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Doctor Trimmed Callus - Infection
This is a question and answer that we felt was worth sharing. Question: I
am age 67 and have been a diabetic since the age of 50. Insulin
dependent for the last 5 yrs. My feet often have hard calluses on them
which I have had trimmed by a podiatrist. Unfortunately, this has led
to severe infection and have lost my big toe because of this. At the
moment I am again battling an infection. I am wondering what is the
alternative to trimming a callus. I understand Vitamin C is good for
healing. Do you have any info on this? I would be greatful for any
advice you could give me. Answer: Callus
build up on the foot is due to abnormal pressure and friction as you
stand and walk. It is important that the callus not get to thick or the
skin under the callus can break down and cause an ulceration. It is not
uncommon for me, when treating a diabetic patient with calluses on the
feet, to trim a callus and find an ulcer under the callus. If the
callus is not trimmed, then the infection can progress into the bone or
deep into the foot. Good nutrition and vitamin supplements will help
with healing but the most important issue is adequate blood flow. If
you have bad circulation ask your doctor about hyperbaric oxygen
treatment. You should also discuss with your doctor about obtaining a diabetic shoe and molded insole to protect your foot.
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