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. 

10 comments :

Unknown said...

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.

Unknown said...
This comment has been removed by the author.
daren sammy said...

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

satyamhairtransplant said...

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Sheran said...

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.

Peter Ndagi said...

Great Article. Check on foot massager for diabetics

Tania Ewen said...

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allfitnessnews said...

Hey such a nice blog
Diabetic foot treatment

Benain Stewar said...

Very Informative content on ulcers Thank you for the article!

drchandrakant said...

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