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Common foot problems in diabetic foot clinic
Natthiya Tantisiriwat1, Siriporn Janchai
1Rehabilitation Center, Thai Red Cross Society, Bangkok, Thailand.
Summary
Diabetic foot problems are common, with high rates of amputation and loss of sensation. Multidisciplinary care and patient education are crucial for preventing lower extremity amputations in diabetic patients.
Area of Science:
- Diabetology
- Podiatry
- Vascular Medicine
Background:
- Diabetic foot complications represent a significant cause of morbidity and mortality.
- Early identification and management of foot problems are essential in diabetes care.
Purpose of the Study:
- To investigate the prevalence and characteristics of common foot problems in patients attending a diabetic foot clinic.
- To identify risk factors associated with lower extremity amputation in diabetic patients.
Main Methods:
- Retrospective review of outpatient records and diabetic foot evaluation forms.
- Data collected from King Chulalongkorn Memorial Hospital between 2004 and 2006.
- Analysis of dermatological, neurological, musculoskeletal, and vascular foot issues.
Main Results:
- 150 patients (70 men, 80 women, average age 63.8) were studied.
- 32% of cases had lower extremity amputation; 75.3% lost protective sensation.
- Common issues included skin dryness, nail problems, calluses (56%), ulcers (18.8%), limited joint motion (44%), and toe deformities (32%).
Conclusions:
- Multidisciplinary diabetic foot care is vital.
- Patient education on foot care and footwear is essential.
- Early detection and management of foot problems are key to preventing amputations.
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