Foot Clinic and Wound Care

Provides total foot care solutions for all problems and for everyone especially people with diabetes: numbness in the foot, ischemic and chronic foot wounds, deformity of the foot, walking with pain, ingrown toenails, callous, problem with uncomfortable shoes, etc.

Diabetic Foot Screening

Limb amputation is a complication from diabetes which can be avoided. All persons with diabetes should have their foot screened by a foot care specialist at least once each year to detect risk early and prevent foot wounds before it happens. Foot care specialists assess wound risk from checking for foot sensation, skin and nail condition, shape of the feet and toes, weight bearing points, shoes, and blood circulation, etc.

Diabetic Foot Wound

Foot wounds in people with diabetes can often become chronic wounds if not correctly cared for. Chronic wounds increase risks of infection and later amputation of the toes, feet, and legs. Therefore it is extremely important to detect the wounds early and undergo proper treatment. Three keys to treatment of diabetic foot wounds are

• Control infection
• Good blood circulation to the wound
• Off-load the wound area

Healing of diabetic wounds much depend on the control of the diabetes condition itself. At ViMUT-Theptarin
Foot Clinic, patients with diabetic foot wounds will be taken care of by a team of specialists including endocrinologist/diabetologist, diabetes educator, dietitian, and podiatrist/foot care specialist. The team assists the patient from getting the wounds to heal through preventing the wounds from occurring again and regaining normal and independent life as much as possible.

Wound healing therapies

• Debridement
• Maggot therapy
• Balloon angioplasty or stent
• Distal bypass surgery
• Hyperbaric oxygen therapy
• Total contact cast
• Foam dressing for off-loading
• Modification on footwear
• Etc.

“Daily self foot examination is the best way to prevent diabetic foot wounds for people with diabetes who already experience numbness in the feet.”
 

Cutting the Ingrown nail service (Ingrown nail)

If you have an ingrown nail and cannot cut the nail yourself because of your short eyesight which is the risk to get the wound at your foot. You should ask your relatives to take care and if the nail is thick and ingrown and cannot be cut by yourself at home. You should consult with the specialist to reduce the risk
of getting the wound at your foot by cutting part of the nail and not by the operation of removing the nail.  

Remove the hard skin from the foot Service

The important cause for the diabetes patients to have the wound at the foot and also the afferent nerve at distal end deteriorates because of the hard skin at the foot. When there is hard skin, it should be removed at once. The way to remove the hard skin should not remove by nail cutter

or skin cutter because it might cause the wound. It should be removed by the specialist using the scalpel which is very sharp to remove the skin and the hard skin will be thinner and it will help the foot to feel less uncomfortable.

The service to check the weigh that hangs on the foot, cut the shoes, make a shoes plate
By evaluating and measuring the foot. It depends on the type of each individual foot including adjusting the foot by using accessories to solve the problem properly for the health shoes for diabetes and the patients with foot problem by Somkiat Maha-udomporn, specialist in cutting shoes with over 40 years experience.