That, according to research reported in the
current issue of the Journal of Foot and Ankle Surgery.
The study's lead author, Troy J. Boffeli, DPM,
FACFAS, chief of podiatry services, Regions Hospital, St. Paul, Minnesota, said
that diabetic patients with neuropathy, a common complication of the disease
which causes loss of sensation in the feet, should be screened for certain
biomechanical problems, such as limited ankle and big-toe mobility.
Identifying and monitoring diabetes patients with
pre-existing foot problems early in the course of the disease could improve the
success of treatment for foot ulcers and lower the incidence of recurrence,
infection and amputation. "The study demonstrates the importance of recognizing
biomechanical and structural abnormalities that make diabetic patients more
susceptible to ulcerations," said Boffeli.
He added that structural and biomechanical
problems often are overlooked when healthcare providers treat patients with
diabetes. "The more immediate concerns about infection, poor circulation and
wound dressings overshadow the underlying cause of many of these wounds," said
Boffeli. "While neuropathy also is a concern, it is irreversible. Therefore, the
structural and biomechanical abnormalities must be addressed to heal the wound
and prevent recurrence."
Bofelli said those with diabetic neuropathy and
biomechanical problems should wear custom shoes or orthotic inserts as
prescribed by a podiatric foot and ankle surgeon to reduce pressure. In some
cases, however, surgery might be required to prevent or heal ulcers.
Source: Diabetes In Contol.Com.
January 2003 News Article Index
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