The document is about Dr. Jayesh Kakar's Save Legs Clinic, which aims to prevent amputation and rehabilitate patients through thorough clinical and radiological evaluation. The clinic specializes in treating lower limb disorders like infections, ulcers, and gangrene common in diabetics. It provides customized footwear, medical stockings, and other orthotic aids, as well as podiatry treatments and surgically modifying feet to prevent recurrent ulceration and limb loss.

1. DR JAYESH KAKAR
Consultant Diabetic Foot &
Peripheral Vascular Surgeon
SAVE LEGS CLINIC
TEL : 9966668283
www.savelegs.com
Hon Consultant : Mumbai Hon Consultant : Hyderabad
Breach Candy Hospital Global Hospitals,
BSES MG Hospital Mahavir Hospital

2. WHY THE NAME ?
SAVELEGS.COM

3. AIMS :
After a thorough Clinical, Radiological
& Orthotic Evaluation of patients, we
aim to achieve the BEST in
•LEG CONSERVATION
•AMPUTATION PREVENTION
•REHABILITATION OF PATIENTS
SAVELEGS.COM

4. THE CLINIC IS DEDICATED TO THE
PREVENTION & TREATMENT OF
LOWER LIMB DISORDERS
TREATMENT
INVESTIGATIONS
PREVENTIVE CARE & REHABILITATION
FOOT AIDS like CUSTOMIZED FOOTWEAR, MEDICAL
COMPRESSION STOCKINGS, INSOLES and other
STOCKINGS INSOLES,
PODIATRIC AIDS
Are available for the FIRST time under one ROOF, for
,
MAXIMUM CARE & CONVENIENCE OF PATIENTS.
SAVELEGS.COM

5. EVEN THOUGH WE TREAT MOST FOOT & LEG
PROBLEMS
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
OR INCURABLE
SAVELEGS.COM

6. PODIATRY ( TREATMENT OF FOOT
DISORDERS )
SURGICALLY : FOOT MODIFICATION
USE OF ORTHOTICS
SAVELEGS.COM

7. ORTHOTICS
THE USE OF SPECIFIC DEVICES,
CUSTOM MADE TO
TREAT/PREVENT VARIOUS
PROBLEMS ATTRIBUTABLE TO
THE FOOT
FOOT.
SAVELEGS.COM

8. Common L & F t Problems
C Leg Foot P bl
SAVELEGS.COM

9. DIABETES STATISTICS
•6% of Global Mortality
•Every 10 Seconds a person dies of Diabetes Related Mortality
•Every 10 Seconds 2 People develop Diabetes
y p p
•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
40
Problems
SAVELEGS.COM

10. Diabetic foot
15% of diabetics experience serious foot
p
problems.
They are the leading cause of hospitalizations
y g p
for these patients.
DIABETES IS THE LEADING CAUSE OF
NON TRAUMATIC LOWER LIMB
AMPUTATIONS – 50-70%
SAVELEGS.COM

11. 2006 FIGURES
SAVELEGS.COM

12. SAVELEGS.COM

13. DIABETIC FOOT
THIS TERM WOULD NORMALLY EVOKE ONE OF THE
FOLLOWING PICTURES :
LEADING
TO THIS
SAVELEGS.COM

14. IGNORANCE IS BLISS
SAVELEGS.COM

15. Diabetes & Foot Check Up
NEUROTHESIOMETER C-W
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.
1997;20(7):1183-1197. SAVELEGS.COM

16. DIAGNOSIS
•BURNING/TENDERNESS/NUMBNESS IN THE FEET
•LOSS OF BALANCE
•SHARP PAINS OR CRAMPS
•FEELING OF ‘SOMETHING’ UNDER THE FOOT
SAVELEGS.COM

17. COMMON FOOT PROBLEMS IN DIABETICS
•Infection
•Pus formation
•Ulcerations
•Gangrene
i the feet of
in h f f
long standing diabetics.
Ulcer- Common SIGHT & Site in Diabetic
Patients
SAVELEGS.COM

