A Practical Manual of Diabetic Foot Care by Michael E. Edmonds, Alethea V. M. Foster, Lee Sanders

By Michael E. Edmonds, Alethea V. M. Foster, Lee Sanders

3rd writer, Lee. J. Sanders, is the dept of Veterans Affairs clinical heart, Lebanon, PA. bargains functional and scientific suggestion at the administration of long term foot difficulties in individuals with diabetes. Discusses analysis and therapy, either clinical and surgical. top quality colour photographs illustrated a number of the issues. DNLM: Diabetic Foot--diagnosis.

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A commonly seen fracture in patients who walk barefoot is fracture of the 5th toe caused by catching the toe on a piece of furniture and everting the toe forcefully. Intraarticular fracture of the hallux can lead to hallux rigidus, with subsequent overloading of the plantar surface and development of callus and ulceration. Patients in stage 1 have protective pain sensation, and fractures are treated as for non-diabetic patients. Minor fractures of a toe are usually treated by using the adjoining toe as a splint and strapping the two toes together.

Education and the diabetic foot. Diabetic Medicine 1996; 13: S61-4. Peter-Riesch B, Assal JP. Teaching diabetic foot care effectively. J Am Podiatr Med Assoc 1997; 87: 318-20. 3 stag2 e Stage : 2: the high-ri ean o more the heat o' th' sun. Golden lads and girls all must, As chimney sweepers, come to dust. (Cymbeline, IV, ii, William Shakespeare) PRESENTATION AND DIAGNOSIS The diabetic foot enters stage 2 when it has developed one or more of the following risk factors for ulceration: neuropathy, ischaemia, deformity, swelling and callus.

He did not like the appearance of the nail and said that it wore holes in his socks. He was asked to attend the diabetic foot clinic at 3-monthly intervals and the thickened nail was reduced with scalpel and file. He had no further complaints. Key points • Cutting and thinning gryphotic nails can avoid surgery in patients who are prepared to attend regularly • Reduction of thickened nails improves the cosmetic appearance to near-normality. (a) (b) Onychocryptosis (ingrowing toe nail) This is frequently caused by improper nail-cutting technique, when a spike of nail is left behind at the side of the nail.

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