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Foot lab
Vellore Diabetics foot care is one of the best diabetic foot care hospital in Vellore, providing a fine solution for your foot. Diabetics are examined for diabetic foot problems. Uncontrolled diabetes can lead to severe foot complications. It is essential to undergo a diabetic foot assessment at least once a year depending on the risk status of the individual. A diabetic foot assessment includes a full neurological and vascular assessment to determine any risk factors and the risk status of the patient. At Rana Diabetic foot care, a complete foot analysis is done by state of the art foot lab which includes.
Biothesiometer : An instrument to test the vibration perception. Due to long standing high Blood sugar level, nerves may get damaged and patients will lose their sensation in the foot, palm etc. By using this instrument doctor can find out the degree of sensation lost and reduce the risk of developing Neuropathic Ulcer.
Foot Pressure Study: Plantar pressure scan produces high resolution colour image of the pressure distribution across the Plantar surface of the foot. By using this the doctor can recommend and the Footwear designer can develop a suitable foot ware for the patient by offloading the pressure points, significantly help in wound
healing and ultimately save the limb.
Ankle Brachial Index: This test is done to diagnose blood flow in both the lower limbs. We check the blood pressure of all four limbs and machine calculates ABI index. Normal ABI range from 0.9 – 1.1 if ABI Index is 0.9, an diagnosis of peripheral vascular disease is made and addressed before it causes and complications like
gangrene.
Custom Orthotic Insoles and diabetic foot wear
Many people living with diabetes experience decreased sensation and restricted blood flow in their feet because of nerve disease and PAD or peripheral arterial disease. These two issues combine to cause ulcers and infections that may lead to amputations. Diabetic shoes are specifically designed to protect the feet against forces that can cause breakdown in the skin and develop into dangerous sores and ulcers. A proper diabetic shoe provides comfort, but more importantly, protection. Diabetic shoes keep ulcers from forming and prevent foot strains and calluses. They also often have extra depth to accommodate custom orthotic inserts, providing even greater support and distribution of weight away from pressure points. Our doctor can determine whether you need diabetic shoes or insoles and fit you for the proper footwear.
Nail Treatment for Diabetics
People with diabetes are vulnerable to infections in and around the nails, including Gram-negative bacteria or fungi. Neuropathy and glycaemia increase the risk, as does damage to the nail or adjacent skin, for example by distorted or sharp-edged nails. It is vital to have good nail care in both hands and feet. Nails are signposts to general or digital health. The nail matrix needs a good supply of blood containing oxygen and other nutrients, and a normal nerve supply. Interruptions to this, for example by vascular disease, can cause temporary or permanent changes in nail shape, contour or colour. Such changes are more frequent in diabetes than is recognised. Patients may end up with missing or grossly distorted nails. Early diagnosis and treatment will prevent such complications.
Diabetic Foot Screening
Vellore Diabetics Foot Care is the one of the best treatments for Diabetic Foot screening in Vellore. The foot screen test measures the loss of protecting feeling in the feet. It aids in the identification of patients at risk for diabetic foot ulcers. We at Vellore Diabetic Foot Care, analyse the problem of the patient and provide the best permanent solution for our patient.
Wound debridement in Diabetic foot ulcers
Foot ulceration is thought to affect 15% of people with diabetes at some time in their lives. Debridement is widely regarded as an effective intervention to speed up ulcer healing. Debridement is the removal of devitalised, contaminated or foreign material from within or adjacent to a wound, until surrounding healthy tissue is exposed and it is widely practised in diabetic foot care. Sharp debridement of an ulcer, including the removal of callus (which may surround or ‘roof over’ the ulcer) and all devitalised tissue is essential to its healing.
Callus and Corn Management
Corns and calluses are thick, hard layers of skin that form on the feet or toes. They may appear as hard raised bumps or as rough and dry patches on the skin. They form to prevent blisters. Typically, corns and calluses do not cause problems other than pain or discomfort, but if you are diabetic, they may lead to further complications. Treatment includes trimming thickened skin , custom orthotics , medication and preventive surgeries depending on the severity.
Preventive Surgeries for Diabetic Foot Ulcer
Offloading of ulcers and pre-ulcerative areas has been a mainstay in the treatment of the diabetic foot. Non-surgical offloading modalities such as total contact casts, Charcot restraint orthotic walker (CROW) boots and orthoses are among the options. When conservative options have failed and patients with diabetes are at risk of limb loss, one might consider surgical offloading for diabetic foot ulcers. The surgery alleviates the pressure under the bony prominence, thus enabling prompt ulcer healing, negating the patient’s dependence on expensive shoes and orthotics, with a lower chance of recurrence.