18. Gangrene
Toe Gangrene Heel Gangrene
SAVELEGS.COM

19. Varicose Veins
Tender soft knots or winding veins in the calf
or leg that are worse after standing for long
periods
periods.
May also present as aching
& swollen legs at the end
of the day.
SAVELEGS.COM

20. TREATMENT
SURGERY
MOST PATIENTS WITHOUT COMPLICATIONS CAN
BE MANAGED AS DAYCARE OR SHORT TERM(1-2
DAYS) STAY CASES
LASER TREATMENT
SAVELEGS.COM

21. 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.
SAVELEGS.COM

22. WHO GETS VENOUS PROBLEMS ?
1. HEREDITARY – 50%
2. PEOPLE STANDING/SITTING AT WORK FOR LONG
PERIODS e.g. TEACHERS, NURSES, POLICEMEN, BUS
CONDUCTORS etc.
WHAT WORSENS IT ?
1. SMOKING
2. OVERWEIGHT
SAVELEGS.COM

23. COMMON SYMPTOMS OF VENOUS
PROBLEMS
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.
5.Cramps.
6.Restless/Tired
6 Restless/Tired legs
SAVELEGS.COM

24. COMPLICATIONS OF VENOUS
DISORDERS
•HAEMORRHAGE (Bleeding)
•THROMBOPHLEBITIS
SAVELEGS.COM

25. SKIN C
S CHANGES : - Darkening of the Skin due to
G S g
PIGMENTATION
•VENOUS ULCERS
VENOUS
SAVELEGS.COM

26. Peripheral Vascular Disease Arterial
Problems
Pain i th l
P i in the legs on
walking (relieved by
g( y
rest)
SAVELEGS.COM

27. 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
SAVELEGS.COM

28. Heel Spur
Presents as a sharp pain in the centre of the
heel,
heel worse in the morning and begins to
lessen as you begin to walk.
SAVELEGS.COM

29. INGROWN TOE NAIL
A toenail which appears to be
toenail,
abnormally shaped and
repeatedly keeps getting
i f t d and discharging pus or
infected d di h i
a watery discharge tinged with
blood.
CORNS & CALLOSITIES
Thickened and painful areas of skin.
SAVELEGS.COM

30. FOOT DEFORMITIES
SAVELEGS.COM

31. DEFORMED FOOT DUE TO
DIABETES
SAVELEGS.COM

32. BUNION Outward deviation Of
the Great Toe
HAMMER TOES
SAVELEGS.COM

33. BUNIONS &
ULCERS > 5YRS
IN A DIABETIC
4 MONTHS
AFTER
SURGERY
SAVELEGS.COM

34. FOOT ULCER 20 YRS 3 MONTHS AFTER
DURATION TREATMENT
SAVELEGS.COM

35. HEEL ULCER WITH 4 MONTHS AFTER
PVD WITH SURGERY & WOUND CARE
DIABETES > 6-7 YRS
SAVELEGS.COM

36. CVI WITH CELLULITIS
WITH ULCERATION
5 MONTHS AFTER
SURGERY
SAVELEGS.COM

37. LARGE VENOUS ULCER > 5
YRS
4 MONTHS AFTER SURGERY
SAVELEGS.COM

38. MANAGEMENT
• CUSTOMIZED FOOTAIDS (ORTHOTICS)
• FOOT MODIFICATION TO PREVENT
RECURRENT ULCERATION
C C A O
SAVELEGS.COM

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40. Ischemic ulceration
Hair loss
Pallor/Cyanosis/Rubor
P ll /C i /R b
Muscle atrophy
p y
Smooth, shiny skin, ed skin
temperature
t t
Edema
SAVELEGS.COM

41. VASCULAR BYPASS
SURGERY
SAVELEGS.COM

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47. OTHER MODALITIES
HBO
PROSTAGLANDINS
MAGGOT THERAPY
HONEY
ULTRASOUND ETC
HAVE NO WELL DEFINED ROLE BUT MAY BE USED IN
SELECTED/RESISTANT CASES AT THE DISCRETION OF
THE TREATING PHYSICIAN
SAVELEGS.COM

48. SAVELEGS.COM