" Diabetic Foot "

 

Diabetes  Mellitus is a chronic disease that affects up to 6% of the population (higher in the older age groups).

• Type of Diabetes

Insulin is a hormone made by your pancreas acts like a key to let blood sugar into the cells in your body for use as energy. When diabetes is present, either the body produces less or no insulin (Type 1) or the body tissues are resistant to the effects of diabetes (Type 2). This results in higher levels of glucose in the blood, which can damage a whole range of body tissues and organs.

• The foot is especially affected by diabetes because:

Diabetes damages the nerves (damage can occur to the foot and not be detected because of lack of sensation) – this is called peripheral neuropathy.

-diabetes also affect the circulation. Poor circulation can affect the ability of the body to heal when damage occurs.

-those with diabetes are more prone to infection – the body’s processes that normally fight infection respond slower and often have trouble getting to infections due to the poor circulation.

• How Diabetes is the main cause of foot amputations ?

Charcot’s joints is another complication of diabetes in the foot, especially if peripheral neuropathy is present – the neuropathy cause a numbness (imagine spraining your ankle and not knowing you have done this. You will continue to walk on it – imagine the damage that this would do. This is what happens in a Charcot foot)

• Management

If you have diabetes, there are a lot of things you need to do to prevent the problems from developing in your feet:

1. Checking blood sugar levels

2. Wash your feet daily (use a mild soap and lukewarm water).

3. Inspect your foot daily (check sores, cuts, bruises, changes to the toenails; use a mirror to look under the foot if you can not see it).

5. Look after your feet (e.g. cut toenails often, do not try remove corns and calluses yourself, avoid walking barefoot

6. Fitting of footwear is very important. 

7. Wear an orthotic that offloads pressure on your feet.

8. See your doctor, at least annually.

• How Custom made insole can help the patient with diabetic foot

 Custom made insoles are designed to  give extra comfort  and relieve foot pain,  Indicated for diabetic patients with neuropathic foot, corns, callus and patient who are prone to get wounds on the plantar surface. 

Also It provides targeted offloading on the pressure sensitive areas or uniform weight bearing over the plantar surfaces.

                                                         

Diabetic Neuropathic Foot  Before 

Diabetic Neuropathic Foot after 

                            

What is Plantar Fasciitis?

 Plantar Fasciitis is an inflammation caused by excessive stretching of the plantar fascia.

The plantar fascia is a broad band of fibrous tissue which runs along the bottom surface of the foot, attaching at the bottom of the heel bone and extending to the forefoot. When the plantar fascia is excessively stretched, this can cause plantar fasciitis, which can also lead to heel pain, arch pain, and heel spurs.

Causes

Plantar Fasciitis often leads to heel pain, heel spurs, and/or arch pain. The excessive stretching of the plantar fascia that leads to the inflammation and discomfort can be caused by the following:

- Over-pronation (flat feet) which results in the arch collapsing upon weight bearing

- A foot with an unusually high arch

- A sudden increase in physical activity

- Excessive weight on the foot, usually attributed to obesity or pregnancy

- Improperly fitting footwear

- Over-pronation (flat feet) is the leading cause of plantar fasciitis. 

Solutions

A good custom made insoles with flexible arch support and rearfoot posting is an effective device to reduce the over-pronation and allow the condition to heal.

WHAT IS THE BEST INSOLE FOR PLANTAR FASCIITIS:

THE 4 FEATURES A PLANTAR FASCIITIS INSOLE MUST HAVE TO BE EFFECTIVE

1. CUSTOM MADE ARCH SUPPORT

Custom made Arch support is important for any plantar fasciitis insole as it lessens the foot pain that you feel when walking and standing for long periods. Arch support provides stability, helps you maintain balance, and distributes pressure across your feet. 

2. SHOCK ABSORPTION 

One of the best features of a plantar fasciitis insole is shock absorption. A good insole is designed to minimize the amount of stress you put on your plantar fascia and joints. 

3. PROPERLY ALIGNED HEEL CUSHION

The soft cushioning of an insole is one of the factors that determine the level of comfort and support that is provided. 

4. FIT YOUR SHOE CORRECTLY

You should always make sure the insoles you purchase fit your shoes correctly. Your heels should not slip, and the insole should fit comfortably.

Contact Info:

Visit us: https://artalive.com.my/

No 16, Persiaran 65C, Pekeliling Business Centre, Off Jalan Pahang Barat, 53000 Kuala Lumpur, Malaysia 

E-Mail: info@artalive.com.my

Contact: +60 3-4032 4273

Author: Krishna Biswal

Prosthetics specialized Services in malaysia

Building the ideal prosthetic takes difficult work. Proper limb care and skincare are fundamental to your health and versatility. To abstain from growing discomfort, scraped spots, caught sweat, bacterial and contagious diseases, here are a few hints on the most proficient method to take care of your extremity and skin. These tips help forestall or stay away from any further harm.

