Diabetes is a condition which can place a person at great risk of developing serious foot complications. If you are on medication for diabetes or have been diagnosed as diabetic, it is important to have an initial pedal neurovascular assessment on your feet. The results of this  assessment will inform you of your risk status of developing pedal diabetic complications such as wounds and amputation. Depending on your risk status your podiatrist will suggest the frequency required for further assessments.

The main problems are caused by the systemic effect of diabetes on the lower limb:

  • Decreased circulation to the feet: (reduced blood flow) The large arteries of the body can become narrower. If this occurs to the large arteries in the leg, less blood reaches the feet. This condition is called peripheral vascular disease. Reduced blood flow can lead to slower healing of wounds and cuts, and therefore an increased risk of infection. Reduced blood flow to the limbs and feet can cause multiple symptoms including cold feet, poor skin and nail condition, cramping and aching in the feet and legs. A pedal vascular assessment includes the palpation of pulses in the feet. Your podiatrist will also listen to your pulses with the use of an ultrasound machine. A final test to check circulation usually involves taking the blood pressure in your big toe. This gives your podiatrist  a good overview of your circulation. These tests are usually performed on a regular basis to gauge any deterioration in vascular status.

 

  • Decreased nerve function in the feet: Damage to the nerves in the feet is known as peripheral neuropathy. The nerve damage caused by  diabetes can occur to sensory, motor or autonomic nerves in the feet. Sensory neuropathy is the loss of feeling in the feet. Patients can experience symptoms of numbness, pins and needles or burning in the feet. A person becomes a high risk patient when they begin losing the protective sensation in their feet. This means that they cannot perceive pain  correctly. If a person with sensory peripheral neuropathy cuts or injures their foot, they may not feel this and continue to walk on the injured foot. The area can become more damaged and infected. Motor neuropathy can affect the feet in diabetes causing loss of muscle strength and control whilst walking. This can lead to the development of pressure lesions on the sole of the foot. If left unmanaged these areas may become ulcerated. Autonomic neuropathy affects blood vessels and sweat glands  which can have a significant impact on skin texture and bone health. People with long standing, uncontrolled diabetes with neuropathy can be at a much higher risk of bone fractures and associated complications.

 

Sure  Step Podiatry provides every patient who has Diabetes with a  comprehensive neurovascular assessment and treatment according to individualised needs.  Sure Step podiatry recommends that patients with diabetes should have regular checks of their feet.

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What Our Clients Say

Anna, Karin and Brigid are all lovely. They spend the time to listen and address any concerns. They will give you the most accurate factual information and also have access to new diagnostic equipment making your visit more pleasant and comfortable with out having to refer you to another service. They accommodate late afternoon appointments for those after school or work appointments and emergency appointments for those in pain or at an extreme health risk. You are able to see Anna, Karin or Brigid at 3 locations on the Mid North Coast. Coffs Harbour, Nambucca and Woolgoolga. Each location is easily accessible with free parking. Hicaps is also available saving you the headache of claiming from your healthfund. 🤗 5 stars from me.
Ashley Mosley
Ashley Mosley
10:14 02 Aug 19
Parking is easily accessible and very close to town anyway. The rooms were nice and fresh, the staff there are lovely and caring. They gave me a very thorough assessment. I would highly recommend them.
Ellen Barry
Ellen Barry
02:07 06 Jul 19
Experienced, professional and caring podiatrists.
Kristen Power
Kristen Power
10:07 20 Jun 19
Susan  Crocetti
Susan Crocetti
22:15 12 Jun 19
Easy parking at the rear, Fresh modern clinics and friendly and helpful staff.Can highly recommend Sure Step
tim james
tim james
11:03 31 May 19