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  • +91 98151-31355, 0183-2500955
Diabetic Foot Care | Procedures | Dr Vikas Kakkar

DIABETIC FOOT CARE


Ulcer Treatment

People with diabetes develop foot ulcers because of neuropathy (sensory, motor, and autonomic deficits), ischaemia, or both. The initiating injury may be from acute mechanical or thermal trauma or from repetitively or continuously applied mechanical stress. Patients with clinically significant limb ischaemia should be assessed by a vascular surgeon to determine the need for angioplasty, stenting, or femorodistal bypass. When infection complicates a foot ulcer, the combination can be limb or life-threatening. Infection is defined clinically, but wound cultures reveal the causative pathogens. Tissue specimens are strongly preferred to wound swabs for wound cultures. Antimicrobial therapy should be guided by culture results, and should aim to cure the infection, not to heal the wound. Alleviation of the mechanical load on ulcers (off-loading) should always be a part of treatment. Neuropathic ulcers typically heal in 6 weeks with total contact casting, because it effectively relieves pressure at the ulcer site and enforces patient compliance. The success of other approaches to off-loading similarly depends on the patients' adherence to the effectiveness of pressure relief. Surgery to heal ulcers and prevent recurrence can include tenotomy, tendon lengthening, reconstruction, or removal of bony prominences. However, these procedures may give some complicated results like- secondary ulceration and other complications. Ulcer recurrence rates are high, but appropriate education for patients, the provision of posthealing footwear, and regular foot care can reduce rates of re-ulceration.


Guidelines

Diabetes is dangerous to your feet- a small cut can produce serious consequences. Diabetes may cause your nerve damage that takes away the feeling in your feet. Diabetes may also reduce blood flow to the feet, making it harder to heal an injury or resist infection. Because of these problems, you may not notice a foreign object in your shoe. As a result, you could develop a blister or a sore. This could lead to an infection or a non-healing wound that could put your health at risk for an amputation.
To avoid serious foot problems that could result in losing a toe, foot or leg, follow these guidelines.
Inspect your feet daily. Check for cuts, blisters, redness, swelling, and nail problems. Use a magnifying hand mirror to look at the bottom of your feet. Call doctor if you notice anything.
Bathe feet in lukewarm, never hot water. Keep your feet clean by washing them daily. Use only lukewarm water—the temperature you would use on a newborn baby.
Be gentle when bathing your feet. Wash them using a soft washcloth or even sponge you can use. Dry by blotting or patting and carefully dry between the toes.
Moisturize your feet. Use a moisturizer daily to keep dry skin from itching or cracking.
Cut nails carefully. Cut them straight across and file the edges. Don’t cut nails too short, as this could lead to ingrown toenails. If you have concerns about your nails, consult your doctor.
Wear clean, dry socks. Change them daily.
Consider socks made specifically for patients living with diabetes. These socks have extra cushioning, do not have elastic tops, are higher than the ankle and are made from fibers that wick moisture away from the skin.
Wear socks to bed. If your feet get cold at night, wear socks. Never use a heating pad or a hot water bottle.


Diabetic Foot Evaluation

NeuroScan -a non-invasive tools to detect neurological loss of sensation by vibration. It is an electronic tuning fork device mainly used for wide range of research, laboratory to identify the diabetic neuropathy. Its vibration strengthen operates tunning fork gradually increase the amplitude till the patient sense the vibrations.
NeuroScan can be functioning with the integrated software with PC (Windows) and Android based devices
Features:
• Digital 0 to 50 Volts indicator.
• Android supported
• Windows based PC software
• Custom set interpretation rules.
• Test key to cross check patient perception.
• No probe indicator alarm.
• Maximum 50 volts indicator alarm.
• Multiple operation mode (Plantar and Penile) software.
• Optional single or multipage report.
• Customized PDF report printing facility.


Podoscan
PodoScan is the most efficient and accurate way to access plantar pressure distribution system of both static and dynamic.
It mainly enables precise and immediate evaluation conditions related to the diabetic foot, analysis of the depth to overlayered on the foot, analysis of the depth to overlayered on the foot impression. To fetch the mapping gray scale images to depth conversation. We made for graphical high resolution foot images. The dynamic foot plantar pressure distribution is the principle of resistance which gives the greater advantages in both foot adaptability and customization this implies to test repeatability, consistent Patient report, and more space storage patient reports for further treatment to patients.
Features: Below are the features -
• Measure the plantar pressure distribution of static and dynamic pressure
• Footwear measurement report enabled
• Accurate color coding results, easy self tunning color schema according to user scanner
• Can be compatible with any PC scanner
• E-Mail and Simple report printing facility
• Customised PDF report for portability
• To minimize the time factor performing technical skills
• DICOM supported reporting


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  • 564, B-Block, Ranjit Avenue, Amritsar
  • +91 98151-31355, 0183-2500955
  • clinickakkar@gmail.com

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