Surprisingly, the most common cause of ulcers in people with diabetes is constant pressure and rubbing, usually from ill-fitting footwear. Diabetics are more prone to develop wounds that don’t heal easily due to:
- Nerve damage or neuropathy – Those with nerve problems can develop a blister or a tiny wound and oftentimes not even notice that it is there.
- Problems with circulation – This results to reduced oxygen supply to the feet and therefore have difficulty with wound healing.
- Foot deformities such as toes becoming crooked or collapse of the arch.
To prevent foot ulcers, make sure that your shoes fit well. Prescription shoes or custom orthotics have the advantage of relieving areas of increased pressure, stabilizing foot deformities, and provide stability.
For socks, the best option is wearing white ones, typically cotton to easily detect any seepage or blood in from the feet. If you have corns and calluses, see your podiatrist and resist the urge to file or treat it yourself. This can lead to injury and potential problems in the future.
If you have diabetes, it is recommended to use footwear both indoors and outdoors. Use stockings or socks to protect your feet. Change into clean socks on a daily basis. Cut your toenails regularly, resist the urge to manipulate your nails.
Wash your feet thoroughly, preferably mild antibacterial soap and dry thoroughly especially in spaces between the toes. Moisturizing the feet is very important, especially during the winter to keep the skin from cracking. Do not apply lotion between the toes.
Inspect your feet daily. It is best to have someone inspect it for you. If you must do it yourself, use a mirror to be sure to see every part of the soles, heels, and toes.
Go to a podiatrist or a foot doctor at least once or twice a year, whether or not you think you have a foot issue. A comprehensive foot examination will determine the risk factors that may result in foot ulcers or worse, consequent foot amputation.
For more information, you may contact Advanced Wound Healing Institute at (239) 430-3668 (FOOT). Advanced Wound Healing Institute is part of Family Foot and Leg Center, P.A.
