Wednesday, June 27, 2012

Diabetic Foot Ulcers

We discussed diabetic foot ulcers this morning. The best way to prevent these ulcers is early detection of diabetic neuropathy, which is best done with a brief history and screening with Semmes-Weinstein monofilament.

Use the monofilament in 8-10 anatomic sites recommended (see above picture). However, even testing 4 plantar sites on the forefoot identifies 90% of the patients with an insensate site. Monofilament testing is fairly sensitive (66-91% ) and has a very good NPV 94-95%.

Here is review article on preventing diabetic foot ulcers. 
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10 comments:

  1. AnonymousDecember 13, 2012 at 4:01 AM

    The Monofilament diabetes test for diabetic patients consists of nylon strands on stiff paper handles being pressed against a patient's foot until they bend. If the patient cannot feel the sensation, the doctor moves on to a thicker monofilament that requires more pressure.

    ReplyDelete
  2. AnonymousDecember 13, 2012 at 4:03 AM

    This comment has been removed by the author.

    ReplyDelete
  3. daren sammyFebruary 25, 2017 at 8:27 AM

    Going to the spa is pricey, but purchasing a foot massager will save you money and give you the convenience of relaxing in your own home, any time during the day or night. shiatsu foot massager

    ReplyDelete
  4. satyamhairtransplantJune 30, 2017 at 6:44 AM

    If you are searching for best diabetic foot treatment in India to treat your ulcers then you can visit our centre. We make use of latest techniques to make to make your skin fresh.

    ReplyDelete
  5. SheranAugust 17, 2017 at 12:26 PM

    Want to know how to get rid of thick calluses on feet? Home remedies are enough to treat them and you really don't need any medication to treat them. visit us to know all about foot care and how to remove calluses and corns at home.

    ReplyDelete
  6. Peter NdagiAugust 15, 2019 at 4:14 PM

    Great Article. Check on foot massager for diabetics

    ReplyDelete
  7. Tania EwenJanuary 24, 2022 at 11:09 AM

    Diabetic foot cure in Cuba might be an excellent option if self-pay or uninsured. Unique Heberprot-P medication to avoid toe amputation.

    ReplyDelete
  8. allfitnessnewsJune 7, 2022 at 1:31 AM

    Hey such a nice blog
    Diabetic foot treatment

    ReplyDelete
  9. Benain StewarSeptember 6, 2022 at 1:11 AM

    Very Informative content on ulcers Thank you for the article!

    ReplyDelete
  10. drchandrakantFebruary 19, 2024 at 1:02 AM

    Great blog on Diabetes foot treatment in Vasai. looking forward to next one.

    ReplyDelete