Diabetic Foot Doctor in Lucknow Dr. Ashutosh Kumar Pandey

Magnitude Of The Problem In India

Diabetic population	30 million
Foot complications in diabetic patients	40%
Compromised blood circulation	6%–16%
Neuropathy	30%–50%

15% of Diabetics would develop foot ulcer in their life time.

Groups at the highest risk for developing diabetic foot problems

Uncontrolled Diabetes
Neglected foot care
Associated Neuropathy
Associated Peripheral Arterial Disease/smoking

Warning signs

Consult your doctor immediately if you see any of the following alarming signs on your feet:

Wound/ulcer development
Abnormal swelling
Redness/localized pain
Blister development
Cuts/injury/broken skin on toes/heel
Callus/corn development
Nail or toes color changes(blue/black)
Burning pains in legs/feet, worsening at night.
Sharp leg cramps after walking some distance
Feet feeling cold
Tingling, pins and needles sensation, numbness in the feet (neurologic symptoms)
Slippage of ‘chappals’ from feet while walking (neurologic symptoms)

Treatment

How can a vascular surgeon help?

Wound cleaning procedure and antibiotics

Complete non-weight bearing of the involved extremity (special footwear)

Dedicated diabetic foot wound dressing/ vacuum-assisted closure (VAC) dressing

Teaching foot care to patients

Revascularization or re-establishment of blood flow to the feet for non-healing wounds when needed.

To Maximize foot blood circulation for wound healing Treatment options:

Balloon angioplasty

Vascular stenting

Bypass surgery

Summary

Limb ischemia affects a large number of Indian diabetic patients

A revascularization procedure can save your leg! Functional limb salvage should be attempted in nearly all patients.

The advances in technology has got minimally invasive endovascular procedures at par with surgery, even in high risk patients.

Mid- and long-term costs of amputation are much higher than vascular reconstruction. Costs and complications are lower and results better if referred earlier.

Take care of your feet.