Diabetic Foot Care - Serving the Greater Pittsburgh Area

Who needs Diabetic Foot Care? 

Foot Doctor inspecting foot problems Moon twp, Beaver Podiatrist, Diabetic Foot Exam Cranberry Twp

Recommended Yearly Diabetic Foot Exam

The answer is, anyone with Diabetes should have a yearly diabetic foot exam to check for Diabetic Neuropathy and prevent foot infections. Diabetes is a serious metabolic disease in which the body does not produce or properly use insulin, which causes high blood glucose levels. This is toxic to the bodies smallest blood vessels- to the eyes, the kidneys, and to the nerves of the feet. That is why in addition to yearly diabetic foot exams, they should also have their eyes and kidneys tested!

It afflicts about 16 million Americans and can cause very serious long-term complications, including kidney damage, cardiovascular disease, nerve damage, eye damage, osteoporosis, and foot damage.

What to expect during a Diabetic Foot Exam 

Diabetic Foot Exam for Neuropathy Moon

Diabetic Foot Exam for Neuropathy Moon

Our main goal is to prevent foot infections leading to amputations; your Podiatrist will first ask  many questions about your blood sugar. Then she will visually inspect the skin of the foot for any open areas, cracks between the toes or on the heels, and the condition of your skin (too damp or too dry) Areas of redness and blisters are attended to. Different treatment protocols are recommended for each condition. Then Dr Teimouri will check your pulses in your feet to see if you have adequate blood supply to heal any wounds. Next the neurological exam uses a very specific thickness of nylon bristle to check the nerves in your foot and determine if protective sensation is intact. This determines if you have DIABETIC NEUROPATHY, which is serious , but can be managed by your podiatrist. Last she will check for any bony deformities that put you at risk for pressure sores that can open the skin and become infected.

Don’t endure diabetic foot pain call now 878-313-3338
Click Here to E-mail Dr. Christina Teimouri

 

 

There are several types of diabetes:

  • Type 1: Adults with this type of diabetes (sometimes know as insulin-dependent) cannot make their own insulin, so they must take it every day to live.
  • Type 2: People with this, the most common type of diabetes, may have to take insulin or pills so that their body can use insulin more effectively. Type 2 diabetes is connected to family history, age, and obesity, among other things.
  • Gestational diabetes: This type is experienced by women in the later stages of pregnancy. It usually disappears after a woman has given birth, but about 50 of women who experience gestational diabetes will then develop Type 2 diabetes in as few as five years.

Foot Damage in Diabetics

Diabetic Foot Exam, Cranberry Twp

Diabetic Foot Exam, Cranberry Twp

Because of reduced blood flow or nerve damage in the feet, individuals with diabetes are prone to many complications, including foot infections. If left untreated, these infections—some of which begin as just cuts or blisters—could lead to potentially serious consequences, including foot, toe or even leg amputation.

What are Diabetic Ulcers? 

Diabetic ulcers are sores that occur when pressure cuts off the blood supply to the skin. The stress that is produces by the body’s own weight, as well as the impact your feet repeatedly striking the ground to day-to-day activities place the ball of the foot, the big toe, and the heel at greater risk. If left untreated, an ulcer may allow infection to enter your body, which can put your limbs or even your life at risk. Fortunately, with the help of Beaver Valley Foot Clinic’s doctors, pressure ulcers can be controlled and even prevented.

Keep Your Feet Healthy Through Diabetes Management

The good news is that you can often manage your diabetes to prevent or minimize most diabetic foot problems, reducing the risk of limb loss. Since diabetes affects different parts of the body, most diabetics must see several medical specialists for proper disease management. Beaver Valley Foot Clinic’s doctors will work with you to develop an individualized, easy-to-follow plan to help keep your feet healthy.


Testimonials

 
I’m diabetic, and about four years ago, to improve my health, I started going to Zumba classes every other day. I was easily doing all the moves, including a lot of jumping, and feeling no pain; but, because I had diabetic neuropathy, I didn’t realize that I was also doing a lot of damage that I couldn’t even feel. In fact, the impact of those workouts was causing bones in my feet to break, and they were collecting in my arch areas. I didn’t even know there was a problem until I discovered lumps on the bottoms of my feet one day.

Soon, my legs and feet were swollen, so I went to my primary doctor, who, thinking I had blood clots, sent me to the ER. When no clots were detected, my primary doctor put me on water pills for the swelling, without any regard to the lumps on my feet! Worse yet, I was just getting ready to go on vacation, and ended up spending most of it lying in bed, as I was in excruciating pain.

Eventually, my left foot started bleeding; but it wasn’t until I went to see Dr. Tina that my condition was recognized as Charcot Foot. By then, my bones had formed a hard mass on the bottoms of my feet, which meant that I had been walking on bone, and, of course, the complications were only getting worse. In fact, as I discovered, the correct diagnosis came just in time, because, without the proper treatment, I could have lost my foot. It really scares me to think that, for four years, I was putting my trust in a doctor who repeatedly told me that my symptoms were being caused by veins in my legs that had been weakened by my diabetes, and had never even heard of Charcot Foot!

I know I have a long way to go, and some surgery will be required, but now that I’m receiving the proper treatment from a doctor who actually knows what to do, I’m already feeling better. Dr. Tina – and her whole staff – is so awesome and very compassionate. She’s also extremely accommodating, assuring me that I can call anytime I have a problem, and she’ll see me right away. I’m so glad that I found her!
— Catherine Wright Hunt
 
Diabetic Patient with a Burn on his Foot, Hopewell PA initial visit

Diabetic Patient with a Burn on his Foot, Hopewell PA initial visit

Diabetic Patient with a Burn on his Foot, Hopewell PA several weeks visit

Diabetic Patient with a Burn on his Foot, Hopewell PA several weeks visit

Diabetic Patient with a Burn on his Foot, Hopewell PA after treatment

Diabetic Patient with a Burn on his Foot, Hopewell PA after treatment


Don’t let diabetic foot pain get in your way call now 878-313-3338

We have same Day and Emergency appointments for Diabetics  with a diabetic foot ulcer available in one of our 4 foot clinics in Beaver County, Cranberry Twp foot clinics, or Podiatrist office in Moon Twp!

