{"id":4517,"date":"2023-07-12T08:50:26","date_gmt":"2023-07-12T08:50:26","guid":{"rendered":"https:\/\/www.diabetesguardians.com\/?p=4517"},"modified":"2025-07-02T18:17:43","modified_gmt":"2025-07-02T18:17:43","slug":"how-an-ingrown-toenail-caused-a-leg-amputation","status":"publish","type":"post","link":"https:\/\/www.diabetesguardians.com\/?p=4517","title":{"rendered":"How an Ingrown Toenail Caused a Leg Amputation"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4517\" class=\"elementor elementor-4517\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8f025b7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8f025b7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f13fed6\" data-id=\"f13fed6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b2cd559 elementor-widget elementor-widget-text-editor\" data-id=\"b2cd559\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"paragraph\" style=\"margin: 0in; vertical-align: baseline;\"><span class=\"normaltextrun\"><span style=\"font-size: 14.0pt; font-family: 'Arial',sans-serif; color: black;\">Mr. Jones, a 67-year-old male, has history of type II non-insulin-dependent diabetes. He also has a history of kidney failure on dialysis and a severe circulation problem. He has years history of cigarette smoking. He presented to my office with a chronic ingrown toenail. He attempted to take care of the ingrown toenail by himself by trimming the ingrown portion of the nail, washing and cleaning with alcohol and peroxide. Eventually decided to come to my office.\u00a0 When he presented in my office, his toe was already became cyanotic and blueish (Fig.1). In this case, attempts to save his leg by a podiatrist, vascular surgeon, infectious disease specialist, endocrinologist, the toe became gangrene, and he lost the big toe (Fig 2).\u00a0 When a patient with an advanced circulation problem, it is difficult to heal even a minor toe amputation.\u00a0 The toe amputation did not heal so half of his foot had to be amputated (Fig 3) to stop the spread of infection up the leg. Again, our attempts to save the leg failed, and he eventually ended up with a below-the-knee amputation (Fig 4).<\/span><\/span><span class=\"eop\"><span style=\"font-size: 14.0pt; font-family: 'Arial',sans-serif; color: black;\">\u00a0<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-92b0e6a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"92b0e6a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-10dfab9\" data-id=\"10dfab9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aa66865 elementor-widget elementor-widget-image-gallery\" data-id=\"aa66865\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-gallery.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-image-gallery\">\n\t\t\t\n<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"aa66865\" data-elementor-lightbox-title=\"Picture1.png\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjAwMiwidXJsIjoiaHR0cHM6XC9cL3d3dy5kaWFiZXRlc2d1YXJkaWFucy5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA3XC9QaWN0dXJlMS5wbmciLCJzbGlkZXNob3ciOiJhYTY2ODY1In0%3D\" href='https:\/\/www.diabetesguardians.com\/wp-content\/uploads\/2025\/07\/Picture1.png'><img fetchpriority=\"high\" decoding=\"async\" width=\"275\" height=\"226\" src=\"https:\/\/www.diabetesguardians.com\/wp-content\/uploads\/2025\/07\/Picture1.png\" class=\"attachment-medium size-medium\" alt=\"\" \/><\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b599001 elementor-widget elementor-widget-text-editor\" data-id=\"b599001\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>There are lessons to be learned here.\u00a0\u00a0<\/p><ol><li>Even seemingly a minor problem such as an ingrown toenail,\u00a0 diabetic people can lose the leg<\/li><li>Do not attempt to treat the problem yourself.<\/li><li>Smoking cigarette causes damages to the circulation even more.\u00a0<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Mr. Jones, a 67-year-old male, has history of type II non-insulin-dependent diabetes. He also has a history of kidney failure on dialysis and a severe circulation problem. He has years history of cigarette smoking. He presented to my office with a chronic ingrown toenail. He attempted to take care of the ingrown toenail by himself&hellip;&nbsp;<\/p>\n","protected":false},"author":1,"featured_media":6000,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-4517","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diabetic-foot"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How an Ingrown Toenail Caused a Leg Amputation - DG<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.diabetesguardians.com\/?p=4517\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How an Ingrown Toenail Caused a Leg Amputation - DG\" \/>\n<meta property=\"og:description\" content=\"Mr. Jones, a 67-year-old male, has