How to Prevent Foot Ulcers
In the case of diabetic foot ulcers, an ounce of prevention
is definitely worth a pound of cure. Controlling diabetes, exercising, avoiding smoking,
and maintaining a healthy body weight are extremely important. However, many ulcers can be
prevented simply by making sure that any cut sore, bruise, or blister is noticed and
treated immediately.
Examine your feet daily
Even if you feel no pain in your feet examine them
regularly. If you can't bend to see all parts of your feet clearly, use a plastic mirror,
or ask a family member or your doctor or other healthcare professional for help. Check for
cuts, sores, blisters, and bruises, keeping alert for any that don't begin to heal within
2 days. Red spots, swelling, infected or blackened toenails, corns and calluses can
indicate areas where ulcers may develop.
Follow a regimen of good foot care
Wash your feet in warm (NOT HOT) water. Test the water with
your elbow to see whether it's too hot. DO NOT SOAK YOUR FEET. Soaking can cause the skin
to soften, thereby increasing the chance of injury. After washing, dry your feet well,
especially between the toes. Moisturize your feet and legs with lotion, except between the
toes. Apply sunscreen to the tops of your feet to avoid sunburning.
Never walk barefoot
If possible, avoid walking barefoot even indoors. Always
wear well-fitting shoes and socks, preferably cotton, to protect your feet - especially at
the beach or on hot pavement.
Keep your toenails trimmed
Trim your toenails straight across using clippers. Do not
cut into the comers of the nails. Smooth the nails with an emery board. If your nails are thick or yellowed, have a doctor or other healthcare
professional trim them for you.
Choosing socks and shoes
Always wear socks, preferably cotton, with your shoes to prevent blisters and sores.
Choose socks made of natural, absorbent fabrics, such as wool and cotton, to help keep
your feet dry. Make sure the socks are soft and comfortable. Seamless socks are
preferable. Be sure the socks are not too tight at the ankles and don't bunch up at the
toes to avoid decreasing your circulation.
Make sure your shoes fit well and are comfortable. Wear shoes made of materials that
stretch a little to accommodate your feet rather than vinyl or plastic. Try to avoid
wearing shoes that have narrow toes or high heels. Shop for shoes in the afternoon, when
your feet are slightly larger. When buying shoes, always check the insides to make sure
the linings are smooth and there are no foreign objects. And if your doctor or other
healthcare professional has prescribed special shoes or shoe inserts, have those checked
periodically.
Use good judgment when exercising
Ask your doctor or other healthcare professional to suggest an appropriate form of
exercise that does not put undue stress on your feet such as walking, swimming, or
bicycling. Try to avoid activities, such as running or jumping, that can injure your feet.
Remember to warm up before exercising and cool down when you are finished. Always wear
comfortable, well-fitting footwear.
Early treatment can make the difference
Many diabetic foot ulcers can be healed if identified and treated in time. If you
notice a blister, sore, cut or bruise on your foot that does not show signs of healing
within 2 days, call your doctor or other healthcare professional right away.