Click Here to E-mail Dr. Christina Teimouri

HOURS OF OPERATION

  • Monday – Friday 8:00 am – 5:30 pm
  • Evenings and weekend available for emergencies

 

AMENITIES

  • 22 years of experience
  • 4 convenient locations
  • Board Certified Podiatrist ABFAS
  • Customized treatment plan

 
My problem began as a foot blister on the ball of my right foot; and I really didn’t think much about it until it started bleeding. Eventually, it got infected and began leaking fluid, so I went to my primary doctor, who put me on antibiotics, which didn’t help. In the meantime, as the owner of a pizza shop, I still had to work 14 to 15 hours a day, spending most of that time on my feet. So, at one point, I decided to try drying my feet by putting them up by an electric heater; but, because my diabetes has affected the nerves in my feet, I couldn’t feel how hot it was, and I ended up with burns and blisters on my toes.

So, I went to Dr. Tina, and she’s working miracles with a treatment that started healing very rapidly. In fact, I was surprised at how fast the skin on my toes started growing back; and she’s also successfully treating the original wound on my foot with a very effective antibiotic. Dr. Tina is really doing a fabulous job, and I have a lot of respect for her!
— Dennis Vish
I have a condition called Venous Insufficiency, which prevents blood from getting to the veins, causing tissue to break down, and leading to ulcers and sores, which, because of the poor circulation, heal so slowly that, at times, I’ve had them last for six months. Dr. Tina has been treating me for these ulcers for awhile; but, many times, while the wounds appeared to be healing on the surface, they didn’t go away completely. But, because she never gives up on searching for newer, better treatments, she’s now using a medication that, besides greatly accelerating the healing process for my wound, has healed it thoroughly.

This has made such a big difference in my life, because I used to have to have my leg – or legs – bandaged all of the time, sometimes for days, so just taking a shower was a big hassle. Even worse, the ulcers would sometimes seep right through my Unna boot (a light, medicated bandage that forms a soft cast) to my clothes, which was very unpleasant, especially when I was out in public.

So, this has improved my life tremendously; but, more than just the process and the medication, it’s Dr. Teimouri herself. A lot of doctors come into the room, get some information, treat you, and that’s it; but with her, it’s like talking to a friend. In fact, it’s almost like your next door neighbor is dropping by to see how you are, but then she treats you, too! She’s immensely caring and compassionate.
— Paul Strano
“I had an ulcer on each foot, and for a year-and-a-half, I was being treated at the Wound Care Center at Ohio Valley Hospital, where I went every week for debridement of the wounds. Because it was considered outpatient surgery, they would bill my insurance thousands of dollars; and I ended up being billed for $200-$300 every week, though I wasn’t getting any better. Then one day, while visiting a client whom Dr. Teimouri had operated on to straighten out some toes, I was surprised to see her up and around so soon after the procedure, as I’d been told that if I had foot surgery, I’d be laid up for months.

So, I made an appointment with Dr. Tina, and she’s been doing a great job! So far, she’s cured the ulcer on my left foot, and is making progress on the other one; but I also have a bunion on my right foot, which has to be removed before that foot can completely heal, so I’m going to have bunion surgery soon.

I’m very happy with Dr. Tina, for many reasons. For one thing, when she was treating my ulcers, if something she tried didn’t get the best results, she went on to something else, instead of continuing a treatment that wasn’t working, like the Wound Care Center did. It’s obvious that she keeps up on all of the new trends, medications, and treatment options, always learning something new, rather than sticking with the same old, same old. I think that contributed a lot to my being able to get around as well as I can now. She got the treatment right, it worked, and improved the quality of my life enormously. On top of everything else, when I make an appointment, I never have to sit and wait. At other doctors’ offices, I’ve sometimes had to wait for hours, which is terribly inconvenient; but she’s right on time, and I really appreciate that. I would recommend her to anyone – and I have. She’s been excellent!”~Joe Ravas
— Joe Ravas
 

Diabetic foot ulcer & diabetic leg ulcer FAQ’s:

Wagner Ulcer classification system

GRADE - LESION

  • 0  No open lesions; may have deformity or cellulitis
  • 1   Superficial diabetic ulcer (partial or full thickness)
  • 2  Ulcer extension to ligament, tendon, joint capsule, or deep fascia without abscess or osteomyelitis
  • 3  Deep ulcer with abscess, osteomyelitis, or joint sepsis
  • 4Gangrene localized to portion of forefoot or heel
  • 5  Extensive gangrenous involvement of the entire foot

Texas System classification

  • Grade 0  a pre- or postulcerative site.
  • Grade 1 ulcers are superficial wounds through either the epidermis or the epidermis and dermis, but that do not penetrate to tendon, capsule, or bone.
  •  Grade 2 wounds penetrate to tendon or capsule, but the bone and joints are not involved.
  •  Grade 3 wounds penetrate to bone or into a joint.

Each wound grade is comprised of 4 stages:

  • clean wounds
  • nonischemic infected wounds
  • ischemic wounds
  • infected ischemic wounds

SAD classification: grades 5 ulcer features (size, depth, sepsis, arteriopathy, and denervation