Injury to the foot of a diabetic is the number one cause for amputation to occur and it is 15 times more likely for a diabetic patient to undergo an amputation then a non diabetic. The leading causes of foot disease associated with diabetes include ischemia, infection and sensory neuropathy. read more It is not uncommon for patients to have both peripheral neuropathy and vascular disease, and as a result any ulceration may not be painful Local infection can result in cellulitis , deep abscess formation, and gangrene. Systemic infection ( sepsis ) can also result The sensitivity and specificity of noninvasive vascular tests are a matter of some controversy. Commonly accepted abnormal values for transcutaneous oxygen measurement, ABI determinations and toe systolic pressure are given in Table 2 The noninvasive tests have been faulted for underestimating the severity of arterial insufficiency. 18 If lower extremity ischemia is strongly suspected, arteriography or some other imaging study should be performed to confirm or rule out ischemia. Proper control of concomitant hypertension or hyperlipidemia can help to reduce the risk of peripheral arterial occlusive disease. Smoking cessation is essential for preventing the progression of occlusive disease. Sensory and Autonomic Neuropathy Nylon monofilament test. There is a risk of ulcer formation if the patient is unable to feel the monofilament when it is pressed against the foot with just enough pressure to bend the filament. The patient is asked to say “yes” each time he or she feels the filament. Failure to feel the filament at four of 10 sites is 97 percent sensitive and 83 percent specific for identifying loss of protective sensation. Structural Deformity and Limited Joint Mobility The patient may perform most of their regular tasks immediately, however they are advised to decrease their normal level of activity over the first 48 hours. Postoperative discomfort is minimal. Go for a walk together. It is a well researched fact that walking for 30 minutes five days per week can dramatically decrease the chances of a diabetic foot amputation. We know that when a diabetic goes for walks, the blood flow to the feet and legs improves, the immune system begins to become stronger, and the blood sugar becomes better controlled. It will also give you a good chance to spend some quality time together. Do you have diabetes ? If this is the case, then you may have sore feet because of a common diabetic nerve problem called as the peripheral neuropathy. Healing time depends on a variety of factors, such as wound size and location, pressure on the wound from walking or standing, swelling, circulation, blood glucose levels, wound care, and what is being applied to the wound. Good health is just common sense, avoid the risks associated with tobacco and alcohol. Regularly check your cholesterol and glucose levels. Wear appropriate shoes and socks and always consult your physician for advice and answers. Foot ulcers develop by pressure, nerve damage, or poor circulation.Tear or puncture the skin is injured by this.Kidney an vascular disease.The sensation loosing problem occurs in the particular area.