#diabetic foot doctor in Pimpri Chinchwad PCMC

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When Should a Diabetic Foot Specialist Surgeon be Consulted for Diabetic Foot Care?

Diabetic foot is a common problem for those who are suffering from diabetes. This situation develops in a diabetic patient when the blood sugar level reaches high and starts damaging the nerves of the foot. High blood sugar level also damages the blood vessels in the foot. This health problem is called diabetic neuropathy & it can cause numbness in the feet. Patients with this health issue will not feel any pain during any cut or wound. Here patients can consult with Dr. Chetan Oswal, a Diabetic Foot Surgeon in Pune of Orthowin to get the best treatment.

Common problems with the diabetic foot:- Every diabetic patient can have several foot problems, and many times these problems can lead to amputation of feet.

Athlete’s Foot:- An athlete’s foot is a fungus that can cause fungus, itching or redness, and germs also create cracks in the skin. Patients need to consult with Dr. Chetan Oswal, an expert Diabetic Foot surgeon in Pune for the best result. Doctors will suggest medicines that will kill fungus to treat athletes’ feet.

Infection in nails:- People suffering from diabetes can face nail infections, and nails can get discoloured. This is the situation when nails become pale or red and can get cracked also. Here you will need prescribed medicines to cure these health hazards.

Calluses:- Diabetic patients may often notice the building up of hard skin on the bottom of the foot. This also develops due to the wearing of poorly fitting shoes. It is suggested never to remove the calluses using a sharp object.

Ulcers:- Ulcers or diabetic ulcers are also common problems that develop due to a break in the skin, and it converts into a deep sore. As per Dr. Chetan Oswal, a Diabetic Foot specialist in Pune, almost 10% of diabetic patients suffer from foot ulcers.

So, the above problems occur in almost every diabetic patient and they can consult with Dr. Chetan Oswal, a Diabetic Foot Surgeon of Orthowin for the best result.

About Dr. Chetan Oswal –  Diabetic Foot Surgeon in Pune Dr. Chetan Oswal is a United Kingdom-trained Foot and Ankle specialist surgeon practising in Pune, India. He has been practising Orthopaedics for the last 12 years and is now working as a dedicated Foot and Ankle Orthopaedic Surgeon. He has been successfully managing patients including elite athletes for practically all problems related to foot and ankle.

[foot-and-ankle]

Are you suffering from diabetes and facing nail infections? Then you must consult with Dr. Chetan Oswal, an expert diabetic foot specialist in Pune, for the best result. Learn about diabetic foot symptoms, causes, and treatment options from the best diabetic foot specialist, Dr. Chetan Oswal. Make an appointment for consultation.

[foot-and-ankle]

5 Reasons Why Diabetic Foot Wounds Heal Slowly

People who have diabetes need to pay special attention to any foot wound as it can heal slowly. This can become a serious concern. Due to diabetic peripheral neuropathy, skin blisters and cuts can become more severe in the form of an infection. Here are five reasons why diabetic foot wounds heal slowly.

5 Reasons Why Diabetic Foot Wounds Heal Slowly

1. High Levels of Blood Sugar

When the levels of blood sugar are high, it prevents oxygen and nutrients from providing your cells with energy. It also affects the immune system. As a result, the cells in your body get increased inflammation. This slows down the healing of foot wounds.

2. Deficiency of Immune System

Many people with diabetes have trouble in the activation of their immune system. The immune cells that help in healing foot wounds become lower in number. If the immune system cannot function in a proper way, the healing of the foot wound will become slower.

3. Neuropathy

High blood sugar and diabetes can result in nerve damage. This is referred to as diabetic neuropathy. It causes numbness and tingling that will make it difficult for you to feel if you have an injury. Neuropathy can therefore result in slow healing of foot wounds.

4. Infection

Diabetes can make your immune system weak. That is why your body will find it difficult to fight against bacteria. This can cause an infection in your diabetic foot wound.

5. Problems in Circulation

Blood circulation at the site of the wound is essential. Diabetes results in narrow blood vessels that reduce the oxygen that reaches the wound. Therefore, the tissues will not heal quickly. As a result, your foot wound will take more time to heal.

