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Posts for: March, 2014

Diabetes affects 21 million people in the US and 189 million people worldwide.

By the year 2025, the prevalence of diabetes is expected to rise by 72% to 324 million people globally. 

60-70% of those with diabetes will develop peripheral neuropathy, or lose sensation in their feet.

Up to 25% of those with diabetes will develop a foot ulcer.

More than half of all foot ulcers (wounds) will become infected, requiring hospitalization and 1 in 5 will require an amputation.

Diabetes is attributed to up to 80% of the 120,000 non-traumatic  amputations performed yearly in the United States.

Every 30 seconds, somewhere in the world, a limb is lost as a consequence of diabetes.

Every 24 hours 230 amputations are performed in US.

After a major amputation, 50% of patient will have their other limb amputated within 2 years.

The relative 5-year mortality rate after limb amputation is at least 50%. When compared

with cancer – it is second only to lung cancer (86%). (Colorectal cancer 39%, Breast cancer


Limb amputations occur 10-30 times more often in diabetics than in the general population.

Annual costs for estimated 86,000 amputations is over $1.1 billion EXCLUSIVE of rehabilitation,

surgeon’s fees, prosthesis, loss of productivity, and resultant disability payments.

Average cost to treat a diabetic foot is approximately $45,000 per patient.

Only 55% of diabetics over 18 have an annual foot exam documented

With proper care, perhaps up to 50% of amputations in diabetics may be avoided

As seen above a yearly foot exam in your podiatrist’s office can save your foot, limb and/or life.  A podiatric foot exam is painless and consists of the following components:

Observation of Skin: Looking for any areas of redness, warmth, dryness, fissuring and/or swelling.

Observation of Nails: Looking for ingrowing and/or deformed nails.

Observation of Foot Structure and Deformities Present:  Looking for bunion, hammertoe deformity, decreased and/or increased arch.

Observation of Sensation: Tested via Semmes Weinstein Monofilament to 5 locations on each foot.

Footwear assessment: Is the footwear appropriate? Is corrective footwear and/or inserts warranted?

Evaluation of circulation: Looking for decrease or absence of foot pulses, abnormal color and skin temperature changes.  Evaluating history of numbness or weakness in the feet and legs, as well as new symptoms of leg pain.

Patient Education

In our offices we perform what is called a Comprehensive Diabetic Foot Exam (CDFE) which consists of the above components.  The recommended frequency of the exam is based on the following risk factors…

Diabetic foot risk catagory 0...No loss of protective sensation (LOPS/neuropathy), no circulation problems (Peripheral Arterial Disease/PAD), no foot deformity.  Follow-up diabetic foot exam once a year.

Diabetic foot risk catagory 1... LOPS/neuropathy and foot deformity.  Follow-up diabetic foot exam every 3-6 months.

Diabetic foot risk catagory 2... LOPS/neuropathy and PAD.  Follow-up diabetic foot exam every 2-3 months.

Diabetic foot risk catagory 3... History of ulcer and/or amputation.  Follow-up diabetic foot exam every 1-2 months.

If you or someone you know has diabetes, please give one of Our Offices a call to schedule a Comprehensive Diabetic Foot Exam.





If you answered yes, you might be experiencing Ingrown Toenails

An ingrown nails is the most common nail impairment.  Ingrown toenails occur when the corner or side of nail digs painfully into the soft tissue of nail grooves, often leading to irritation, redness, and/or swelling.

Usually, toenails grow straight out. However, sometimes, one or both corners or sides of the nail curves and grows into the flesh.

The big toe is usually the victim of this condition but other toes can also be affected.

How to Prevent Ingrown Toenails

 Ingrown toenails may be caused by: 

  • Improperly trimmed nails
  • Heredity
  • Shoe pressure; crowding of toes
  • Repeated trauma to the feet from normal activities

Be sure to trim your toenails straight across, not longer than the tip of the toes. Do not round off corners. Use toenail clippers.

Ingrown Toenails Home Treatment

People with diabetes, peripheral vascular disease, or other circulatory disorders must avoid any form of self treatment and seek podiatric medical care as soon as possible. 

If you suspect an infection due to an ingrown toenail, immerse the foot in a warm salt water soak, or a basin of soapy water, then apply an antiseptic and bandage to the area.

Other "do-it-yourself" treatments, including any attempt to remove any part of an infected nail or the use of over-the-counter medications, should be avoided.

When to See a Podiatrist 

Nail problems should be evaluated and treated by a podiatrist, who can diagnose the ailment, and then prescribe medication and/or perform appropriate treatment.

You should see a podiatrist immediately if any drainage or excessive redness is present around the toenail; or if a short trial of home treatment has not resulted in improvement. 

A podiatrist will carefully remove the ingrown portion of the nail and may prescribe a topical and/or oral medication to treat the infection.

Permanent Correction 

If ingrown nails are a chronic problem, a podiatrist can perform a procedure to permanently prevent ingrown nails. The corner of the nail that ingrows, along with the matrix or root of that piece of nail, are removed by use of a chemical, a laser, or by other methods.  This is an easy and fast recovery procedure that most patients relate, “why did I wait so long to have this procedure done?”

If you or someone you know is experiencing an ingrown toenail please call 1 of  Our Offices for an appointment.  We are here to help!  Also, for additional information please listen to our  Educational Videos