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Conditions & Surgery

Diabetic foot exams & routine foot care

If you have diabetes, regular foot checks help find small problems early, before they turn into big ones.

Why foot checks matter

Diabetes can damage the nerves in your feet (neuropathy). You may not feel a blister, cut, or rock in your shoe. Diabetes can also lower blood flow to the feet (poor circulation), so wounds heal more slowly. A small sore that goes unnoticed can become a serious infection. Regular exams help catch these problems early.

What the exam checks

  • Feeling in your feet, using a thin, soft nylon wire (monofilament) and other simple tests
  • Pulses in your feet and ankles to check blood flow
  • Skin for dryness, cracks, calluses, blisters, or sores
  • Toenails for thickness, fungus, or ingrown edges
  • Foot shape, such as bunions, hammertoes, or changes in the arch
  • Your shoes, to see if they fit and protect your feet

Check your feet every day

Drawing of a person drying between the toes with a towel, and checking the bottom of the foot with a hand mirror.
Dry between your toes, and use a mirror to check the bottoms of your feet every day. Illustration: BruceBlaus, CC BY-SA 4.0
  • Look at the tops, bottoms, heels, and between the toes
  • Use a mirror, or ask a family member to help
  • Wash in lukewarm water and dry well between the toes
  • Use moisturizer on dry skin, but not between the toes
  • Always wear shoes and socks, even at home
  • Check inside your shoes before you put them on

Professional foot care

Dr. Nafal can safely trim thick nails and calluses so they do not cause sores. Please do not cut corns or calluses yourself or use medicated pads. He may also recommend diabetic shoes or inserts to protect your feet and take pressure off risky spots.

Medicare and many insurance plans may cover certain foot care for people with diabetes when certain criteria are met. We can check your plan for you.

Call right away if you notice a new sore or blister, redness that spreads, swelling, warmth, pus, a bad smell, or a change in the color or shape of your foot. If you have a fever with a foot wound, be seen the same day. For an emergency, call 911.

Common questions

How often should I have a diabetic foot exam?

Most people with diabetes should have a foot exam at least once a year. You may need visits more often if you have nerve damage, poor circulation, or a past foot wound.

My feet feel fine. Do I still need an exam?

Yes. Nerve damage can hide problems, so your feet may feel fine even when something is wrong.

Get help with your diabetic foot care

Offices in Canton and Troy. New patients welcome.

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