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Dublin, OH 43017
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Posts for tag: Ulcer

By drbhatia
September 20, 2011
Category: Foot Care

 

Many diabetic patients may have heard warnings to look out for “charcot foot” but they may not know exactly what this means.  Different from diabetic charcot foot is an inherited disease with another characteristic foot type called Charcot-Marie-Tooth disease.  As a part of September’s Charcot-Marie-Tooth (CMT) disease awareness month, it is critical for patients to understand the differences between these two neurological disorders. 

CMT

Charcot-Marie-Tooth disease is caused by a gene defect that is often inherited.  If CMT is seen in other family members, parents should be on the lookout for the development of slowly progressing muscle weakness in the lower extremities before age 20.  Individuals with CMT have nerves that lose their myelin covering, which normally allows signals to be sent to and from skin and muscles at a normal speed allowing sensation and muscle contraction.  Patients will not usually complain of any numbness because their sensation was likely never completely normal.  As a result of the weakness and loss of sensation, first in the legs then typically seen in the upper extremities, kids with CMT may seem clumsy and have difficulty walking without tripping or rolling their ankles. The feet will often have a high arch appearance and may be prone to ulcers from damage caused by lack of ability to sense pain. 

Diabetic Charcot Foot

Patients with diabetes need to be concerned about charcot arthropathy when they develop areas of the foot where they can no longer feel anything.  The combination of lack of sensation allowing damage to the foot that patient cannot feel and an increased blood flow supplying mediators of the inflammatory process allows a “charcot joint” to develop.  In the charcot joint, the repeated small injuries occurring cause bones to gradually fracture and dislocate.   This causes deformity (often an extreme flat foot) which typically places the diabetic patient’s foot at a greatly increased risk of developing ulcers and subsequent infection with severe consequences.  The most common signs of the development of charcot arthropathy are swelling and increased temperature of the affected area of the foot, redness, pain and the feeling of a “loose bag of bones” when the joint is moved. 

In both diabetes with loss of sensation, and Charcot-Marie-Tooth, foot self-exams are immeasurably important in preventing ulceration and further complications.  Protective shoe gear and custom made orthotics can provide additional protective measures for the foot.  As shown by these two disease processes, loss of sensation in the foot is a major problem that should always be evaluated by your podiatrist.  

Please visit www.columbusfoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, Ohio. Columbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Worthington. To schedule an appointment with a podiatrist in Dublin, Ohio, near Tuttle Crossing Mall, please call 614-885-FEET (3338).

By Dr. Animesh (Andy) Bhatia

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By Dr. Animesh (Andy) Bhatia
August 16, 2010
Category: Foot Care

Diabetic Foot CarePeople with diabetes are prone to foot problems, often developing from a combination of poor circulation and nerve damage. Damage to the nerves in the legs and feet diminishes skin sensation, making it difficult to detect or notice pain or temperature changes. A minor sore or scrape on your foot may get infected simply because you don't know it is there. A decrease in blood flow makes it difficult for these injuries to heal. And when a wound isn't healing, it's at risk for infection. Left untreated, minor foot injuries can result in ulceration and even amputation.

Foot Care for Diabetics

Simple daily foot care can help prevent serious health problems associated with diabetes.

At Columbus Podiatry & Surgery, we recommend the following tips for keeping your feet healthy and preventing foot complications:

  • Wash feet daily. Keep feet clean with mild soap and lukewarm water, and dry thoroughly.
  • Moisturize. Moisturize daily to keep dry skin from cracking, and avoid putting lotion between your toes as this may cause infection.
  • Trim your toenails carefully. Cut straight across, avoiding the corners; visit our office for assistance
  • Never treat corns or calluses on your own. Visit your podiatrist for treatment.
  • Protect your feet from hot and cold.
  • Keep the blood flowing in your feet and legs. Elevate your feet when sitting; don't sit cross-legged; and stay active.
  • Inspect your feet every day. Check your feet for cuts, redness, swelling and nail problems. Contact Columbus Podiatry & Surgery if you notice anything unusual- even the slightest change.
  • Avoid Smoking. Smoking restricts blood flow in the feet
  • Wear comfortable, supportive shoes and never walk barefoot
  • Visit Columbus Podiatry & Surgery for regular exams. Seeing a podiatrist at our Columbus, OH office regularly can help prevent diabetic foot problems.

At Columbus Podiatry & Surgery, we understand that living with diabetes can be challenging. Let's discuss simple ways you can reduce your risk of foot injuries. We'll work with you to create a treatment plan that fits your lifestyle and gets you back on your feet so you can enjoy the things you love. Remember to inspect your feet every day. If you detect an injury- no matter how small- come in for an exam right away.

Please visit www.columbusfoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, Ohio. Columbus Podiatry & Surgery is located on the North side of Columbus, Ohio in between Westerville, Worthington and Powell.

By Dr. Animesh (Andy) Bhatia

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Podiatrist - Animesh Bhatia, D.P.M., C.W.S. , Sarah Newby, D.P.M. , Columbus OH, 43235, Dublin, OH 43017, (614) 885-3338
If you are in search of an experienced podiatrist in Columbus Ohio, you have come to the right place. Our podiatrists in Columbus, OH and Dublin, OH are highly skilled in many aspects of podiatric treatments. Selecting a foot doctor in your area can be a difficult task, but it doesn't have to be, especially when you have Dr. Bhatia and Dr. Newby as options.