Conclusion

Book an appointment with Dr. Chetan Oswal at Orthowin Foot and Ankle Clinic, Pune who treats foot and ankle problems and advise you on how best to prevent and care for diabetic foot wounds.

[foot-and-ankle]

Diabetic Foot Ulcers: Causes, Symptoms, and Treatments

Diabetes often causes complications like foot ulcers. This happens when a diabetic patient does not manage their insulin treatments, diet, and exercise. It occurs due to the breaking down of skin tissue and exposure of the layers beneath.

Most common foot ulcers happen below the big toes and balls of the feet. They can not only affect your bones but also your feet. Diabetic patients can prevent foot ulcers by taking proper care of their feet.

Cause of Diabetic Foot Ulcers

Ulcers in diabetic patients happen due to the following reasons:

Nerve damage

Wounded or irritated feet

Hyperglycemia or high blood sugar

Poor circulation

Symptoms of Diabetic Foot Ulcers

Diabetic foot ulcers can stain the socks or leak into the shoe. Redness, swelling, odors, and irritation can be some of the first symptoms.

Your doctors can identify its seriousness on a scale of zero to five depending on the symptoms. These can be superficial or deeper ulcers.

Treatment for Diabetic Foot Ulcers

If you have pain from foot ulcers, you need to stay off from using your feet. This treatment refers to off-loading and it is very useful for the treatment of diabetic foot ulcers.

You can wear some items for the protection of the feet –

Shoe inserts for preventing calluses and corns

Foot braces

Designed shoes for people who suffer from diabetes

Compression wraps

Casts

Doctors can eliminate foot ulcers by removing the dead skin or with debridement. Any infection of foot ulcer requires immediate treatment. However, treatment is not the same for all infections.

Ulcer tissues can be sent to laboratories to find out what kind of antibiotic can help. In case your doctor sees a serious infection, he may ask for an X-ray to look for a bone infection.

If you seek treatment for diabetic ulcers, you can Contact Dr. Chetan Oswal at Orthowin Clinic, Pune.

[foot-and-ankle]

Diabetic Foot Treatment in Pune, Pimpri Chinchwad | Dr. Chetan Oswal | Orthowin Foot & Ankle Clinic

1. Today India has 77 million diabetic patients. Of these, 20-25 % develop diabetic foot ulcers. Of these Diabetic Foot Ulcer patients, 20 % have amputation as a complication. 7 out of 10 people will die after 5 years of having undergone a below-knee amputation. Diabetes accounts for 8 out of 10 cases of non-traumatic amputations.

2. In Pune, on average, 20 % of diabetic patients will develop a diabetic foot ulcer. Out of these ulcer patients, 50 % will have an infection and will need some form of surgery and 20 % will eventually require amputation. The male to female ratio of diabetic foot problems is 2:1.

3. Risk factors of Diabetic Foot Ulcers are poorly fitting or tight shoes, poor hygiene of feet, improper trimming of nails, toe or foot deformities, poor blood circulation due to diabetes, neuropathy due to diabetes, alcohol consumption, smoking, poor sugar control, previous corn/callus on foot.

Precautions to be taken:

Inspect feet daily for any redness, swelling, blisters, discharge

Wear clean dry socks

Wear shoes and never walk barefoot

Wear shoes which fit properly

Strict sugar control

Visit a doctor immediately if there is fever, pus coming out of the wound, redness and severe pain.

4. Primary symptoms of diabetic foot ulcer: swelling, redness, increase warmth or temperature, pus coming out from wound, severe pain, black tissue around the wound/ulcer.

The patient needs to check these above warning signs at home. They need to see the doctor immediately if any of the above are present.

5. The primary aim after the development of Diabetic Foot Ulcers is to prevent infection. First, we need to check the blood supply and nerve supply of the foot. Sometimes, bony deformity of toes or foot might be contributing to the ulcer. We need to do a proper evaluation to check for blood supply with ultrasonography of leg and X-ray of the foot to check for bone problems. The ulcer has to be cleaned (debridement) regularly until it heals and appropriate footwear (customized orthotics) needs to be given to avoid pressure on the ulcer and prevent it from deteriorating. In case of severe infection, urgent surgery (debridement) needs to be done to prevent rapid spread of infection and gangrene formation. At the same time, strict sugar control is of utmost importance.

