus, Hallux Rigidus, Hammertoes, Heel Pain/Fasciitis, Infections, Injuries, Ingrown Toenails, Metatarsalgia, Morton's Neuroma, Onychomycosis, Osteoarthritis, Pediatric Foot Care, Plantar Warts, Plantar Fasciitis, Posterior Tibial Dysfunction, Rheumatoid Arthritis, Running Injuries, Sesamoiditis, Sprains/Strains, Tarsal Tunnel Syndrome, Tailor's Bunion, Tendonitis, Toe Deformities, Xerosis and all work related in the 92056 area and surrounding areas in Oceanside