519-624-4122

Chiropodist - Cambridge
366 Hespeler Road Unit #12
Cambridge, Ontario N1R 6J6
519-624-4122

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    If you are amongst one of the many Canadians that currently have Diabetes, then you have probably been informed by your doctor at least once about the importance of a diabetic foot screening, and of keeping the skin on your feet intact. We’re going to go through it again today, from the perspective of a chiropodist!

Diabetes and the foot

Diabetics are considered more at risk than the rest of the population for the development of ulcerations and lesions on the bottoms of their feet. The reason for this is complex, but it seems to be due to the fact that Diabetics experience a greater incidence of cardiovascular and neurological deficit than the rest of the population.  To be more specific, neuropathy, or reduced sensation in the toes and the feet is very common amongst Diabetics, particularly those who have long-standing or poorly controlled Diabetes. Further, Diabetics tend to have problems with circulation, and blood flow to the feet.  These two factors mean that firstly, a diabetic with neuropathy may not feel something impinging on their foot, which could lead to the development of what could have been an avoidable wound and second, if they do acquire some sort of lesion on their foot, reduced blood flow impairs healing of that lesion.  This is a dangerous combination,  because open wounds are at risk for becoming infected, and infected wounds are at risk for becoming necrotic, and necrotic wounds put the foot at risk for amputation. Unfortunately, once a person has an amputation, the likelihood that they will have another amputation within five years is very high.

Why see a Foot Specialist

 As a diabetic, we can help you stage your foot and determine where you are at in terms of foot health. There are several “foot stages” we refer to, and chances are your Diabetic foot will fit into one of them. The stages are as follows:

  1. Normal foot: The foot appears healthy with skin intact, and no risk factors for developing ulceration.
  2. High Risk Foot: The foot displays some of the risk factors which make the patient at risk for ulceration, such as callous, neuropathy, reduced blood flow, deformity.
  3. Ulcerated Foot: An ulcer is present on the foot; immediate intervention required.
  4. Infected Foot: An ulcer is present and infected; immediate intervention required.
  5. Necrotic Foot: An ulcer has become infected and/or necrotic; a medical emergency.
  6. Unsalvageable Foot: The foot needs to be amputated.

The good news is that the above stages are not static. That is, if you have an ulcer and it closes, your foot will revert back to stage two.  The only way to have your foot appropriately and accurately staged is to come in for a foot screening. This will establish a starting point and enable us to make a foot management plan that is right for you!

If you are interested in a foot screening, give us a call at 519-624-4122!

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366 Hespeler Road
Cambridge, Ontario N1R 6J6

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