6. A lot of developments have happened in recent years:

Improvements in diagnostic equipment to detect blood supply problems and neuropathic problems at an early stage

Foot scanning machine available nowadays which can detect foot at risk of formation of an ulcer.

Surgeons are better trained to treat the infection and bony deformity with good-quality implants. Plastic surgeons can operate nicely to cover any amount of skin lost due to infection. Vascular surgeons can also save the limb by doing bypass surgery or put stents if the blood vessel is blocked.

Infection can be better controlled by good quality dressing materials and VAC therapy nowadays.

Better and good quality customized shoes can be made which can be used lifelong to prevent any ulcer formation.

Are you suffering from Diabetic Foot Problems, then you must know about the prevention and management of Diabetic Foot problems from the best Foot and Ankle Specialist in Pune – Dr. Chetan Oswal at Orthowin Foot and Ankle Clinic, Pune

[foot-and-ankle]

Diabetic foot problems: Prevention and Management

1. Today India has 77 million diabetic patients. Of these, 20-25 % develop diabetic foot ulcers. Of these Diabetic Foot Ulcer patients, 20 % have amputation as a complication. 7 out of 10 people will die after 5 years of having undergone a below-knee amputation. Diabetes accounts for 8 out of 10 cases of non-traumatic amputations.

2. In Pune, on average, 20 % of diabetic patients will develop a diabetic foot ulcer. Out of these ulcer patients, 50 % will have an infection and will need some form of surgery and 20 % will eventually require amputation. The male to female ratio of diabetic foot problems is 2:1.

3. Risk factors of Diabetic Foot Ulcers are poorly fitting or tight shoes, poor hygiene of feet, improper trimming of nails, toe or foot deformities, poor blood circulation due to diabetes, neuropathy due to diabetes, alcohol consumption, smoking, poor sugar control, previous corn/callus on foot.

Precautions to be taken:

Inspect feet daily for any redness, swelling, blisters, discharge

Wear clean dry socks

Wear shoes and never walk barefoot

Wear shoes which fit properly

Strict sugar control

Visit a doctor immediately if there is fever, pus coming out of the wound, redness and severe pain.

4. Primary symptoms of diabetic foot ulcer: swelling, redness, increase warmth or temperature, pus coming out from wound, severe pain, black tissue around the wound/ulcer.

The patient needs to check these above warning signs at home. They need to see the doctor immediately if any of the above are present.

5. The primary aim after the development of diabetic foot ulcers is to prevent infection. First, we need to check the blood supply and nerve supply of the foot. Sometimes, bony deformity of toes or foot might be contributing to the ulcer. We need to do a proper evaluation to check for blood supply with ultrasonography of leg and X-ray of the foot to check for bone problems. The ulcer has to be cleaned (debridement) regularly until it heals and appropriate footwear (customized orthotics) needs to be given to avoid pressure on the ulcer and prevent it from deteriorating. In case of severe infection, urgent surgery (debridement) needs to be done to prevent rapid spread of infection and gangrene formation. At the same time, strict sugar control is of utmost importance.

6. A lot of developments have happened in recent years:

Improvements in diagnostic equipment to detect blood supply problems and neuropathic problems at an early stage

Foot scanning machine available nowadays which can detect foot at risk of formation of an ulcer.

Surgeons are better trained to treat the infection and bony deformity with good-quality implants. Plastic surgeons can operate nicely to cover any amount of skin lost due to infection. Vascular surgeons can also save the limb by doing bypass surgery or put stents if the blood vessel is blocked.

Infection can be better controlled by good quality dressing materials and VAC therapy nowadays.

Better and good quality customized shoes can be made which can be used lifelong to prevent any ulcer formation.

Are you suffering from Diabetic Foot problems, then you must know about the prevention and management of Diabetic Foot problems from the best Foot and Ankle Specialist in Pune – Dr. Chetan Oswal at Orthowin Foot and Ankle Clinic, Pune.