Most of us know that foot health is very important in diabetes care! David Mendosa has written about the seriousness of foot ulcers and Joan has written about caring for your tender tootsies . Last week, Diabetesmine addressed the issue of myth vs reality .
I spent some time talking with a friend, who is also a podiatrist; about what she thought was the right answer for caring for diabetic feet. According to APMA , American Podiatric Medical Association, diabetes and proper foot care amount to huge pay off:
More than 65,000 lower limbs are amputated annually due to complications due to diabetes.
After an amputation, the chance for another amputation within three to five years is as high as 50 percent.
Including a podiatrist in your diabetes care can reduce the risk of lower limb amputation up to 85 percent.
Care by today’s podiatrist can lower the risk of hospitalization by 24 percent for those with diabetes.
Alternative Names Swelling of the ankles - feet - legs; Ankle swelling; Foot swelling; Leg swelling; Edema - peripheral; Peripheral edema Prevention Avoid sitting or standing without moving for prolonged periods of time. When flying, stretch your legs often and get up to walk when possible. When driving, stop to stretch and walk every hour or so. Avoid wearing restrictive clothing or garters around your thighs. Exercise regularly. Lose weight if you need to. References Goldman L. Approach to the patient with possible cardiovascular disease. In: Goldman L, Ausiello D, eds. Cecil Medicine . 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 48.
Definition Ankle replacement is surgery to replace the damaged parts of the three bones that make up the ankle joint. Artificial joint parts ( prosthetics ) are used to replace your own bones. They come in different sizes to fit different-size people. Alternative Names Ankle arthroplasty - total; Total ankle arthroplasty; Endoprosthetic ankle replacement; Ankle surgery Description Ankle replacement surgery may be done while you are under general anesthesia . This means you will be unconscious and unable to feel pain. Or, you may have spinal anesthesia. You will be awake but will not feel anything below your waist. If you have spinal anesthesia, you will also be given medicine to help you relax during the operation. Your surgeon will make an incision (cut) in the front of your ankle to expose the ankle joint. Then your surgeon will gently push the tendons, nerves, and blood vessels to the side. After this: Your surgeon will remove the damaged bone. Your surgeon will reshape 3 of your bones that ...
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