Diabetic Foot Care
People living with diabetes are at increased risk for foot problems such as ulcers, infections, and nerve damage (neuropathy). Poor circulation and loss of sensation make it harder for wounds to heal and easier for minor injuries to turn into serious complications.
At The Medical Group of New Jersey, our podiatry team provides comprehensive diabetic foot care focused on early detection, infection prevention, and long-term limb preservation. We coordinate closely with endocrinology, wound care, and vascular specialists to keep patients healthy and mobile.
Symptom Onset & Initial Evaluation
Diabetic foot complications may begin silently, without pain or visible signs. Over time, patients may notice:
- Numbness, tingling, or burning sensations
- Slow-healing sores or ulcers
- Skin discoloration or callus formation
- Swelling or changes in foot shape
During your first visit at The Medical Group of New Jersey, your podiatrist will conduct a detailed exam that includes:
- Neuropathy testing (checking nerve function and sensation)
- Circulation assessment (using pulses or Doppler testing)
- Inspection for skin changes, ulcers, or infection
Diagnosis
Diagnosis is primarily clinical, based on physical findings and risk factors such as long-standing diabetes, high blood sugar, or vascular disease. Additional diagnostic tools may include:
- Vascular imaging (ABI or Doppler ultrasound) to assess blood flow
- X-rays or MRI if bone infection (osteomyelitis) or Charcot arthropathy is suspected
- Wound cultures to identify infection-causing bacteria
Treatment
Treatment focuses on infection control, wound healing, and pressure offloading.
Wound Management
- Debridement: Removal of dead tissue to promote healing
- Dressings and topical therapy: Moist wound healing and infection prevention
- Offloading devices: Boots, casts, or inserts that reduce pressure on ulcers
Infection Control
- Antibiotics (oral or IV) if an infection is present
- Vascular referral for patients with poor blood flow
Preventive Foot Care
- Routine podiatry visits for nail trimming and callus removal
- Daily self-exams for redness, blisters, or drainage
- Blood sugar control to promote tissue healing
Ongoing Management & Prevention
The key to preventing diabetic foot complications is consistent podiatric follow-up. At The Medical Group of New Jersey, patients receive ongoing monitoring and education to prevent recurrence.
Long-term prevention includes:
- Wearing properly fitted diabetic shoes or insoles
- Regular visits for nerve and vascular screening
- Avoid barefoot walking and daily moisturizing to prevent cracking
Early intervention and regular care at The Medical Group of New Jersey can reduce the risk of amputation, infection, and hospitalization, helping patients maintain independence and quality of life.