Diabetic Foot Assessment

Early Detection for Healthier Feet

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Vascular Assessment Checking for Blood Flow

Peripheral Vascular Disease (PVD) reduces blood supply, hindering the body's ability to fight infection and heal wounds.

Pulse Checks: We palpate (feel) the dorsalis pedis and posterior tibial pulses in the feet to ensure good blood flow.

Skin Colour and Temperature: Checking for signs of poor circulation, such as cold feet, changes in skin colour, or slow capillary refill time.

Ankle-Brachial Index (ABI) if PVD suspected.

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Neurological Assessment:

Diabetic neuropathy causes a loss of sensation, meaning the patient may not feel pain from cuts, blisters, or prolonged pressure.

Sensation Testing: This is usually done using a 10-gram monofilament applied to specific points on the bottom of the foot. The inability to feel the pressure indicates a loss of protective sensation

Dermatological & Musculoskeletal Assessment:

This involves a visual and physical inspection of the foot structure and skin integrity

Skin Inspection: Checking the entire foot, including between the toes, for:

Calluses and Corns, fissures (cracks, often indicating severe dryness, blisters or existing Ulcers, signs of fungal infection.

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Deformity Check: Assessing for foot structure changes that increase pressure, such as bunions or hammertoes, severe flattening (like in Charcot foot), assessing footwear.

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The goal is to identify patients who are at high risk before an injury occurs. Patients found to be high-risk will receive education, specialist referrals, and guidance on protective footwear to prevent ulcers and avoid lower-limb amputation.

Reports of the result could be provided on request

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Wound/Ulcer Care

 At our clinic, we provide comprehensive care for your wound management needs, whether it's routine redressing or specialized treatment for diabetic foot ulcers, we are here to help. We cleanse your wound and debriding it (remove unhealthy tissue and dead skin to promote healing), apply appropriate dressing using aseptic technique. We also look for any signs and symptoms of infection such as redness, discharges, temperature and pain and provide the best care according to your need. If infection suspected, antimicrobial dressing can be applying also a course of antibiotics can be supplied. A photo of the would May be taken to check the progress of the treatment.