Diabetic Foot & Podiatry

Diabetic Foot & Podiatry

Story of the department

Doctor
1
  • Overview & Features
  • Type of patients that are at risk of developing diabetic foot problems:
  • The dos and don’ts of diabetic foot
  • How to prevent diabetic neuropathy?
  • Treatment of diabetic foot:

Overview & Features

A complication arising due to prolonged periods of high blood sugar, diabetic foot is a condition characterized by foot problems or injuries which occur due to nerve damage in the extremities and can cause ulcer and infection. The feet do not get an adequate supply of blood or oxygen due to the damage to the blood vessels. Foot infections are one of the most common health complications resulting due to diabetes.
 
What is a diabetic foot?
 
Diabetic patients have a high predilection for delayed wound healing and the presence of cuts or blisters on the feet that do not heal can lead to the development of some serious diabetic ulcers. More than half of the people with diabetes may have reduced nerve sensation and nerve damage that is commonly known as diabetic neuropathy. While nerve damage can exist in any part of the body, usually the nerves in the extremities are the ones that are affected and the lower limbs more than the upper. This nerve damage can cause loss of sensation in the affected area. The neuropathy may result in either loss of sensation and inability to experience temperature or vibration. Individuals with neuropathy may also experience tingling, numbness or burning sensation in the feet.
 
The diagnosis and management of diabetic foot is a multi-speciality effort and requires a medical team of diabetologists and diabetic foot surgeons. Diabetes foot disease can impair mobility and reduce the quality of life and increase the chances of infections and serious complications. People with diabetes may have a reduced blood supply to the feet which again is called diabetic peripheral vascular disease and that predisposes the individual to worsened infections in case of cuts or wounds.
 
A severe complication of diabetic foot results in amputation of the affected part of the limb due to gangrene to prevent further spread of the infection
 
Diabetic foot ailments
There are two main conditions that afflict the foot in persons who have diabetes.
 
Diabetic Neuropathy
People who are suffering from diabetes for prolonged periods of time blisters, cuts and sores without the person becoming aware of it.
 
Peripheral Vascular Disease
Fatty deposits can block the blood vessels in legs which tends to reduce the blood flow, resulting in slow healing wounds, pain and infection. In severe cases, it may even result in an amputation.
 
Why Does Diabetic foot occur?
The main cause of diabetic foot is the high blood sugar levels in the body, which damages the nerves. This nerve damage results in a loss of sensation in the feet. This, in turn, has a cascading effect where the person is unable to feel any wound or irritation in the feet, which can result in untreated infections. These, if allowed to fester, can lead to more serious complications such as gangrene, and can require amputation.
 
Another effect of the nerve damage is that the feet’s ability to sweat is impaired. The resultant dry feet causes cracks, which allows germs to enter the body. Diabetes can also cause the blood vessels to shrink and harden, which makes it harder to fight infection.
 
 

Type of patients that are at risk of developing diabetic foot problems:

The diabetic foot specialists state that there is a 15% chance that a diabetic patient will develop diabetic foot complications at some point or the other in life. These problems can occur due to:


• Neuropathy or nerve damage or poor blood circulation in the feet. 
• Frequent episodes of hyperglycaemia or constant high blood sugar levels. 
• Hypertension or high cholesterol levels. 
• Obesity or suffering from diabetes for a long time. 


Causes and symptoms of diabetic foot

Diabetic neuropathy is a type of nerve damage that occurs due to prolonged periods of high blood sugar levels. The most commonly affected part of the body is the legs and feet though it can occur in any other region of the body as well. The loss of sensation or numbness in the feet can result in missing a blister or a cut. These wounds that go untreated become infected and can spread rapidly.


Diabetics also suffer from reduced blood flow to the limbs that causes narrowing of arteries that can result in delayed healing of infection or worsening of a diabetic foot ulcer.


The specialists advise about the top five symptoms of diabetic foot:


• Discolouration of the skin. 
• Swelling or redness. 
• Discharge of pus or other fluids. 
• Foul odour from the wound. 
• Changes in the toenails.

The dos and don’ts of diabetic foot

Do:
• Daily inspection of diabetic feet due to loss of sensation to check for swelling, redness, blisters or open sores.
• Wear diabetes appropriate footwear at all times, even at home.
• Cleaning the feet regularly, especially between the toes and drying them.
• Regular moisturising of the feet to prevent dry skin or cracking.
• Keeping toenails short to avoid any injury.
• Avoiding extreme temperatures. 
• Regular check-ups with a diabetic foot specialist. 
 
