Medical: Foot Pain - Corns, Calluses, Diabetes, Foot Ulcers
Treatment for a Diabetic Foot
Over time, high blood glucose levels can deaden your nerves and clog up the cardiovascular system, making
neuropathy and peripheral vascular disease a real danger to the feet.
And as someone with diabetes, your body is slower to heal and prone to infection, so small blisters and
abrasions can quickly turn into serious complications if not treated promptly and properly.
The American Podiatric Medical Association estimates that the average person walks about 115,000
miles in a lifetime. That is over four times around the equator, if you are counting.
Pay attention to your feet
With all the walking, your feet experience a lot of wear and tear. For most people, the pain of a blister or
cut is a signal to get off your feet and let them heal. But if you have diabetic neuropathy or nerve damage
in your feet, the pain signal is impaired or gone altogether, and you may not notice an inquiry until you
actually see it.
Diabetic Foot Ulcers
Most ulcers form on the bottom of the foot, although shoes that do not fit well can cause sores and subsequent
ulcers on the top of the foot or the ankle. Usually, ulcers start as a callus, small sore, abrasion, or blister
that would be “no big deal” in someone without diabetes.
However, high blood glucose levels, poor circulation, and nerve damage are a recipe for ulceration in people
There are two categories of foot ulcers—vascular and neuropathic, also known as pressure, ulcer. The former
is caused by peripheral vascular disease; the latter is the result of the loss of sensation that accompanies PN.
Infection is the primary risk with foot ulcers; so proper wound care is essential. Ulcers should remain moist
and covered in a breathable dressing at all times. Oxygen is essential to the healing process. An antibiotic
ointment may be applied if infection is present.
Oral antibiotic medication should also be prescribed. If you have a pressure ulcer, debridement or the removal
of callused, dead skin, may also be performed at the podiatrist’s office.
Daily Foot Check
It only takes a minute to check your feet for signs of abrasions, blisters, or other foot ailments, and it
could save you serious medical problems down the road.
Make it a part of your daily routine, either as you get dressed for the day, at shower time, or as you get
ready for bed. Before you know it, it will become a healthy habit.
Corns and Calluses
Corns and calluses are little pads of dead skin that build up after all those miles of fancy footwork.
Painful and protuberant, these islands of dead skin are a signal from your feet that they have had enough.
Excess pressure or friction causes them. Corns develop on the toes only, while calluses show up on the heels
or on the bottom of the feet.
At the first sign, it is worth taking steps to stop them in their tracks. If the pressure is not eventually
corrected, it can affect not only the skin but also the bones and joints underneath. And any foot pain can
cause you to change your gait, which can, in turn, throw your posture out of whack and lead to a bad back.
Fortunately, for most people, preventing corns and calluses is just a matter of finding shoes that fit.
In treating corns and calluses, it is best not to pop or break blisters, as it will increase your risk of
infection. Keep a close eye on the wounds. If they start to get worse, exhibit signs of infection, such as pus,
odor, redness, or warmth, or do not look as if they are healing within a day or so, call your doctor immediately
for further instruction.
Keep your feet moisturized to avoid skin fissures or cracks caused by dryness. Try not to apply lotion between
the toes, as it can breed fungal growth or infection. Instead, sprinkle baby or talcum powder to keep these
If you develop corns and calluses, you are better off letting your podiatrist treat them. If you have peripheral
neuropathy or PN, do not try to remove corns or calluses with cutting implements or chemical treatments on your
own. A pumice stone may be used only with your doctor’s approval.
NEXT: Warts, Neuroma, Bone Spurs
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