Healthy Feet

At risk conditions

There are some particular genetic and systemic diseases and disorders that can put your feet and legs at greater risk.

Diabetes

Diabetes requires special attention. In about 40% of cases, feet become at risk. So everyone with diabetes should undergo a foot assessment at least once a year. This is essential to assess the condition of the skin, and the blood and nerve supply to the feet and legs. More information is available by clicking here.

Diabetes can generally be divided into 2 main groups:

  • You require Insulin
  • You don’t require Insulin

Diabetes can affect the blood circulation and nerve sensitivity to your feet leaving you at risk from any injury. Diabetic feet should be assessed at least once a year, or more often if you are diagnosed as higher risk.

How do I know I’m at risk?

  • We can assess the blood and nerve supply and to your feet will be able to advise you
  • Signs of skin breakdown or colour change – in particular at the toes and around the back of the heels
  • Pain-free skin breakdown – any colour change, bleeding, or exudate from a skin lesion that is not painful should be reported promptly either to us or your doctor

What increases risk in diabetes?

  • Having diabetes longer than 15 years
  • Constantly having high blood sugar levels
  • Being overweight
  • Not exercising

OK, I have diabetes, so what should I do now?

  • Consult your medical practitioner to ensure the control of your diabetes is optimised
  • Consult a podiatrist (one who, like ourselves, is competent in diabetes assessment) at least once a year
  • Exercise is critical. Walking for at least 45 minutes a day helps maintain your circulation, control weight and blood sugar levels. We can advise on levels of activity to suit your age and health status
  • Blood sugar control must be kept as close to “normal” levels as possible, whether you are on Insulin, tablets or diet control
  • Ideal body weight is of great importance. For this we can help you choose a dietician who will consider your lifestyle, your stage of diabetes and your overall control, and design the appropriate diet for you
  • Don’t smoke
  • Limit alcohol intake as directed by your doctor or dietician
  • Report immediately any colour change, discharge or physical change to your feet and legs to us or your doctor
  • Remember, NOT FEELING PAIN may NOT MEAN everything is OK

Other condition can create at-risk situations

  • Skin or nail infections
  • Rheumatoid and osteoarthritis.
  • Vascular deficiencies. Lack of blood supply to your feet and legs, especially as you get older can be quite serious.
  • Tumours on your feet
  • Conditions affecting your nerve supply to your feet and legs, including paraplegia and quadriplegia