Care for Diabetic Foot Ulcers and how to prevent these ulcerations

Care for Diabetic Foot Ulcers

Care for Diabetic Foot UlcersFoot Ulcers | OrthofeetApproximately 15% of people with diabetes suffer from foot ulcers, according to the American Podiatric Medical Association. This dangerous condition is a threat to all diabetes patients, but learning about foot ulcers and taking preventative care measures can decrease your risk.

Foot complications lead to the highest percent of hospital visits for diabetics. And foot ulcers are the most common foot injury that results in amputation. Fortunately, the United States National Diabetes Advisory Board reports that early detection and treatment may prevent up to 85% of amputations.

The severity of your diabetes will affect the likelihood of developing a foot ulcer. This is true, of course, of all diabetes side effects and complications, but what exactly are the triggers that make patients more prone to foot ulcers?

Neuropathy is a complication associated with a number of medical conditions including diabetes. The condition makes diabetics more susceptible to foot injuries that can lead to ulcers. In general, neuropathy refers to nerve damage. Diabetes patients suffer from peripheral neuropathy, which is technically defined as nerve damage outside of the brain and spinal cord. It affects extremity nerves such as those in the legs and feet.

Care for Diabetic Foot Ulcers Neuropathy | OrthofeetUp to 50% of people with neuropathy due to diabetes do not have symptoms. This may not sound so bad: you’re pain-free and your lifestyle is unaffected, but it’s a real danger if you receive an injury that goes undetected due to lack of sensation in your foot. In fact, some patients realize that they have foot injuries (even ulcers) only by seeing blood from the open wound on their socks.

If blood vessels in the feet are damaged, tissue damage may occur. This is caused by loss of blood circulation to the feet, known as a peripheral arterial disease (PAD) and is a problem faced by one-third of diabetics over the age of 50. Circulation problems not only cause nerve damage but also results in slow healing.

Physical changes that damage the feet are another concern for diabetics. It’s not uncommon to develop calluses on the ball pad or heel under the foot. The real danger is that callus skin can break down to form an ulcer, which often goes undetected because it is hidden under the calloused skin.

Nerve damage can cause changes to the shape of your feet and cause foot structural deformities. Proper fitting and comfortable shoes are a vital part of preventing calluses, bunions, and other foot and toe defacements that can result in ulcers. Treatment of calluses should be handled by a medical professional.


In addition to the routine care patients take to manage diabetes, there are specific precautions that will minimize the risk of developing a foot ulcer.

Broken skin wounds have a high likelihood of developing into foot ulcers. These painful injuries can lead to very serious problems. Foot exams should be a routine part of your medical checkups. Speak to your doctor about how frequently you need to schedule your office visits and what to look for on your own feet in between visits.

In addition to checking your feet, you should develop routine personal foot care habits that prevent wounds and reduce the risk of infection.

  • Toenail trimming and pedicure procedures should be handled with care and only with the proper sterilized
  • Keep your feet clean and nourished. The nerves that control moisture by producing oils in your feet may not work properly. Dryness can result in cracked open skin. The American Diabetes Association ( recommends applying a thin coat of petroleum jelly or unscented hand cream on your feet after bathing to seal in moisture. Other tips they recommend: don’t put oil or cream between your toes (extra moisture can cause infection) and don’t soak your feet, which can backfire and cause dry skin.
  • Wear the correct shoes. Poor fitting and poor quality shoes can cause or exacerbate diabetic foot ulcers. We’ve already discussed the dangers associated with developing blisters, calluses or bunions. We recommend shoes that are specifically designed to address diabetic foot care.


Preventative care is key. But sometimes no matter how careful you are, stuff happens, and you or your doctor will find that you have a wound. Hopefully, your foot care routine will allow you to detect your injury early on. Consistent and frequent medical exams will provide early detection, which will have a profound impact on your quality of life.


If you develop a foot injury, your concerns shift to infection prevention. And if you are diagnosed with a foot ulcer, your doctor will help you best treat it to heal quickly and to prevent the possible recurrence. What care should you take to speed up your recovery if you’re afflicted with a foot ulcer?

