Living with diabetes requires extra attention to many aspects of your health, and your feet are no exception. If you or a loved one has diabetes, understanding diabetic foot issues and wound care is essential for staying healthy and active. At Orthopedic Specialists, we’re here to guide you every step of the way.
Why Are Feet at Risk with Diabetes?
Diabetes affects blood sugar levels, and when those levels are high over time, it can lead to nerve damage (called peripheral neuropathy) and poor circulation. These two issues make your feet more vulnerable to injuries, infections, and wounds that are slow to heal. In fact, even a small cut or blister can quickly turn into a serious medical problem if left untreated.
Common Foot Problems in People with Diabetes
Diabetes-related foot issues can range from minor skin problems to more serious complications. Some common problems include:
- Foot ulcers (open sores)
- Calluses and corns
- Dry, cracked skin
- Fungal infections
- Thick or ingrown toenails
- Hammertoes or bunions
- Loss of sensation in the feet
Because neuropathy may dull your ability to feel pain, you might not even notice a wound or blister until it becomes infected.
What Are Diabetic Foot Ulcers?
A diabetic foot ulcer is an open sore, usually found on the bottom of the foot. These wounds are often caused by pressure points or poorly fitting shoes and may go unnoticed due to a lack of feeling.
Without treatment, ulcers can become infected. In severe cases, untreated infections may lead to gangrene (tissue death) or require amputation. That’s why early care is absolutely critical.
How Wound Healing Is Different in People with Diabetes
Many factors make it harder for wounds to heal in people with diabetes:
- Poor blood flow: Limits oxygen and nutrients that help wounds heal.
- Nerve damage: Makes it harder to feel pain or pressure.
- Weakened immune response: Increases risk of infection.
- Foot deformities, like hammertoes, can lead to high-pressure spots.
- Dry skin: Cracks in the skin can allow bacteria in.
Because of this, people with diabetes often need specialized wound care to support healing and prevent complications.
How We Treat Diabetic Foot Wounds
At Orthopedic Specialists, our expert team, including certified podiatrists and orthopedic surgeons, takes a comprehensive approach to diabetic foot care. Treatment may include:
- Offloading: Using casts, diabetic shoes, or inserts to take pressure off wounds.
- Wound cleaning and dressing: Applying medical ointments and special bandages to promote healing.
- Total contact casting: A special fiberglass cast that evenly distributes weight and protects the wound.
- Infection control: If infection is present, wound cultures are taken to determine the best antibiotics.
- Surgical care: In some cases, surgery may be needed to clean infected tissue or correct foot deformities.
- Monitoring blood flow: Ultrasound studies check for circulation problems that could delay healing.
Preventing Diabetic Foot Issues: What You Can Do
Prevention is always better than treatment. Here’s how to protect your feet every day:
Daily Foot Checks
Look for any cuts, blisters, swelling, or changes in color. Don’t forget to check between your toes.
Wear Proper Footwear
Choose shoes that fit well and use inserts designed for diabetic feet. Avoid going barefoot—even at home.
Keep Feet Clean and Moisturized
Wash with warm water, dry thoroughly (especially between toes), and apply a diabetic-safe moisturizer to prevent cracking.
Nail and Callus Care
Trim nails straight across, and don’t try to remove calluses or corns on your own. Your podiatrist can do this safely.
Regular Check-Ups
See your doctor and podiatrist regularly. Ask for a full foot exam at least once a year or more often if you have risk factors.
Nutrition and Healing
Good nutrition plays a huge role in wound healing. A diet rich in protein, vitamins, and minerals helps your body repair tissue. Your care team may recommend supplements or blood tests to check for deficiencies.
Don’t Wait—Get Expert Help Early
If you notice a wound on your foot or leg, don’t wait to see if it gets better on its own. The sooner you get treatment, the better your chances of healing without complications.
At Orthopedic Specialists, your health is our top priority. Our experienced providers understand the unique challenges diabetic patients face, and we’re here to provide compassionate, expert care for your feet, legs, and overall well-being. Whether you’re dealing with a stubborn wound, painful neuropathy, or just want help preventing future problems, we’re here for you.
Contact us today to schedule your foot and wound care appointment—and take the first step toward better health.
