A Simple Way To Eliminate Wounds From the Tips of the Toes

Diabetic sores at the tips of the toes can seem like a relatively simple problem, but in truth they often lead to toe amputations or worse. These sores are the direct result of excessive pressure to the skin on the tip of the toe, pressure created by an abnormal position of the toe itself. Toes can become contracted for a number of different structural reasons, including tendon changes from flat feet, high arches, and injuries. These are known as hammertoes or mallet toes, and they are very common. Unfortunately, in this position, the pressure the toes endure from the ground is directed to the toe tip, and not the bottom pad of the toe where the pressure should be. The skin here is not well suited to this pressure, and as a result a corn will form as a protective measure. Made up of compressed skin cells, the corn will continue to thicken, and eventually the skin under the corn can become so damaged by the callus that it dies. Within this zone of death a wound forms, and essentially a hole develops under the skin. This hole gives bacteria a chance to enter the skin, and can lead to gangrene, bone infection, and possibly amputation.

These wounds are prevented by several techniques, including regular trimming of the corns, specialized padding under the toes, or padding over the corn itself. Unfortunately, these do not always allow for prevention of wounds, and treatment has to address the underlying problem of the contracted toe. While full correction requires reconstruction of the toe, which while relatively simple can have potential for complications, a simpler procedure is available for some people. Many times, the primary deforming force in the toe contracture is simply a tendon on the bottom of the toe contracting too tightly. By creating a simple incision on the bottom of the toe and releasing the tendon, the toe tip can straighten out and the pressure is released. This procedure is performed in an office, and requires only a stitch or two to repair the skin. It is an effective and safe procedure for most diabetics except for those with very poor circulation, and in many instances this five minute procedure can prevent amputations.

If you suffer from chronic sores of the toe tips, this may be a good option for you if your toe contracture is not too rigid.

Until next time,
Scott R. Kilberg DPM

www.inpodiatrygroup.com - foot doctor and podiatrist in Indianapolis
myachingfoot.blogspot.com - information on foot pain
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A foot doctor in Indianapolis Noblesville Fishers Carmel Westfield and Fortville Indiana.