Diabetic Neuropathy Foot Assessment

Diabetes Foot Exam

we know that onefour people withdiabetes will develop foot compliions. These compliions can be serious and can limit you and what you want to do with your life the Joslin al guidelinesrecommend that you have a thorough foot exam by your physician atleast once a year one of the things that can cause foot problems:people with diabetes they result from twomajor problems. The first is neuropathy. diabetes can affect the nerves over time

and as the nerves are affected you may lose the sensationyour feet this may not cause you any discomfort,your feet may feel fine, but not being able to sense problemsyour feet puts them at risk. A second problem is circulation diabetes can affect circulationtheheadthe heart but also affects circulationyour feet. With the circulation decreased, any problem that occursyour feet

will resolve more slowly; infections heal more slowly and you are prone to more compliions. this combination of neuropathy and circulation problems are why your physician needs to carefully examine you feet at least once a year when he or she examines your footthey're going to look at three different things they'll visually inspect your foot tosee if there's any deformities,

they'll look carefully the skin to see if there's any cuts, any sore spots, any lesions thatshould need attention between your toes as wellas the top of the bottom of your feet the physician will also take a look atyour circulation by feeling for pulses at certain spotsyour feet where we know the the pulsesshould be strong and last, they'll check for signs of neuropathy by using either tuning fork or something called a ten gram fibersmall wis

you should be able to sense and if youcan't it means you're especially high risk for problems with yourdiabetes smoking is obviously a problem for anyone's health if you have diabetes smoking isespecially damaging so he can affect the circulation inparticular the circulation to your feet we know that the majority of ourpatients with diabetes who have foot problems have had smoking intheir past

so what can you do to keep your feethealthy? we just talked about stopping smoking ifyou're doing that if you have neuropathy or have had foot problems, examining your feet by yourself everyday looking at the skin is very important keeping your A1c, your blood pressure,your cholesterolcontrol will also decrease your chance of compliions. And remember,

Treating Neuropathy and Nerve Painthe Feet

Let me start with I'm a diabetic. I developedneuropathy, which basically you lose all sensationthe feet, but it's over a period of time.It was very painful. I would have sensationsmy feet like I was standing on fire, walkingon glass. Last October it got so bad that I couldn't sleep at night. Then I met Bullard, because he's just a great physician. I wouldn't think twice, I'd recommendhim to anybody. Very compassionate, very thorough, I can't say enough about Bullard. He'sjust a great physician and I don't know if there's anything he couldn't do hecould probably move mountains if he wanted to!Glen, probably one of the biggest questions

people are asking you is what'd we do, what'shappened. Of course, you had a tremendous improvementyour pain and the tinglingand the numbness. Easiest explanation is, to tell everybody, that this big nerve here,which is on the inside part of your left foot, was getting strangled. There was a noose aroundit. What we did is we wentand loosened the noose, and that allows that nerve to beginto function and work like it's supposed to.Now, the sensation is coming back, it's something that's going to take time butI can feel more. My quality of life has greatly improved since I had the procedure done by Bullard. There's no other physician

that I would recommend.Glen,the next couple weeks, what we're going to do is make sure that the swellingis improving, hopefully begin to transition you out of your compression socks, becauseI know it's kind of hot right now, and then look at making sure that your shoe gear andthings like that are where they're supposed to be, fitting you well, protecting your feetand stuff. Ok? Very good. Thank you, I appreciate it, havea good weekend! You do the same. Alright, see ya.

Category: Diabetic Neuropathy

Leave a Reply