Diabetic Foot Care & Screening

Diabetes can affect the feet in several ways. Over time, it may reduce sensation through nerve changes known as peripheral neuropathy or affect the circulation supplying the feet. This can make it harder to notice a minor injury and may also slow the healing process. Regular podiatry assessments can identify changes early, support good foot health and help prevent avoidable complications.

A diabetic foot assessment includes a careful examination of the skin, nails, foot shape and any areas of pressure. Neurological tests are used to check sensation and identify signs of nerve damage. Circulation is also assessed by examining the pulses and blood supply to the feet. Where appropriate, a handheld ultrasound Doppler may be used to listen to and evaluate blood flow in the arteries. Together, these checks help the podiatrist understand your individual level of risk and recommend suitable monitoring, treatment or onward referral.

Preventative care is a key part of diabetic foot management. We can provide advice on daily foot checks, skin and nail care, appropriate footwear and ways to reduce pressure or friction. Problems such as callus, corns, thickened nails or changes in foot shape can also be managed before they contribute to skin damage.

If a wound or ulcer is present, treatment focuses on more than simply closing the wound. Care may include cleaning and monitoring the area, removing callus or unhealthy tissue where appropriate, selecting suitable dressings and relieving pressure from the affected site. Footwear, insoles, padding or specialist pressure-relieving devices may be recommended to support healing.

Just as importantly, the podiatrist will consider why the wound developed and address the contributing factors. This may involve improving pressure distribution, reviewing footwear, arranging regular follow-up and providing practical guidance to reduce the risk of the wound returning. If there are concerns about circulation, infection or another aspect of your health, you will be guided towards the appropriate further treatment or specialist service.

If you have diabetes and are concerned about your feet, please get in touch to arrange an assessment. Seek prompt professional advice if you notice a new wound, blister, unexplained redness, swelling, warmth, discharge or a change in colour. Early assessment can provide reassurance and help keep your feet healthy, comfortable and protected.