Instructions to take care of your artificial limb:

• Your limb will, in general, grow in steaming hot water as it hangs when you sit or remain in the shower. It will make it hard to put on your prosthetic. That is why cleaning up around evening time will assist with abstaining from growing by raising the limb.

• If you have a prosthetic which is set underneath the knee? It is indispensable never to rest or sit with a pad under the knee. It will prompt a failure to fix the knee.

•  For an artificial limb put over the knee, it is significant not to lay down with it. When the stem is lying on a cushion, this promotes hip flexion or powerlessness to fix the hip. The ideal path is to put a pillow between your legs. It will assist with extending the inward thigh muscle and abbreviate the external thigh muscle so you can remain with your feet apart when you walk.

Numerous individuals and assets are promptly accessible to assist with your certified prosthetist limb and change it for ideal comfort. These experts can address any inquiries to give you tips on the most proficient method to make things more comfortable for your circumstance. On the off chance that you have a prosthetic limb, don't live in discomfort get an expert's exhortation on how you can accomplish the ideal fit.You can also get in touch with them online to save time.Online procedure is a fast and effective way to get in touch with experts in your local area.

The procedure is utilized the missing teeth, delicate tissues or, now and again, every one of the teeth. It is accomplished through artificial strategy. Orthotics Malaysia likewise helps in supplanting the harmed teeth with crowns. It implies that the procedure helps in replacing that part of teeth that is noticeable. So let us presently find out about the process and different arrangements related to it.

Anorthotics and prosthetics device is an artificial augmentation that replaces a missing body part because of injury, missing from birth to help supplement defective parts. Leap forwards and current engineered materials have helped provide more alternatives for those missing limbs than ever. There are a few groups who compete and finish well in the Iron Man series of marathon dashing!

The medication continues to progress, and there are more choices than ever before for those requiring artificial limbs and treatments to help diminish the need to amputate. However, developing interest for further developed and explicit prosthetic devices and the business continues to advance and change as our requirements grow as the years progressed.

Contact Info:

Visit us: https://artalive.com.my/

No 16, Persiaran 65C, Pekeliling Business Centre, Off Jalan Pahang Barat, 53000 Kuala Lumpur, Malaysia

E-Mail: info@artalive.com.my

Contact: +60 3-4032 4273

Author: Sudarsan Swain

Ankle Foot Orthosis

 What Is AFO?

An ankle-foot orthosis, or AFO, is support intended to control the position and motion of the ankle, compensate for weakness, or correct deformities. AFOs can be used to support weak limbs or to position a limb with contracted muscles into a more normal position. In addition, AFOs are used to control foot drops caused by a variety of neurologic and musculoskeletal disorders.

Who will Wear AFO

In Case of Child Having

Cerebral palsy,

Valgus and Varus deformity of the foot,

Foot drop

 Flexible contracture of the ankle,

CTEV and TA tightness etc.

Incase of Adult Having complications like

Stroke, Spinal cord injury, Poliomyelitis, Brain Injury, Hemiplegia, also diabetes, Weakness of knee muscles.

Types of AFO

Child/Paediatric AFO and Adult AFO

In case of child / Paediatric use   

 A solid ankle AFO, Dynamic/Hinged/Articulated AFO, Ground Reaction AFO,3D Printed AFO

In case of Adult

Solid Ankle AFO, Posterior Leaf Spring AFO, Cabon Fibre AFO, Ground Reaction AFO& 3d Printed AFO

Benefits of AFO

The goal of AFO use is to stabilize the foot and ankle and provide toe clearance during the swing phase of gait. 

Provide 3 point forces so that Correct the deformity,

Maintain the Deformity so that it can not increase further,

Maintain physiological gait,

Prevent excessive movement so that it can prevent deformity

Maintain the centre of gravity in position so that balance would be maintained.

In case of diabetes protect the foot so no further wound

In case of trauma maintain the muscle tone so that it can prevent further toughness/contracture

Helps in foot drop, AFO helps decrease the risk of catching the toe and falling.

Contact Info:

Visit us: https://artalive.com.my/

No 16, Persiaran 65C, Pekeliling Business Centre, Off Jalan Pahang Barat, 53000 Kuala Lumpur, Malaysia

E-Mail: info@artalive.com.my

Contact: +60 3-4032 4273

Author: Sudarsan Swain