Lindsey Ebbs Podiatry - Podiatry Insights

Diabetes And Its Effect On The Lower Limb

Diabetes is a chronic disease due to a deficiency of the hormone insulin, produced by the pancreas.

There are two main types of diabetes; Type 1, which is genetic and Type 2, which is strongly associated with lifestyle factors mostly occurring in adults.

Many people may not recognise the complications that may occur if diabetes is not correctly controlled and monitored, with foot problems being amongst the most serious. Diabetes requires continual attention from multiple health professionals and a high-level of self-care.

How does diabetes affect the lower limb?

1) Nerve Damage

Nerve Damage in the legs and feet, is also known as peripheral neuropathy and is one of the primary complications that result from uncontrolled diabetes.

In up to 50% of diabetic patients over 60 years of age peripheral neuropathy is present, and this number is increasing. Neuropathy may lead to the loss of protective sensation to the lower limb and therefore increase the risk of physical and thermal trauma to the foot.

Problems that most commonly arise are at the toe area, with the big toe being the first to start feeling a bit ‘numb’ or ‘tingly’. This may then progress through the other toes and slowly up the leg.

Another common complaint is burning in the legs at night when trying to sleep; this is also a sign that nerve damage may have already occurred.

2) Circulation

Diabetes can cause the blood vessels in the leg and foot to narrow and harden, affecting the blood flow to the peripheries.

Patients will often say, their feet always feel cold, or it feels like they have socks on when they don’t. If this sounds familiar, then having an assessment of the blood flow to your feet is vital and it’s just one of many tests we do at the Foothub Whitby

Another common sign of compromised circulation is pain through the back of your calf when walking, particularly when walking uphill (very common in Whitby) However, don’t let this discomfort stop you, just stop and start again, when the pain goes as exercise is very important in helping to control diabetes.

Finally, having a poor circulation decreases the body’s ability to fight and clear infection and can delay wound healing times. Therefore, if coupled with nerve damage, serious complication such as leg and foot ulcers may result.

What does this mean for diabetics?

If you are diabetic or know someone who is and who has not had a full diabetic foot assessment by a Podiatrist, please encourage them to make an appointment as soon as possible.

At the Foothub Whitby we have all the equipment required to perform a thorough diabetic/vascular foot assessment, which should be carried out every 12-months at a minimum, and as I mentioned earlier, the best way to help a diabetic patient is with a team approach, which is why we will always liaise closely with your GP, Nurse and other members of your health team and send them a report of our results

If you have any questions or would like to make an appointment for a diabetic foot assessment, please telephone our clinic on 01947 82 03 19 to speak to Karen and she can help you further.

You may also like to read the blogs on Foot self-care for diabetics or What is Involved in a Diabetic Foot Assessment to learn more about diabetes and the foot.

The Foothub Whitby
3, Byland Road
Whitby
YO21 1JH

More Insights

What are Chilblains?

Chilblains (also called pernio) are small itchy, red (purple sometimes) swellings on the skin. If not addressed and treated, becomes very painful and can sometimes ulcerate, exposing the foot to the risk of infection.


Why have I got bumps on my heels?

You may have noticed little skin-coloured bumps around your heels, that are more noticeable when standing, they can still be visible when sitting or laying down?


Footpain In Pregnancy

Women go through many complaints throughout their pregnancy, and foot pain can be one of them, unfortunately, it can also get overlooked..


Diabetes And Its Effect On The Lower Limb

Many people may not recognise the complications that may occur if diabetes is not correctly controlled and monitored, with foot problems being amongst the most serious...


Foot Self-Care for Diabetics

As a diabetic, there are many tips and hints to help manage and prevent foot complications occurring due to decreased nerve and or vascular function....


What is Involved in a Diabetic Foot Assessment at the Foothub Whitby?

As a diabetic, it is important that you look after your feet and part of managing your feet properly is to have your feet assessed on a regular basis by a qualified podiatrist...


Podiatrist in a Pandemic

Hello, I am Lindsey a 56-year-old podiatrist and this has been my life in the last couple of years during the pandemic...


Heel pain in children

Over the past few years, the most common problem we see in clinic, involving children, would most definitely be heel pain. This could be present when playing sport, or after participating in other forms of strenuous activity...


Achilles Tendinitis / Tendinosis/ Tendinopathy, which one do I have?

The Achilles tendon connects the calf muscles to the back of the heel, it is considered to be strongest tendon in the body and its movement helps you step up on your toes, run and jump...


Covid Toes

`COVID- toes` is a symptom of contracting Covid-19, it can present in any age group, across all continents and in a full range of skin types. Although it tends to be more common in children and young adults...


Do You Have One leg longer Than The Other?

Uneven leg length is quite common, and often a few millimeters is not going to cause major problem, and probably will go unnoticed. However, for some even a small limb length difference can cause problems in the hips, back and neck...


