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Are Your Diabetic Feet Getting The Care They Need?

Every twelve months at the minimum, you will need a comprehensive Diabetic foot assessment. This entails testing for neuropathy, motor strength, vascular, painful foot conditions, footcare and footwear. We then communicate the findings in a report back to your physician. We provide detailed education to you on how to care for, manage and protect your feet and we also have foot care nursing on site for corns and callus removal and toe nail clipping.

Additionally, we are proud to announce our Pedorthist, Dr Katia Langton has been appointed onto the Diabetic Foot Stream Committee of the International Diabetes Federation. This committee is focused on preventing ulcers and amputations in Diabetic Foot Disease.

For a comprehensive Diabetic foot assessment please call 250-758-1716.

How Do I Deal With My Plantar Fasciitis?

The Plantar fascia is a ligament located on the bottom of the foot. It functions
by attaching the ball of the foot to the front of the heel. It is important in
maintaining arch height and providing stability
to the foot when you walk.

When there are problems with the way you walk, increased stress on the fascia causes
injury and subsequently pain. Biomechanical problems can include the big toe having
too much movement, the foot over pronating (arch collapsing) or the ankle being
restricted or stiff in its movement increasing stress on the Plantar fascia.
Typically the fascia will try to repair itself when you sleep or sit for extended
periods. Once you stand up and put weight on the fascia, you tear the ligament and
thwart these attempts to heal the fascia. This explains why pain is often worse
first thing in the morning or after standing from sitting for longer periods of
time.

One of the more effective solutions is to support the arch with a custom foot orthotic.
Custom orthotics will limit the stretch on the Plantar fascia. Once you limit the
repetitive strain on the fascia; the inflammation and the pain it causes will generally
resolve over a period of 6-8 weeks. As you are correcting the biomechanics with
custom orthotics, you will need to stretch the tight achilles tendon and use cold
laser, ice and ultrasound to decrease inflammation and speed up healing.

Katia’s Recent Talk With Shaw TV’s “The Show” on Plantar Fasciitis

Dr. Katia Langton recently sat down with Bisola Alabi from Shaw TV’s “The Show” here in Nanaimo to talk about plantar fasciitis. See what she had to say below by watching the video.

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Is It My Back or My Feet Stopping Me From Walking??

Peripheral neuropathy is nerve damage that can happen in your feet; most commonly from Diabetes, aging, alcoholism, and metabolic disorders. It causes numbing and tingling in the feet, sharp shooting pains in the legs and it is worse at night and worse at rest. This starts at the toes and moves upwards.

Often this is confused with Neurogenic Intermittent Claudication (stenosis) from degeneration in the low back. The degenerated areas in the low back can cause leg and foot problems as it compresses the part of the spinal cord that branches to the legs and feet. The symptoms are leg pain, leg weakness on walking, numbing in the feet and occasional bowel and bladder problems. Relief with sitting and bending forward – this will affect your lifestyle as it limits you golfing, walking the dog and shopping.

These two are dealt with very differently and a proper diagnosis is necessary in order to keep patient’s active and mobile so they can walk the golf course, walk the dog and go to the shopping mall. With Peripheral Neuropathy; we protect patients feet from peak pressure and ulceration if they cannot feel due to the numbing and tingling in their feet. With stenosis (Lumbar), we acquire advanced imaging (x-rays, MRI) and exhaust conservative options (flexion-distraction, cold laser therapy) before referring for less conservative options like decompression surgery.

For further information on properly differentiating these two and properly treating them in order to keep you on your feet and moving; please call 250 758 1716. It’s Your Future, Be There Healthy…

 

What is Diabetic Peripheral Neuropathy?


One of the most troublesome complications of Diabetes strikes the feet first. Elevated blood sugar damages small blood vessels in the feet which causes damage to sensory nerves.

As these nerves are dying; symptoms include throbbing, numbness, tingling or burning in the feet, the sensation of bugs crawling on your skin, and sharp, shooting pain down the legs.

As we lose sensation in the feet, we lose the ability to know when our tissues are being injured. Imagine a rock in your shoe and not being able to feel it, or walking for a long time without the messages back to your brain warning you when you need to rest, get off your feet or change your footwear. Sensory neuropathy (nerves dying) destroys our ability to protect our feet from injury.

The best defence against tissue damage common in peripheral neuropathy is to prevent injury in the first place. This can be done through preventative foot checks, callus removal, protective footwear and orthotics specifically for the Neuropathic foot.

All people with Diabetes should have a foot screening exam at least every 12 months. Call us today. Coverage under NIHB, DVA, Social Services and direct billing to extended benefits.

Vancouver Island Diabetes Educator Section

Canadian Diabetes Association

On Friday November 6th is the Vancouver Island Diabetes Educator Section (DES) fall meeting. It’s taking place at the The Grand Hotel Nanaimo from 8:30 AM to 3:30 PM.

Our very own Dr. Katia Langton, DC, Certified Pedorthist will be speaking on Preventing the Preventable in the Global Fight Against Diabetic Foot Ulcers and Amputations.  If you wish to attend, you must RSVP by October 30th. Here is the agenda for meeting.