  • Keep pressure off your foot to allow it to heal.
  • Never walk barefoot.
  • Keep your wound area clean and covered with a saline dressing (or dressed as advised by your doctor).
  • Always wear the right shoes to prevent a healing or a healed ulcer from returning. Once healed, scarred skin is sensitive and must be treated with care to prevent a recurrence.
  • A suggestion of the proper footwear and inserts to help prevent ulcerations:


Let this video explain what a therapeutic design or construction is all about dealing with footwear. Therapeutic/Orthotic consider an extra depth construction.

We are a therapeutic line, and the explanation between a conventional comfort line and our’s found in the video below

Now let’s talk, in more detail, about the ten reasons what makes Therapeutic footwear so much superior to a Comfort Shoe:

1) The strongest mid-support in the shoe business. No bilateral movement view the video above for illustrations and a midsection depth that gives you support and the maximum room in the footwear world. One of many reasons why therapeutic is considered extra depth

2) The strongest heel counter in the business that helps create no bi-lateral movement and the tallest heel counter in the footwear world. A reason whey therapeutic footwear considered extra depth

3) A taller toe box to create more wiggle room and space for your toes a reason why considered an extra depth footwear

4)Extended bottoms to give you the fullest width and support than any other shoe line anywhere

5) A lightweight shoe for less wear and tear on your feet but with all that great added support

6) all removable arch support to put a more advanced support system or a customized inserts

7) Women’s styles having a 3 to 1 combination last for better fit and support for your heel

8) Fuller forefront in the construction of the footwear to create more comfort and room for that maximum support and comfort and a reason why considered extra depth footwear

9) Deeper heel counter to build more balance and support to the heel section of the foot and other reason why consider an extra depth footwear

10) Leather lining that creates more flexibility and breathability to the foot

We have 4A (Slender width for Ladies) 2A (Narrow width for Ladies), B ( Medium width for Ladies and Narrow width for Men), D (Medium width for Men and Wide width for Ladies), 2E, 3E, 4E, 5E, 6E, 7E, 9E, 10E, 14E widths in Men’s and Ladies styles

We carry up to 20 in Men’s styles, and 15 in Ladies dealing in lengths

We have 5 to 6 lengths, in selected styles for Men and 4 to 5 in Women’s length

Some additional information and explanation of this type of footwear for all the Ladies out there:


We have all those wide widths that are needed but with our 32 new styles of women’s footwear that we will be offering a 4A (Slender) 2A (Narrow) B (Medium) D (Wide) 3E Extra Wide) 5E Extra Extra Wide, 7E Full Extra Wide 10E Extra Full Wide, 14E (Superior Extra Wide Width) widths for you ladies- that is unheard that is offered by one website.

Why having this 3 to 1 combination last is so important in creating that perfect fit for all our ladies. What does 3 to 1 combination mean? The heel counter is 3 times narrow than the ball width of the shoe. Okay, big deal? Well, this is a critical factor because a women heel structure is a great deal narrow than a Men’s and if we made all our Ladies footwear as the same last of a Men’s style- the ladies heels would slipping all day long or have a terrible fit!

Having these 1 to 3 Customized Heat Moldable Inserts ( that is Free and remember that the shoe has to have a removable footbed for these inserts to work. Not all AA widths have this, but we’ll state, on our descriptions if you can receive 1 to 3 pair of these inserts FREE- up to a $240.00 value) will make that perfect fit, comfort and support experience out of this world — especially for those NARROW FEET!.

If you know someone (Ladies) that needs sandals, casual footwear, athletic footwear in a 4A (slender width) or AA (Narrow) width- let them know we have then and a great selection as well.

All new Slender (4A) and Narrow (AA) widths for ladies- look out we will have a ton for you to choose. New Dress Boots, up to 14 inches in shaft height, for women, Dress boots and new dress styles for Men as well. All Weather Footwear and Boots for both Men and Women. Some new dressy footwear for Men and women.

All our new and old styles are therapeutic/comfort that has the best fit and support in the shoe world.

It’s nice being called the “King Of Widths”, again 4A to 14E widths, on the internet, and all found at


Thank you,

Ron Heinlein | President/Founder | Cell # 909–215–1622

Designer Therapeutic Footwear Co.

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