Surat Diabetic Foot and Ulcers Clinic

Fungal infections in the feet are more than just a cosmetic concern, especially for people with diabetes. Poor circulation and compromised immunity increase the risk of persistent foot infections, which, if left untreated, can lead to serious complications. Understanding the fungal infection symptoms, different types, and treatment options is essential for proper care and prevention. Let’s explore the various foot fungal infection types, how to identify them, and the best foot fungal infection treatment available, particularly for diabetic individuals. What is Foot Fungus? Foot fungus refers to any fungal infection that affects the skin, toenails, or spaces between the toes. These infections are caused by fungi such as dermatophytes or yeasts, which thrive in warm, moist environments like sweaty socks or tight shoes. People with diabetes are especially at risk, as they often experience slower healing, reduced sensation, and poor blood flow in the feet. That’s why timely foot therapy f...

  The Challenge of Diabetic Foot Wounds Managing foot ulcers and diabetes is one of the most complex challenges in diabetic care. People with diabetes are at increased risk of developing chronic wounds on the feet due to poor blood circulation, nerve damage, and a compromised immune system. These diabetic wounds can worsen rapidly, often leading to infection, tissue death, and in severe cases, amputation. When traditional diabetic wound treatment methods fail to restore healthy tissue, free flap surgery offers a powerful reconstructive solution to salvage the limb and restore function. What Is Free Flap Surgery? Free flap surgery is an advanced microsurgical technique used to repair large or complex wounds. In this procedure, a section of healthy skin, muscle, or tissue along with its blood vessels is transferred from one part of the body to another. The free flap procedure is particularly useful in covering deep wounds that expose tendons, bones, or joints,...

  Neurosensory examination is a cornerstone in the diagnosis and management of diabetic neuropathy , one of the most common yet under-recognised complications of diabetes. This condition affects up to 50% of long-standing diabetics and is a major contributor to foot ulcers, infections, and lower limb amputations . A structured neurological assessment is essential to detect early sensory changes, assess the severity of nerve involvement, and implement timely interventions. The purpose of neurological assessment is not only to detect the presence of neuropathy but also to guide treatment, prevent complications, and monitor disease progression. Using multiple neurosensory testing levels , from basic bedside tools to advanced diagnostic techniques, clinicians can identify sensory loss early and improve patient outcomes.   Types of Diabetic Neuropathy Diabetic neuropathy is a heterogeneous condition and includes several types: Peripheral Neuropathy (distal symmetric polyneuropa...

  What is Gastrosoleus Tightening? The gastrosoleus complex is made up of the gastrocnemius and soleus muscles, which play a pivotal role in ankle movement and gait. When these muscles become tight or contracted, they limit the upward bending of the foot (dorsiflexion). This tightening can lead to compensatory walking patterns and pressure redistribution in the foot, both of which can result in complications, especially for diabetic patients. Causes of Gastrosoleus Tightening in Diabetic Patients In people with diabetes, prolonged hyperglycemia can lead to glycosylation of connective tissues, causing stiffness in muscles and tendons. Limited joint mobility syndrome, a common diabetic complication, affects both large and small joints, including the ankle. Neuropathy, motor dysfunction, and immobility due to a sedentary lifestyle or foot deformities can also lead to adaptive shortening of the gastrosoleus complex. Symptoms and Clinical Signs Difficulty squattin...

  Introduction:  Foot pain is a common complaint among diabetic patients, often affecting mobility and quality of life. One of the most frequent causes is plantar fasciitis , an inflammation of the thick band of tissue (plantar fascia) that runs across the bottom of the foot. While this condition can affect anyone, it tends to be more common and complex in people with diabetes. What is Plantar Fasciitis? Plantar fasciitis causes sharp pain in the heel , especially noticeable when taking the first steps in the morning or after long periods of rest. The condition arises due to overstressing or inflammation of the plantar fascia. Common causes include: Overuse or prolonged standing Improper footwear Obesity Tight calf muscles In diabetic individuals, several additional factors contribute to its occurrence and severity. Why is Plantar Fasciitis More Common in Diabetics? People with diabetes are more prone to plantar fasciitis for several reasons: Glycation of Collagen : High blood...