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 … Continue reading How To Get Diabetic Shoes
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
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
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
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
A Zebra in a Stampede of Horses The overwhelming majority of bone infections in diabetic feet are called contiguous spread osteomyelitis, meaning the bone infection began by spread from an area close by. There exists something called hematogenous spread osteomyelitis, meaning the bone infection began by spread from the bloodstream. Let me explain. When you get a cut, … Continue reading Why Bone Infections and Foot Ulcers Go Hand in Hand
This is something that can happen, where you have a deep foot ulcer, and rightly so, your doctor is concerned and suspicious for a bone infection because of how deep the ulcer is. An x-ray is ordered, which is negative. Well, x-rays are not very sensitive for bone infection, so next, a MRI (magnetic resonance … Continue reading Doc! Do I Have A Bone Infection?