Serious Foot Wounds May Not Cause Pain in Diabetes

Foot problems do not always feel the same, even when they are serious. In people with poor circulation, extra pressure on the feet often causes pain. In those with diabetes and nerve damage, that same pressure may lead to open sores without any discomfort. This difference can delay care and allow wounds to worsen. Circulation issues usually begin in larger blood vessels higher in the leg, while diabetes-related changes often affect smaller vessels in the lower leg and foot. Diabetes can also cause stiffened vessels and tiny areas of low oxygen in the skin, further limiting healing. Because feeling is reduced, a lack of pain does not mean a lack of danger. Care must focus on relieving pressure and treating wounds early, while also checking blood flow. If you have diabetes and notice changes in your feet, it is suggested that you see a podiatrist for a thorough evaluation and appropriate care.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Cleveland Foot & Ankle Clinic. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our offices located in Cleveland, Independence, and Kent, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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