[Francene Frayer]

There is a condition called Charcot neuroarthropathy that can develop in some   StrictionD Review  diabetics that leads to fracturing of several foot bones in absence of an injury. Poor sensation leads to excessive joint pressure, and can also lead to a washing out of some of the bone mineral in certain susceptible joints. Fractures eventually occur due to the weakness in the bones, resulting in a three month process of bone destruction. This condition is often mistaken for a typical fracture or even infection by many emergency rooms, and improper care can lead to a devastating deformity of the foot.

The collapsing deformity greatly increases one's risk for wound development. Expert foot specialty care is needed to recognize this disease, and to provide the proper months-long care needed to ensure proper healing of the foot. A diabetic should expect their foot care specialist to be quite attentive to the treatment needs of this condition, and should receive prompt and comprehensive care. As one can see, the role of an experienced foot care specialist is vital to the well being of a diabetic.

Diabetics can and should expect this comprehensive level of care, and many podiatrists are well trained and experienced in offering this complete approach to the diabetic foot as a sub-specialty. Most internists and primary care physicians are not well trained in the complexity of foot structure, function, and disease, and are more than happy to refer this level of care to the foot specialist. Diabetic patients should take advantage of this opportunity, as it may make the difference between healthy feet and an amputation.



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137.7

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