Articles Tagged With: foot
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Common Foot Problems
Foot problems are a common chief complaint. Patients may present to the ED when they do not have access to other sources of care or when an exacerbation becomes painful enough. Although these foot problems rarely are considered emergencies, it is useful for the emergency physician to be knowledgeable about these conditions to provide sound advice to patients and appropriate referral.
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Common Foot Problems in Primary Care
Foot problems are a common complaint to primary care physicians and often mirror the patient’s general health, such as autoimmune disorders, endocrine disorders, neuropathies, and vasculopathies.
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Evaluation of Peripheral Neuropathy in the Diabetic Foot
Among the many types of peripheral neuropathy, diabetic peripheral neuropathy is the most common in the U.S. population. Despite the cause, its progression leads to loss of protective sensation, skin ulcerations, and chronic wounds, which in turn cause soft tissue and bone infections requiring amputation. All of these scenarios depend on the type of glycemic control of the patient, and vary by severity. Prevention, ultimately by understanding the pathophysiology of neuropathy and understanding the biomechanics of gait in relation to the foot, has been proven to significantly decrease morbidity with this disease.
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Peripheral Neuropathy and the Diabetic Foot
This issue discusses the principles of assessing and treating patients with diabetic neuropathy so that problems can be identified and appropriately managed to prevent limb loss.
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Diabetes and Vitamin C Deficiency May Be Common
Low levels of vitamin C were noted in seven of 11 patients with diabetes, including six of seven with lower extremity ulcers. Vitamin C repletion appeared to help heal these ulcers.