Don’t:
• Never walk barefoot indoors or outdoors.
• Never wear tight socks or stockings as they can reduce the blood flow to the feet.
• Do not try to pull out corns on the feet with sharp instruments or chemicals.
• Never use any hot objects to warm the feet. 
 
 

How to prevent diabetic neuropathy?

The diabetologists and diabetic foot specialists recommend certain measures that can help prevent diabetic neuropathy or nerve damage.
 
Healthy blood sugar levels
Constant high blood sugar levels damage nerves and blood vessels over time resulting in neuropathy. It is important to follow a proper diet, medication and insulin if necessary to control blood glucose levels.
 
Regular exercise
Being moderately active every day can reverse symptoms and delay problems. It is recommended that diabetics shouldn’t skip exercise for more than two days consecutively.
 
Stop smoking
Smoking causes lower levels of oxygen in the blood that can result in blood vessels and nerves being deprived of oxygen. It also damages the cells and causes inflammation that results in high blood sugar levels.

Treatment of diabetic foot:

Depending on the severity of the condition, there are a variety of surgical and non-surgical treatment options available. Non-surgical treatment options include basic steps such as cleaning and dressing the wounds, and close, frequent observation of the foot for signs of gangrene.
 
If the severity of the diabetic foot is beyond the cure of non-surgical methods, surgical procedures are resorted to. This includes removal of the dead or decaying tissue, amputation, arterial bypass for peripheral vascular disease or an endovascular surgery with stents.
 

Meet Our Doctors

Dr. Rontgen Rajakumar
Consultant

Diabetic Foot & Podiatry

VIEW PROFILE

Patient testimonials

This hospital is affordable, Well maintained,Neat and clean ICU is up to date with regard to its standard of equiments.

Raju M
Software Engineer

Nice hospital and hospitality service,also conducting nursing,pharmacy,lab technician courses here,great quality staffs with good patience,all departments here and wide team of doctors are always ready to handle any situations

Muhammed Afzal K.A
Local Guide

Visiting the hospital almost after 20 years. The hospital has grown to a state of the art, well advanced, modern hospital in terms of the quality of doctors, staffs and the administration personnel.

Cyril Francis
Designer

Lisie hospital is having one of the best pediatric department, where I consulted Dr. Edwin Francis, Dr. Annu, Dr. Sunil for my Kid. He is having one the complex heart issues, As of now, 2 Surgeries done. Prior to this, I have gone to another hospital, but they don't have a facility to treat this particular case and they directed me to Lisie Hospital. The cost of the treatment is comparabilly very very cheap with other hospitals. All the nurses there were very friendly and they give special care to each patient especially paediatric OP. I have spent nearly 18 days at Lisie hospital, I would really recommend this hospital for heart-related issue since they are in the top 2 position in India. This hospital is really recommended for the middle class, lower-class families since the cost are really affordable.

Mr Shyam Sunder
Patient Testimonials

I am glad to inform you that we had a very comfortable experience at Lisie Hospital during the cardiac surgery of my nephew, Aahil P, M / 3 yrs, OPD No. 2528461, RBSK Case No.1534. Meanwhile, we take this opportunity to express our sincere gratitude to Dr. Sunil G S, Dr. Edwin Francis, other medical team members, Coordinator Ms. Jitha and all staff members of Lisie Hospital for the good care and hospitality provided to us. We had heard a very good opinion about your hospital, so we preferred to come there all the way from Palakkad and things what we heard were very much true. The facilities were indeed of very high class quality. The approach of each and every member of your staff had been very polite, my salute to all. The only problem which we faced was for vehicle parking, which was very difficult sometimes, otherwise, all other things were really very, very fine. My nephew is now doing well and we all are very happy. May Almighty Bless you all. With best wishes

Mustafa Kutty
Relative of Cardiac Surgery Patient

My father underwent a major Gastro-Intestinal surgery here recently. The treatment was excellent and they charged a reasonable price too. The staff especially nurses were caring and kind.

