After a thorough Clinical, Radiological
& Orthotic Evaluation of patients, we
aim to achieve the BEST in
•REHABILITATION OF PATIENTS
THE CLINIC IS DEDICATED TO THE
PREVENTION & TREATMENT OF
LOWER LIMB DISORDERS
PREVENTIVE CARE & REHABILITATION
FOOT AIDS like CUSTOMIZED FOOTWEAR, MEDICAL
COMPRESSION STOCKINGS, INSOLES and other
Are available for the FIRST time under one ROOF, for
MAXIMUM CARE & CONVENIENCE OF PATIENTS.
EVEN THOUGH WE TREAT MOST FOOT & LEG
THE FOCUS OF THIS PRESENTATION WILL BE ON
SOME OF THE COMMONEST PROBLEMS
PICTORIALS, GRAPHICS & TEXT
AIM IS TO SPREAD AWARENESS - WITH THE SCIENCE
OF LEG SALVAGE & PODIATRY, IT IS TODAY POSSIBLE
TO SAVE LIMBS & CURE LEG PROBLEMS THAT A FEW
YEARS BACK WERE CONSIDERED EITHER CHRONIC
PODIATRY ( TREATMENT OF FOOT
SURGICALLY : FOOT MODIFICATION
USE OF ORTHOTICS
THE USE OF SPECIFIC DEVICES,
CUSTOM MADE TO
PROBLEMS ATTRIBUTABLE TO
Common L & F t Problems
C Leg Foot P bl
•6% of Global Mortality
•Every 10 Seconds a person dies of Diabetes Related Mortality
•Every 10 Seconds 2 People develop Diabetes
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•Upto 25% of Family Income may go towards Diabetes care in
Low Income Indian Families
•India has the World’s LARGEST Diabetes population
•40 % of admissions of Diabetic Patients are due to FOOT
15% of diabetics experience serious foot
They are the leading cause of hospitalizations
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for these patients.
DIABETES IS THE LEADING CAUSE OF
NON TRAUMATIC LOWER LIMB
AMPUTATIONS – 50-70%
Diabetes & Foot Check Up
C W DOPPLER To Measure
To Detect Nerve Damage Blood Supply to the Feet
DIABETICS MUST GET THEIR FEET CHECKED
ONCE AN YEAR TO AVOID FOOT COMPLICATIONS
*Report of the The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care.
•BURNING/TENDERNESS/NUMBNESS IN THE FEET
•LOSS OF BALANCE
•SHARP PAINS OR CRAMPS
•FEELING OF ‘SOMETHING’ UNDER THE FOOT
COMMON FOOT PROBLEMS IN DIABETICS
i the feet of
in h f f
long standing diabetics.
Ulcer- Common SIGHT & Site in Diabetic
Toe Gangrene Heel Gangrene
Tender soft knots or winding veins in the calf
or leg that are worse after standing for long
May also present as aching
& swollen legs at the end
of the day.
MOST PATIENTS WITHOUT COMPLICATIONS CAN
BE MANAGED AS DAYCARE OR SHORT TERM(1-2
DAYS) STAY CASES
Chronic Venous Insufficiency
ECZEMA AND SKIN CHANGES
A form of eczema can occur in the calf, sometimes
over an area of varicosity. The skin is red and itchy.
Areas of the calf and around the ankle may develop a
b ow stain the s .
brown sta in t e skin.
WHO GETS VENOUS PROBLEMS ?
1. HEREDITARY – 50%
2. PEOPLE STANDING/SITTING AT WORK FOR LONG
PERIODS e.g. TEACHERS, NURSES, POLICEMEN, BUS
WHAT WORSENS IT ?
COMMON SYMPTOMS OF VENOUS
1.Heaviness or t
1H i tension i th l
i in the legs.
2.Swelling or Feeling of swelling ALL SYMPTOMS TEND
TO INCREASE IN THE
in the legs- especially around the EVENINGS OR AFTER
STANDING FOR LONG
ankles. PERIODS AND
DECREASE WITH LEG
3.Itching or tingling. ELEVATION
4.Burning Sensation in the legs.
6 Restless/Tired legs
COMPLICATIONS OF VENOUS
S CHANGES : - Darkening of the Skin due to
G S g
Peripheral Vascular Disease Arterial
Pain i th l
P i in the legs on
walking (relieved by
NON HEALING ULCERS IN THE LEG AND FEET
More common in diabetics, smokers, the obese or
people with a family history of atherosclerotic disease.
p p y y
Presents as a sharp pain in the centre of the
heel worse in the morning and begins to
lessen as you begin to walk.
INGROWN TOE NAIL
A toenail which appears to be
abnormally shaped and
repeatedly keeps getting
i f t d and discharging pus or
infected d di h i
a watery discharge tinged with
CORNS & CALLOSITIES
Thickened and painful areas of skin.
HAVE NO WELL DEFINED ROLE BUT MAY BE USED IN
SELECTED/RESISTANT CASES AT THE DISCRETION OF
THE TREATING PHYSICIAN