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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Foot, Swollen Toe In Foot, Redness, Pain On Walking. Due To Diabetes?

I am a 59 yr old diabetic. I have foot pain and most recently a swollen 2nd toe on my left foot. Surrounding tissue is often swollen and slightly red. My foot dooctor is treating as bacterial infection , but I think it has more to do with neuropathy . The toe is twice it s size and the more I walk on it the more it hurts. What are your thoughts?
Mon, 18 Feb 2013
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General & Family Physician,  's  Response
Hello,
You seem to have developed diabetic foot due to uncontrolled diabetes.People with diabetes are at increased risk of peripheral vascular disease and neuropathy, as well as having a higher risk of developing infections .

Your infection  can be either superficial limited to soft tissue or it can be a deep seated infection of bone called as osteomyelitis.

Goals of treatment.
Aggressive control of diabetes.
Correction of hypertension.
Cessation of tobacco and smoking.
Appropriate antibiotics 
Getting an MRI done to look for osteomyelitis.
Assessment of peripheral vascular disease  by a vascular surgeon of to determine the need for angioplasty or stenting .

Consult a diabetologist at a super speciality hospital  where a foot care team can assess and treat you properly,since management of diabetic foot requires multidisciplinary approach.
Thanks
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General & Family Physician,  Dr. Ramesh M.Vachharajani's  Response
Hi,
Welcome to HCM,
As you are diabetic, chance of having Diabetic foot is there.
So do not take it lightly and consult diabetic foot expert and evaluate your case.
Afterwards go for the treatment accordingly and rtemain with regular follow up.
Ok and bye.
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Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
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Pain In Foot, Swollen Toe In Foot, Redness, Pain On Walking. Due To Diabetes?

Hello, You seem to have developed diabetic foot due to uncontrolled diabetes.People with diabetes are at increased risk of peripheral vascular disease and neuropathy, as well as having a higher risk of developing infections . Your infection  can be either superficial limited to soft tissue or it can be a deep seated infection of bone called as osteomyelitis. Goals of treatment. Aggressive control of diabetes. Correction of hypertension. Cessation of tobacco and smoking. Appropriate antibiotics  Getting an MRI done to look for osteomyelitis. Assessment of peripheral vascular disease  by a vascular surgeon of to determine the need for angioplasty or stenting . Consult a diabetologist at a super speciality hospital  where a foot care team can assess and treat you properly,since management of diabetic foot requires multidisciplinary approach. Thanks