School Shoes Should be Symmetrical But When Was The Last Time You Checked?

We all know children grow a lot over the school holidays and more often than not you need to buy new uniforms and new school shoes in August before they start in September...


Foot Problems Are Common in Netball and Basketball

In netball and basketball there is a tremendous amount of pressure that is put on the foot, ankle, knees and hips. This can occur at the highest level or even when playing socially...


Acute and Chronic pain in the feet... What's the difference?

Pain is pain… right? Sadly not, pain is a complicated subject but simply put, it can be separated into two categories; Acute and Chronic pain. There is one noticeable difference between the two and that is the amount of time that the pain has been around?


What is shockwave therapy and will it work for me?

Shockwave Therapy has become one of the most effective ways to treat chronic lower limb pain, t was originally developed to treat Kidney Stones (Lithotripsy), as an alternative treatment to surgery...


'Oh No', Heel Pain

This may sound like an odd title, but this is how I refer to the most common foot condition we see in clinic, which is Heel Pain. Did you realise there are over 40 causes of heel pain, the most common one that is known about is Plantar fasciitis, which is inflammation of the soft tissues on the bottom of the foot...


What is Practice Accreditation and why did we want to achieve it?

The Podiatry profession in the UK is subject to careful monitoring and regulation. These systems are in place to protect the public from sub-standard levels of care, and to ensure that practitioners always know to which standards they should be working to.


How to Reduce Your Injuries by Wearing the Right Trainers

There can be many reasons for this, but a common one we see at Lindsey Ebbs Podiatry is a lack of understanding on what makes one shoe better than another and not knowing when a shoe has passed its used by date and should be replaced.


Pressure plate gait analysis and 3D printed orthotics

Pressure gait analysis gives a detailed insight into the forces impacting on the foot when walking or running. This information allows us to identify areas of the foot that maybe under a higher pressure load which over time can cause pain, injury, fractures and pressure ulcers of the skin.


Shin Splints

At the Foot Hub Whitby, we treat a lot of patients with shin soreness, and it doesn’t matter if they’re a seasoned professional sports person or a weekend warrior.


Is a heel spur the cause of your foot pain?

Perhaps you have been told by a friend, a concerned family member, or a health professional that you have a heel spur but they can only be guessing!


Podosmart Wi-Fi Digitsoles

The insoles are a clever innovative piece of equipment that can quantify the movement of the body with different mobility disorders such as neurological, orthopaedic, age related or sporting injuries...


Marco the M6 MLS Robotic Laser

I have been using a laser in practice for 25 years now and have long realised the great outcomes that can be achieved by them, so after extensively researching the Class 4 MLS laser, which is quite unique to other class 4 lasers in that it doesn’t emit heat, I realised this was the laser I wanted to upgrade to...


Our top tips for preparing to run a marathon

Preparing for a marathon or a half marathon takes dedication and a lot of time, applying these simple tips can make the experience a more positive one...


Ingrowing toenails and how to get rid of them permanently

Many people think they have ingrowing toenails when in fact what they have are involuted (curved) or thickened nails...


Not just a dog - a friend, a confidant, a counsellor and a personal trainer!

Dogs have always been a large part of my life, I have never known a time without a dog from being a small child through to an adult, after having my own children and working full time...


How do we sterilise the instruments we use in clinic

Infection control is something Podiatrists alongside all the medical profession take very seriously. Reducing the transmission of microorganisms like bacteria, viruses and fungal infections...


How 'muscle memory' helped my recovery from shoulder surgery

Is muscle memory a thing? Yes, it is! Not that we have mini brains in our muscles as the brain is definitely located in the head! But there is no doubt that our muscles remember movement...


What Is Swift and Why Do We Use It to Treat Verrucae?

Verrucae are caused by infection in the skin from the Human Papilloma Virus (HPV). They are often harmless and can disappear on their own, but sometimes...


What you wouldn’t expect to see at the end of a Marathon

(from Podiatrists who were at the finish line)


Fascial manipulation of the lower limb. (Stecco Method®)

Fascial is a band or sheet of three-dimensional connective tissue, primarily made of collagen it surrounds every tissue, muscle, tendon, nerves, blood vessels and organs of the body...


5 top tips to prepare your feet for winter

Winter time can be quite harsh on the feet, they go from a warm centrally heated houses to artic conditions outside, which takes...


Plantar Fasciitis

This is the most common heel pain complaint we see in clinic. It is an inflammatory condition of the plantar fascia caused...


Verrucae and Warts

Human papilloma virus (HPV) is the cause of warts and verrucae, they can appear anywhere on the skin but are mostly seen...


Melanomas on the feet and legs

Most people wouldn’t really think of a melanoma on the feet and legs, but they do present there...


Core stability and Podiatry

Core Stability is a medical description establishing the ability of a person to control the movement...

Subscribe to our newsletter

Subscribe to the Lindsey Ebbs Podiatry monthly email newsletter.