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Cambridge, Ontario N1R 6J6

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Posts for category: Diabetes

November 10, 2015
Category: Diabetes
Tags: Diabetes   Wound   Ulcer   Cambridge   Foot  


The staff at Achilles Foot Specialists and Custom Orthotics spent all of last weekend in Ottawa at the Canadian Federation of Podiatric Medicine (CFPM) conference learning about all sorts of ways that we can serve you- our patients- better. One major topic this year was that of diabetic wound care.  The question often comes up in practice “why do Diabetics need special attention when it comes to wounds?”

The answer to this question is multifaceted but the reality is that diabetics tend to have poorer blood supply, less sensation, and other co-morbidities that can severely impede healability. A non healing wound can lead to infection, amputation and even death.  And therefore a small blister for one person can be life threatening to a diabetic.

If you have Diabetes, there are some simple actions you can take daily to reduce the likelihood of developing a wound:

  • Look at your feet EVERY SINGLE DAY!
  • Wear white socks so that you can see if your feet have been bleeding during the day
  • Keep your feet clean and in between your toes DRY
  • Inspect for cracks and dry skin and moisturize the bottom of your feet
  • Report  any new foot pain to your chiropodist IMMEDIATELY

If you do develop a wound, your chiropodist will have the knowledge, tools and supplies to act fast and provide local wound care, address your concerns, and help to prevent future occurrences and infection. SO give us a call today at 519-624-4122 if you have diabetes!

Happy Tuesday! 

    We hope everyone has been enjoying this warmer weather- we sure have been! With warmer weather comes barefoot fun; walking on the beach, running through freshly cut grass, and swimming.  Unfortunately, with warmer weather, there is also a spike in diabetic foot complications.

 Let’s discuss a major problem that can occur in longstanding diabetics- Charcot Foot Syndrome (CFS) or Charcot osteoarthropathy. This condition is progressive, and if left untreated can result in severe foot deformity, often called rocker bottom foot. A rocker bottom foot looks exactly like the convex surface of the bottom of a rocking chair. This is great for rocking, but not great for walking. Let’s take a look at how CFS occurs and how we can help to prevent it.

How does it happen?

CFS does not happen overnight. Usually, it occurs in longstanding diabetics who lack sensation in their feet. Without sensation, these patients do not typically feel much pain. Therefore, a diabetic may not notice an injury as quickly as the rest of the population.  This is how CFS starts.  An injury, such as a stress fracture, goes unnoticed, and therefore untreated.  Often, even when a patient presents with a red hot swollen foot, a health care practitioner prescribes an antibiotic without ordering an X-ray, thinking it is the beginning of a diabetic foot infection.

If this initial injury is not recognized, and immobilization is not undertaken, then deformity can ensue.  Once the swelling goes away and the foot shape starts to change, this is a sign that CFS is progressing. This is a stage we really all want to avoid- so let’s discuss how to do just that!

How to recognize a foot injury

As diabetics, you hear all too often the dangers of ulceration, and the higher risk of amputation. The nice thing is the same rules apply for CFS as for avoiding ulceration. These include:

  • Check your feet at the end of each day
  • Try not to walk barefoot.
  • Wear shoes indoors.
  • Wear white socks so you will recognize bleeding points
  • Have a biomechanical assessment to identify problems and get orthotics
  • And most importantly: if you notice discoloration, swelling or heat, get to your chiropodist, physician or emergency department IMMEDIATELY. And, if CFS is not mentioned, advocate for your own health and express your concerns with healthcare practitioner!

Have a safe and happy summer everyone and contact us at 519-624-4122 for all of your footcare needs

By Dr. Douglas Broad
June 27, 2014
Category: Diabetes

Clipping Toenails with CareIf you have diabetes, you are more susceptible to foot problems, since the disease can damage nerves and impede blood flow to your feet. Daily foot care is vitally important, and that includes keeping your toenails clean and trimmed. Your nails help protect your toes, but if not cared for properly, they can cause more harm than good. Untrimmed toenails could produce sharp edges that pierce your skin, and even the smallest cut can open the door to infection with serious consequences. So, grab some clean clippers and use the following tips for trimming diabetic toenails.

You might think the best time to trim is right after you bathe, when the nail is nice and soft, but that is not so. They are more likely to tear when wet, so wait for them to dry out. Cut the nails straight across. If you follow the natural curve of your nail, it could cause an ingrown toenail which can lead to a dangerous infection. So keep it straight! If there are any rough edges, gently smooth them with an emery board. Never cut your cuticles. You could easily cut your skin. If you’re not confident with your skills and you’d rather not chance it, make an appointment with Chiropodist Douglas Broad. He’d be happy to trim your toenails for you, and help you with any of your other diabetic foot care needs.

Besides trimming diabetic toenails properly, you should also keep a close eye on how they look. A healthy nail should be smooth and slightly pink. If you notice thickness or brittleness, or any discoloration, it could mean you have a fungal nail infection. If this is the case, you should seek help from Achilles Custom Orthotics and Footcare in Cambridge, Ontario. Call (519) 624-4122 or contact us online today.

Questions or Comments?
We encourage you to contact us whenever you have an interest or concern about our services.

Call Today 519-624-4122

366 Hespeler Road
Cambridge, Ontario N1R 6J6

Chiropodist - Cambridge, Douglas C. Broad, D.Ch, 366 Hespeler Road, Cambridge Ontario, N1R 6J6 519-624-4122