Najeeb
Accountant

I feel there are a group of well-experienced, excellent, and efficient doctors with a patient-friendly approach especially Dr. Paulose Jacob and Dr. Joy Mampilly.

Christopher
Technician

My brother was recently admitted with a severe fever at the General medicine department. Doctors is well experienced and compared to other hospitals the treatment cost and other expenses are very less.

Molly
House wife

I am pleased to let you know that the care recieved by my father Mr.Stephen M.V aged 65 yrs,in Your hospital was excellent .My father was tested covid positive and got hospitalised in one of the reputed hospitals in Eranakulam where he revieved no proper care.We were really upset about the same and his condition was deteriorated.Therefore, we shifted him to Lisie Hospital.I must say that the timely consultation & proper line of treatment of the Lisie Hospital staff saved the life of my father.He was well taken care during the hospitalisation.Despite of the busy schedules,Doctors & nurses were prompt in delivering the care.They were always ready to help the patient and support the family in whatever ways possible.As we were at home and concerned about our father, we were facilitated with a video call where we could see our father and ask him about his condition.It was really apprecitable.Moreover, The Doctors kept us updated through phone calls about the plan of care on a daily basis.All over, myself and the entire family of ours are greatful to the hospital crew for the wonderful care recieved for our father.I highly recommend this institution to anyone who is in need of hospitalisation and care.A big Salute to all the wonderful staff of Lisie Hospital management !!!

Stephin Moolan
Businessman

My father underwent a major Gastro-Intestinal surgery here recently. The treatment was excellent and they charged a reasonable price too. The staff especially nurses were caring and kind.

Najeeb
Accountant

I feel there are a group of well-experienced, excellent, and efficient doctors with a patient-friendly approach especially Dr. Paulose Jacob and Dr. joy mampilly.

Christopher
Tecnician

Had a wonderful experience with lisie hospital and the staff was always helpful and kind. They ensured I had a smooth prep, surgery, and follow-up.

Sachin Sudhakaran
Patient

Dedicated doctors, good nursing care and selfless service

Diana Vas
Patient

Doctor’s as well as there staffs are good they give the best advice and give the best care possible

Jacob Mathew
Patient Bystander

Good service and hospitality. Patient management services were dealt very professionally. They ensure genuine support to the patients and their bystanders. Staff were really cooperative. I have received expertised support from Cardiology, Oncology, Nephrology, and Diabetology,

Avitha Johney
Patient Bystander

Providing best services and treatment at very reasonable price. Also providing good emotional support which help us to recover fast.

Anjali
Patient

Excellent Treatment had a great experience here..doctors,nurses and all staffs are so helpful .. recommend this hospital in case of any emergencies

Neethu P
Patient Bystander

I have done my kidney transplant here. Great doctors and nurses . They were very supportive throughout my journey. Really happy with their servives. Fully satisfied. Trustable hospital

Nannu Padayatty
Kidney Patient

Impeccable service. Especially the pediatric cardiology department. The effort taken by the staff and the doctors are pretty good , the quick assimilation of disease by studying the symptoms and care . The tremendous explanation of the disease to the patient and the remedy was very helpful... truly appreciated...such a satisfying experience. Thank you so much ...

Cetna P J
Patient Bystander

We have experienced a fantastic hospitality from the lisie hospital especially the pediatric cardiology department was very supportive and caring , doctors and nurses were too caring and supportive and also the hospital services were good and technology was advanced . It was a miracle for us after the surgery for our daughter prarthana (who was 2yrs old) the doctor was well experienced . The case was "GLENN SHUNT surgery" by god's grace the surgery was successful and also the credit goes for the doctor who had performed it excellently special thanks to pediatric cardiology surgeons Dr. Sunil GS and Dr. Phillip KM and also the Dr.Edwin Francis and Dr. Annu jose from the pediatric cardiology department . The ICU and ward department was very hygienic and the nursing staffs were very helpful and never failed to satisfy our needs and overall all the other department were good and satisfying And the management was very effectively would like to recommend this hospital to others due to their great hospitality which we have experienced. We hope that the hospital get more support from others and shall be successful in future.

Silu George
Patient Bystander

This is one of the best affordable and we'll treated hospital in the town. Staff are well behaved, the management is one among the best. Doctors are very qualified and understanding.

Tennyson Jerome
Patient Bystander

Search Something

Search Departments / Doctors

Back to Top