An approach to understanding and treating common foot problems in the diabetic population

The goal of this paper is to provide an overview of common foot problems seen in diabetic individuals. Initial therapeutic intervention such as debridement ofpre-ulcerative lesions may prevent limb-threatening ulcerations from occurring. It is also essential that an understanding of the foot deformity and imbalance responsible for the high ulcerating pressures be identified and addressed for long-term treatment of these patients. The nature of compensatory foot imbalance with recommended re-alignment and balance therapies to prevent pathologic foot compensation and principles of padding and specific off-loading techniques are highlighted. Evaluation and therapy of often neglected digital deformities and treatment of nail pathology are reviewed.