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Diabetic Foot

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Diabetic Foot

Diabetic foot is a complication of diabetes that affects the feet and lower extremities. It arises from damage to the nerves (diabetic neuropathy) and poor circulation (peripheral arterial disease) associated with diabetes. Diabetic foot problems can range from minor issues such as dry skin and calluses to more serious complications such as ulcers, infections, and even tissue necrosis (gangrene). Without proper management, diabetic foot problems can lead to severe consequences, including amputation.

Here are some key aspects of diabetic foot :

  • Neuropathy: Diabetic neuropathy is nerve damage caused by prolonged high blood sugar levels. It often affects the nerves in the feet and legs, leading to decreased sensation (loss of feeling) and altered perception of pain, temperature, and touch. Neuropathy can make it difficult to detect minor injuries or trauma to the feet, increasing the risk of complications such as infections and ulcers.
  • Peripheral Arterial Disease (PAD): TPeripheral arterial disease is a condition characterized by narrowing or blockage of the arteries that supply blood to the legs and feet. Diabetes can accelerate the development of PAD, leading to reduced blood flow to the feet and impaired wound healing. Poor circulation contributes to tissue damage, delayed healing, and an increased risk of complications in diabetic foot ulcers.
  • Foot Ulcers: Diabetic foot ulcers are open sores or wounds that develop on the feet, particularly on pressure points such as the bottom of the foot or over bony prominences. Ulcers may result from minor injuries, repetitive trauma, or pressure from ill-fitting footwear. Neuropathy and PAD contribute to the development of ulcers by impairing sensation and blood flow. Left untreated, foot ulcers can become infected and may lead to tissue damage, osteomyelitis (bone infection), or even limb loss.
  • Infections: Diabetic foot ulcers are prone to bacterial infections due to the compromised immune response and impaired wound healing associated with diabetes. Infections can spread rapidly and may lead to cellulitis (skin infection), abscess formation, or sepsis if left untreated. Diabetic foot infections require prompt medical attention, including antibiotic therapy and wound care, to prevent complications.
  • Charcot Foot: Charcot foot, also known as Charcot arthropathy, is a severe complication of diabetes characterized by progressive degeneration of the bones and joints in the foot. It typically occurs in patients with diabetic neuropathy and can lead to deformity, instability, and joint destruction if not diagnosed and managed early. Treatment may involve immobilization, offloading devices (e.g., braces, custom shoes), and surgical intervention in severe cases.