A subtle diabetic flesh eating infection

This man came into the hospital with a wound on his right foot with some swelling and redness. His x-ray did not show evidence of bone infection or gas. An MRI was ordered which showed a bit of swelling in the muscles and skin, no abscess or bone infection. He was awake and talking pleasantly. … Continue reading A subtle diabetic flesh eating infection

Deep foot infections do not always end in foot amputation

This is a patient of mine who have had toes amputated from infected foot ulcers before, so unfortunately he already knew that he has a bad infection in his foot. The knuckle underneath the third toe is exposed and there is pus deep within his foot, making his third toe very swollen. It is possible … Continue reading Deep foot infections do not always end in foot amputation

How To Get Diabetic Shoes

What is special about diabetic shoes?Diabetic shoes are different from regular shoes because they have extra depth to accommodate a thicker insert, seamless interior because seams can rub onto the skin, and bigger toe box to accommodate for hammertoes which people with neuropathy can get. The most important thing is the extra depth, because it … Continue reading How To Get Diabetic Shoes

Shoe Lacing Techniques to Reduce Friction Blisters

We know shear forces (friction) causes blisters, which leads to foot ulcers in people with diabetes and neuropathy. There are a couple shoe lacing techniques I’d like to share with you to help reduce the friction in your shoes. If you have a high arch foot type, the top of your foot may rub against the … Continue reading Shoe Lacing Techniques to Reduce Friction Blisters

Surgical Treatment for Diabetic Foot Ulcers

Diabetic foot ulcers are treated by removing the ground, or removing the bone. It sounds like an amputation but it's not. Usually, foot ulcers are located on areas of the foot where there is a joint or prominence. It can be hard to tell where the joint is on the bottom of the foot because the … Continue reading Surgical Treatment for Diabetic Foot Ulcers

Offloading Diabetic Foot Ulcers

We get diabetic foot ulcers from pressure and shear forces. It will heal if we remove the pressure and shear forces. This is called offloading. Since foot ulcers are created by basically being squished between the ground/shoe and the bone, we can offload ulcers by removing the ground or removing the bone. Removing the ground means … Continue reading Offloading Diabetic Foot Ulcers

Blood Flow in Diabetic Feet

Grass grows where there is water. Without water, it will dry up. The same thing happens to our body if deprived of blood, and our toes start developing dry gangrene. However, there are lots of things that has to happen before gangrene develops. There are also warning signs to look for that we will discuss. Let's start … Continue reading Blood Flow in Diabetic Feet