How Podiatry can help the feet of diabetics

By Podiatrist Sagara Palliyage
Approximately 2.5 million people in the UK suffer from diabetes according to Diabetes UK.  By 2025, it is estimated that this number will exceed four million.

PodiatrySagara1134Foot problems are a big risk in diabetics – the most severe problems can lead to amputation – so this is where the expertise of a podiatrist plays an important role.

Foot problems for diabetes sufferers are usually the result of three primary factors: neuropathy, poor circulation, and decreased resistance to infection.

Peripheral neuropathy

Patients, who suffer from neuropathy, find it increasingly difficult to distinguish between hot and cold and dull and sharp, as well as the ability to feel pain and pressure. This could lead to potentially dangerous and undetected injuries for a diabetic. The risks of developing ulcers and infections are significantly increased.

Poor circulation

Poor circulation inhibits the body’s ability to allow adequate blood flow to extremities. Blood carries the necessary oxygen and nutrients necessary to aid in the body’s healing processes as well as keeping those body parts active and healthy.

Decreased resistance to infection

Poor circulation to the feet and legs slow down the healing process when injured. When your wound is not healing, it’s at risk of infection. As a diabetic your infections spread quickly and greatly increase the risks to contract gangrene.

Most of these problems are preventable through proper care and regular visits to your podiatrist. Proactive screening, regular assessment and education are effective measures to detect and help to prevent early foot problems.

At the Waldegrave Clinic, our podiatrists are specialist at helping Diabetes patients and offer:


Blood supply will be checked by looking at the colour of your skin, checking the pulses in the feet and by asking questions about certain kinds of pains in your feet and legs. Sensation will most commonly be checked with a monofilament and tuning fork. We also do a simple test to check the level of feeling in the foot.

Management strategies
  • Once the level of risk for foot injury or ulceration has been determined appropriate management schemes including footwear recommendations or education referral to specialist care will be advised.
  • High quality clinical care is provided in conjunction with routine care for those patients deemed at high risk.
  • Provide intensive one to one education for the patient in all aspects of foot health.
  • Update all other health professionals (Your GP, District Nurse) and carers on foot health advice.

If you are Diabetic and are worried about your feet, please book a ‘Diabetic Foot Check’ with one of our podiatrists.

Telephone reception on 0208 943 2424 to book a Podiatrist appointment.

Sagara Palliyage Podiatrist Waldegrave Clinic

Sagara Palliyage Podiatrist Waldegrave Clinic

Related Posts

Meet the Chiropractor – Ben Jones

What led you to become a chiropractor? Growing up I often attended the local chiropractor when my father had back pain. I was amazed at how he was able to help people in pain and instantly fell in love with the profession. Unfortunately, I had my own experience of...

read more

Meet the Massage Therapist – Joanne Grinbergs

What led you into wanting to become a massage therapist? I worked for a long time at The Body Shop: for a few years I was the Community Projects Coordinator and Company Trainer.  I set up various projects in and around London for the staff to volunteer at. One of them...

read more

Covid Lockdown Update – we remain open

UPDATE 4th January 2021 We are open The Waldegrave Clinic are classified as medical services.  We therefore remain open (except for massage and Pilates) and look forward to welcoming you at the clinic as usual despite the new lockdown restrictions. Keeping our...

read more

How To Book

If you’re ready to book just click below to book online easily, or if you have any questions prior to booking we can be reached on 020 8943 2424 from 8am – 7:30pm Weekdays & 8am – 1:30pm on Saturdays.

Quality Assured.

The Waldegrave Clinic has been awarded the coveted Patient Partnership Quality Mark AND Clinical Management Quality Mark in recognition of our superb clinical standards.

Our practice is one of the few clinics nationally that has been awarded both the Patient Partnership Quality Mark and a research status award in recognition of our superb clinical standards. Our high level of expertise is matched with an excellent range of facilities including Shockwave therapy, rehabilitation gym and private changing rooms.