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Diabetic Foot Care

It is essential for diabetic patients to pay proper attention to their feet as problems may occur as a result of either circulation or nerve changes. Here are some foot complications that diabetic patients may encounter and some possible treatment options that are available by your chiropodist.

Niagra Foot Care Clinic and Orthotic Centere

Mild Foot Concerns

Daily monitoring and preventative care for normally mild foot concerns such as callus, corns, or ingrown toenails are imperative for a patient with diabetes. This preventative care is important because a combination of neural and vascular changes may result in wounds (diabetic foot ulcers) or spreading infection.

Diabetic Foot Ulcers

Diabetic foot ulcers are open wounds caused due to circulation problems, lack of sensation, or pressure. Management of such ulcers involves evaluation, debridement, and appropriate dressings, deflective padding and offloading devices. In some cases, orthotics may be necessary.

Any of the above conditions, if left untreated, may result in serious complications requiring more aggressive therapies and hospitalization. Get proper professional foot care from a chiropodist in order to prevent such problems. This allows you to put your best foot forward.

If you have questions, please call and speak with our staff.

Wound Offloading and Total Contact Casting

In order to achieve closure of a diabetic foot ulcer, three objections must be accomplished.

  • The patient must have adequate circulation (blood flow) to the wound site, and the blood glucose levels must be well controlled within that blood flow.
  • The wound must be appropriately dressed, and all measures to prevent or treat any active infection must be taken.
  • Pressure and shearing forces must be offloaded and redistributed so that new healthy skin can grow over the opening. If there is heavy callous developing over the wound or any excessive pressure applied to an open wound, it will not close.
Niagra Foot Care Clinic and Orthotic Centere
Niagra Foot Care Clinic and Orthotic Centere

We offer assessment and management of all the healing factors for a diabetic wound from vascular assessments, infection management through the prescription of oral or topical antibiotics, dressing management and sharp debridement (callous and necrotic tissue removal), and a complete array of offloading options.

Offloading a wound can be as simple as wearing a pair of orthopedic footwear to a walking air cast and the gold standard of a total contact casting (TCC).

TCC is a casting technique that is used to heal diabetic foot ulcers, with reported healing rates of about 90% in 6 weeks. The total contact cast closely conforms to the exact shape of the foot by creating a chamber just right for healing. It works by redistributing weight off of the foot ulcer and onto the lower leg, thereby allowing for fast healing.

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