Diabetic Foot

Patient suffering from the diabetic foot is not able to feel feet properly. There is impairment of normal oil production and sweat secretion that helps in lubricating the skin of the foot. It is the infection, destruction or ulceration of deep tissues that is associated with neurological abnormality and peripheral vascular disease in the lower limb.

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These factors lead to abnormal pressure on skin, joints, and bones of a foot during walking and lead to the breakdown of skin that develops sores.

Diabetes causes impairment of immune system that results in difficult healing of wounds. Bacterial infection in wounds occurs that results in gangrene development. Blood flow diminishes, hence the only treatment for this is amputation of the foot or leg. If the infection spreads to the bloodstream, it can be life-threatening.

Stages of ulcer development: 
• Callus formation
• Subcutaneous hemorrhage
• Breakdown of skin
• Deep foot infection

What Diabetes Can Cause To Your Foot?

Footwear:
• Poorly fitting shoes are a common cause of diabetic foot.
• If the patient develops red and sore spots, blisters, corns or consistent pain associated with wearing shoes, the footwear must be changed as soon as possible.

Nerve damage:
• People with long-standing or uncontrolled diabetes are at risk for having damage to the nerves in their feet.
• Because of the nerve damage, the patient may be unable to feel their feet normally while walking. With normal nerves, a person can usually sense if their shoes are rubbing on the feet or if one part of the foot is becoming strained while walking.
• A person with diabetes may not properly sense minor injuries, signs of abnormal wear and tear, and strain. It easily creates a sore.

Poor circulation:
• Diabetes can lead to hardening of the arteries. Blood flow reduces to injured tissues and alters the healing process.

Trauma to the foot:
• Any trauma to the foot increases the risk for a more problem to develop.

Infections:
• Athlete’s foot can lead to more serious bacterial infections and should be treated on time.
• Ingrown toenails should get treated on time.

Smoking:
• Smoking causes damage to the small blood vessels. This damage disrupts the healing process and is a major risk factor for infections and amputations.

Risk factors:
• Medicines: Certain steroids may decrease body’s immune system. A decreased immune system may make it hard for the body to fight infection and heal itself.

• Poor nutrition: Not eating enough healthy foods can decrease the oxygen and blood flow to feet.

• Smoking: Smoking increases the risk for blood vessel disease that can lead to foot ulcers.
• Weight: Increased weight increases the amount of force and pressure on feet.

Diabetic foot Signs and Symptoms

• Redness surrounding a wound
• Persistent pain.
• Pain in the legs or buttocks that increases with walking but improves with rest
• Localized warmth can be a sign of infection or inflammation.
• Drainage of pus and blood from a wound is usually a sign of infection.
• A limp or difficulty in walking
• Numbness in the feet or legs can be a sign of nerve damage.
• Swelling of the feet or legs.
• No hair growth on the lower legs and feet
• Hard shiny skin on the legs
• Fever or chills can be a sign of a limb-threatening or life-threatening infection.
• Redness spreading out from a wound is a sign of a progressively worsening infection.

How To Investigate Diabetic Foot?

• Complete blood count to check infection.

• Kidney function tests, liver enzyme tests, electrolytes, and heart enzyme tests to check whether other body systems are working properly.

• X rays to see damage to the bones or arthritis.

• Doppler ultrasound to see the blood flow in the lower extremities

Differential diagnosis of diabetic foot

• Chronic Venous Insufficiency
• Atherosclerosis
• Diabetic Foot Infections

Treatment of diabetic foot

• Antibiotics
• Surgical debridement of the wound.
• Improvement of circulation through surgery or therapy.

What Are The Risks?

• Limb loss is a major risk in patients with a diabetic foot ulcer.
• Mortality often results due to large vessel arteriosclerotic disease.
• Proper treatment and management have a good prognosis.

Complications of diabetic foot

• Infection of skin and bone because of bacteria if left untreated.
• Necrosis results due to poor oxygen and blood supply.
• Amputation of foot or leg.

Homeopathic treatment for diabetic foot

Every branch of science has its own scope and limitations, so does Homeopathy. Although Homeopathy has a lot of very good remedies for curing & controlling auto-immune disorders, male & female disorders, children and elderly people.

In cases of an emergency situation such as poisoning, serious abdominal complaints (such as acute appendicitis and pancreatitis), fractures, injury, and accidents should be first taken to emergency. However, a patient can consult his homeopathic physician after recovering from his initial phase. Please note Homeopathy plays no role in treating any nutritional disorders.

The scope of Homeopathy is limited; it is the sole responsibility of the physician to decide upon the cure – by looking into the complete nature of the disease, onset, and stage of the disease and then act accordingly

Arsenicum album:
• Agitation; tendency to move from one place to another
• Great anxiety, prostration, useful in diabetic neuropathy.
• Great numbness in the limbs

Calcarea carbonica:
• Diabetic obese, loose, spongy, chilly
• Low thyroid function
• Polyneuritis, Tired of life

Lachesis trig:
• Loquacious, diabetic patients with circulatory problems
• Diabetes in menopause
• Diabetic gangrene
• Retinal hemorrhage

Lacticum acidum:
• Diabetes, presence of blood sugar
• Thirst, voracious hunger
• Abundant urine
• Rheumatic pains.

Nitricum acidum:
• Diabetic nervous irritability
• Strong smell like horse urine
• Skin cracks and fissures
• Ulcers by arterial insufficiency
• Weakness, condylomas and warts

Silicea terra:
• Cures chronic infections in people with diabetes
• Skin and bones-prone to suppuration infection.
• Pus discharge continuously for a long time.
• Fistulas, patient shy, insecure and fearful especially fear of sharp objects

Thuja:
• Diabetes in patients with sycosis
• Illusions believes that his body and limbs are glass
• Thinks he has a live animal inside abdomen
• Polyneuritis with great pain

Preventive Tips For Diabetic Foot

• Examine foot daily.
• Report any minor injury or any abnormality in the foot to your physician.
• Eliminate obstacles in your way.
• Always trim your nails safely.
• Wear comfortable shoes.
• Exercise regularly for healthy joints and bones.
• Quit smoking.
• Control diabetes by proper diet and medicines.

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