 

 

0830 Registration opens:  light breakfast, exhibitor booths open
0920 Welcome and Agenda
0930 Navigating diagnosis and treatment of gluten related issues or FODMAP intolerances in patients with diabetes Joyce Schnetzler, RD, Canadian Celiac Association Professional Advisory Council, Outpatient RD @ Island Health
1045 Break
1100 GLP-1: 4 Years Later – Dr. Lucretia van den Berg, Endocrinologist, Victoria
1200   LUNCH AND NETWORKING: lunch provided, exhibitor booths open
1300 VI DES Chapter meeting and CDA updates
1400 Preventing the Preventable in the Global Fight Against Diabetic Foot Ulcers and Amputations – Dr. Katia Langton, DC, Certified Pedorthist and Dr. Pieter Boshoff, MD, MBChB (Pretoria), International Interdisciplinary Wound Care Certificate, Co-Director of the Central Vancouver Island Foot and Ulcer Clinic.
1515 Meeting Wrap up and Evaluations
1530 Meeting Adjourned

Why Do My Heels Hurt?

Problems with our feet can be scary because the pain and difficulty walking may threaten our lifestyle and our livelihood. Often, problems can be corrected with simple, straight forward solutions.

Heel pain often falls into two categories; Heel Spur Syndrome or Plantar Fasciitis. If your pain is worse when your heel hits the ground, worse after long periods of standing and worse at the end of the day; you may have a traumatized heel fat pad and have the beginnings of a heel spur. If your pain is worse in the morning, worse when you lift the heel and worse when you stretch the plantar fascia ligament; you may have Plantar Fasciitis. These are treated differently; so ask questions, get explanations and understand your diagnosis.

At Island Pedorthic FootCare, our goal is to keep you on your feet, active and moving. Simple walking will help manage the five common causes of pain and suffering over the age of 50; Heart Disease, High Blood Pressure, Diabetes, Obesity, Osteoarthritis. Lets fight these problems on the ground, standing and walking! Give us a call today to take a step towards painfree living.

The Next Global Pandemic

Tomorrow our very own Dr. Katia Langton will be speaking at the American Orthotics and Prosthetic Association‘s National Assembly conference in San Antonio Texas.

Her talk will be on “The Next Global Pandemic” and how diabetes, ulcers and amputations are poised to overwhelm nations and cripple health care budgets. This disease is skyrocketing globally. A critical paradigm shift in treating the diabetic foot is necessary to prepare for the increasing incidences and severity of the disease and its complications.

This is the same talk Dr. Langton gave back in July at the American Podiatric Medical Association.

Early Intervention Essential To Management Of Diabetes

Health care professionals need to take control of diabetes management now to prevent a global pandemic from spreading, according to Katia Langton, DC, CPed.

Langton, a former chiropractor who works as a pedorthist at Island Pedorthic Foot Care in Vancouver Island, Canada, spoke at the Pedorthic Footcare Association and American Podiatric Medical Association Combined Meeting.

Diabetes contributes to the death of approximately 4 million people each year and costs billions of dollars each year to treat, and the numbers continue to grow, Langton said. If diabetes were a country, it would be the third-largest in population size, coming after China and India but before the United States, she said.

“The number of diabetic patients globally is increasing at a staggering rate,” Langton said.

Early intervention is key to diabetes treatment, according to Langton.

“If we do not treat this disease differently, earlier in the progression … to keep the patients on the ground walking and mobile so they can manage their blood sugar and prevent complications, we are going to have a really big problem,” Langton said. “What we need to do is get ahead of [diabetes], because we will not have the resources to treat these ulcers and amputations with the staggering numbers coming in globally.”

Langton’s clinic offers a host of services for diabetic patients, including diabetic foot assessments, wound assessments, education on peripheral neuropathy, comprehensive foot exams and preventive foot care. But often, patients are sent in too late.

“Our allied health care professionals that were sending us patients were not sending them early enough. So, we talk to different groups — health care professionals [and] the general public,” Langton said. “It is really important that we talk to all our other health care professionals about treating this disease earlier.”

Langton said organizational change is needed in order to get diabetes under control.

“A lot of health care professionals do not quite understand the progression of the diabetic foot,” she said.

According to Langton, patients progress from a diagnosis of diabetes to an insensate foot, and then to limited joint mobility, peripheral vascular disease, ulcerations, Charcot foot, amputation and finally, death. Because 50% of patients who have undergone a diabetes-related amputation will die within 3 years, and approximately 1 million diabetes-related amputations are performed annually, the disease needs to be stopped before it progresses to that level, she said.

“We need to reframe the way that we are treating diabetic foot. If we can start at ground zero, teaching everybody around us the progression of the diabetic foot … if we can start front-end-loading our education and our resources and seeing these patients early, we have a chance to fight this disease and keep them walking and mobile,” Langton said.

Langton advised practitioners to take the urgency of diabetes back to their communities and move in the direction of treating this patient population earlier.