Amputations Due to Diabetes Can Be Prevented: Diabetes Patients Urged to Take Simple Precautions to Help Save Their Feet
Taking a minute or two every day to inspect your feet and observing a few simple rules can make the difference in sparing diabetes patients from a preventable outcome of the disease – a foot amputation.
“Of all diabetes-related complications, a serious foot ulcer and subsequent amputation might be the most preventable with proper care and vigilance in checking the feet at least once a day for small cuts and other abrasions,” says Jeff Merrill, DPM, AACFAS, a member of the American College of Foot and Ankle Surgeons (ACFAS). “Even those with good control of their blood sugar can experience foot ulcers, especially if neuropathy, a frequent diabetes complication, has caused decreased feeling on the bottom of their feet.”
Loss of sensation inhibits the body’s normal pain response. As a result, walking can apply repetitive, unfelt pressure to a wound, making it larger and deeper. Left untreated, diabetic ulcers lead to serious infections, which may result in amputation.
Dr. Merrill says foot and ankle surgeons use a variety of surgical and non-surgical methods to heal diabetic ulcers, but stressed early intervention yields the most favorable outcomes.
“Daily self-exams are the best protection. Too often, patients fail to check their feet for small cuts or punctures that over time will ulcerate and become infected,” he says. “If you have diabetes and see anything suspicious on your feet, consult a foot and ankle surgeon for diagnosis and treatment. Even a few days can make a difference in preventing serious foot problems from developing.”
An estimated seven in ten diabetes patients have nerve damage that impairs feeling in their feet. Fifteen percent eventually will develop a foot ulcer. Among those with ulcers, one in four will lose a foot. Each year more than 86,000 amputations are performed as a direct result of diabetes, and studies show half of those who have one foot or leg amputated will lose the other within five years. Proper diabetic foot care, says Dr. Merrill, prevents foot loss.
In some cases, amputation might be the preferred option. If vascular and podiatric surgeries can’t improve blood circulation and foot function, resolve infection or restore foot function, amputation may be the only solution that enables the patient to heal. Today, advances in prosthetics make it possible for patients to return to an active lifestyle, a necessity for keeping diabetes under control.
Foot problems are not an inevitable consequence of diabetes. The risk can be lessened significantly by following a few simple precautions:
For more information on diabetic foot conditions, contact Dr. Merrill's office at 541-850-6463, or visit the ACFAS consumer Web site, FootHealthFacts.org.
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From eating better foods to getting an adequate amount of sleep and exercise, we live in a very health-conscious society. So why is it that many Americans routinely overlook one of the cornerstones of good health? While nearly 70 percent of Americans say they want to be healthier five years from now, just 51 percent recognize that foot health can be a key to achieving that goal, according to a survey from the American Podiatric Medical Association (APMA).
“Nearly eight in 10 adults have experienced some type of foot ailment in their lives. Yet despite the pain, close to three in 10 do nothing about it, simply choosing to live with their pain,” says Jeff Merrill DPM, a podiatrist at Klamath Falls Foot and Ankle, LLC and APMA member. “Meanwhile, more than half of those surveyed said they had endured foot pain at some point in their lives but have not sought treatment from a podiatrist.”
So what are the five most common types of foot problems, and what causes them? Here are some tips from today's podiatrists:
Jeff Merrill, DPM, is a podiatrist at Klamath Falls Foot and Ankle, LLC in Klamath Falls, OR. Call 541-850-6463 or visit www.klamathfallsfootandankle.com to make an appointment. Visit www.apma.org to learn more about foot health and care.