Condition
Diabetes and Systemic Diseases
Foot health can be severely impacted by systemic diseases such as diabetes, rheumatoid arthritis, Parkinson’s, multiple sclerosis, and fibromyalgia. Common complications which affect foot and lower limb health include:
- Impaired circulation
- Neuropathy (nerve damage)
- Pressure points due to joint deformity
- Reduced mobility due to problems with balance, muscle weakness, or pain.
These complications increase the risk of delayed healing and ulceration. Podiatrists have extensive knowledge about systemic diseases and the impact on people’s general health and foot health. At Feet and Motion we use diagnostic techniques, such as an ultrasound doppler, monofilament, and Neuropad testing, to assess vascular and neurological function and monitor foot health.
We can provide orthotics to address pressure points and reduce the risk of skin damage and ulceration. We can treat skin problems and help prevent serious infections such as cellulitis and ulceration. We can also offer prompt onward referral to NHS specialist urgent wound care if necessary.
Evidence Base
The NICE (National Institute for Health and Care Excellence) guidelines set out clear recommendations for preventing and managing diabetic foot problems. For you, this means regular, evidence-based foot care that lowers your risk of complications and helps you stay active.
Rheumatoid Arthritis
The NICE (National Institute for Health and Care Excellence) guidelines recommend all adults with Rheumatoid arthritis (RA) should have podiatric assessment and regular reviews.
As podiatrists we see first-hand the challenges RA can cause for well-being, foot health, and footwear, and the research supports this – you can read some of the research here (1, 2). Orthotics (insoles) can often provide much needed comfort and support.
1. Foot pain in rheumatoid arthritis prevalence, risk factors and management: an epidemiological study | Clinical Rheumatology
2. “I could cry, the amount of shoes I can’t get into”: A qualitative exploration of the factors that influence retail footwear selection in women with rheumatoid arthritis | Journal of Foot and Ankle Research
Parkinson’s and Stroke
Neurological conditions can have a huge impact on foot health. A study in the UK confirmed that 53% of the 218 patients interviewed presented problems in their feet, the most frequent being loss of sensitivity, weakness, limited movements in the feet/ankles and pain of feet.
A podiatrist can help you by advising on footwear and providing additional support where needed.
Fibromyalgia
This study discusses the impact of Fibromyalgia on foot health and the use of orthotics (insoles) to alleviate symptoms such as pain and fatigue when walking.