history of type II non-insulin-dependent diabetes. He also has a history of kidney failure on dialysis and a severe circulation problem. He has years history of cigarette smoking. He presented to my office with a chronic ingrown toenail. He attempted to take care of the ingrown toenail by himself&hellip;&nbsp;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.diabetesguardians.com\/?p=4517\" \/>\n<meta property=\"og:site_name\" content=\"DG\" \/>\n<meta property=\"article:published_time\" content=\"2023-07-12T08:50:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-07-02T18:17:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.diabetesguardians.com\/wp-content\/uploads\/2023\/07\/Picture1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"275\" \/>\n\t<meta property=\"og:image:height\" content=\"226\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"dgs\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"dgs\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517\"},\"author\":{\"name\":\"dgs\",\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/#\\\/schema\\\/person\\\/8a918c6e3d3b0f43c4f96a15d6beecd7\"},\"headline\":\"How an Ingrown Toenail Caused a Leg Amputation\",\"datePublished\":\"2023-07-12T08:50:26+00:00\",\"dateModified\":\"2025-07-02T18:17:43+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517\"},\"wordCount\":229,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.diabetesguardians.com\\\/wp-content\\\/uploads\\\/2023\\\/07\\\/Picture1.png\",\"articleSection\":[\"Diabetic Foot\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517\",\"url\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517\",\"name\":\"How an Ingrown Toenail Caused a Leg Amputation - DG\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.diabetesguardians.com\\\/wp-content\\\/uploads\\\/2023\\\/07\\\/Picture1.png\",\"datePublished\":\"2023-07-12T08:50:26+00:00\",\"dateModified\":\"2025-07-02T18:17:43+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/#\\\/schema\\\/person\\\/8a918c6e3d3b0f43c4f96a15d6beecd7\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517#primaryimage\",\"url\":\"https:\\\/\\\/www.diabetesguardians.com\\\/wp-content\\\/uploads\\\/2023\\\/07\\\/Picture1.png\",\"contentUrl\":\"https:\\\/\\\/www.diabetesguardians.com\\\/wp-content\\\/uploads\\\/2023\\\/07\\\/Picture1.png\",\"width\":275,\"height\":226},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?p=4517#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.diabetesguardians.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"How an Ingrown Toenail Caused a Leg Amputation\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/#website\",\"url\":\"https:\\\/\\\/www.diabetesguardians.com\\\/\",\"name\":\"DG\",\"description\":\"Setting a Standard of Excellence in Patient Education for Amputation for the People with Diabetes Worldwide\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.diabetesguardians.com\\\/#\\\/schema\\\/person\\\/8a918c6e3d3b0f43c4f96a15d6beecd7\",\"name\":\"dgs\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/68f8796df73f98de995f5be9532e6590a357413b91540c6ca82dfb3aeb398d92?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/68f8796df73f98de995f5be9532e6590a357413b91540c6ca82dfb3aeb398d92?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/68f8796df73f98de995f5be9532e6590a357413b91540c6ca82dfb3aeb398d92?s=96&d=mm&r=g\",\"caption\":\"dgs\"},\"sameAs\":[\"https:\\\/\\\/www.diabetesguardians.com\"],\"url\":\"https:\\\/\\\/www.diabetesguardians.com\\\/?author=1\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"How an Ingrown Toenail Caused a Leg Amputation - DG","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.diabetesguardians.com\/?p=4517","og_locale":"en_US","og_type":"article","og_title":"How an Ingrown Toenail Caused a Leg Amputation - DG","og_description":"Mr. Jones, a 67-year-old male, has history of type II non-insulin-dependent diabetes. He also has a history of kidney failure on dialysis and a severe circulation problem. He has years history of cigarette smoking. He presented to my office with a chronic ingrown toenail. He attempted to take care of the ingrown toenail by himself&hellip;&nbsp;","og_url":"https:\/\/www.diabetesguardians.com\/?p=4517","og_site_name":"DG","article_published_time":"2023-07-12T08:50:26+00:00","article_modified_time":"2025-07-02T18:17:43+00:00","og_image":[{"width":275,"height":226,"url":"https:\/\/www.diabetesguardians.com\/wp-content\/uploads\/2023\/07\/Picture1.png","type":"image\/png"}],"author":"dgs","twitter_card":"summary_large_image","twitter_misc":{"Written by":"dgs","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.diabetesguardians.com\/?p=4517#article","isPartOf":{"@id":"https:\/\/www.diabetesguardians.com\/?p=4517"},"author":{"name":"dgs","@id":"https:\/\/www.diabetesguardians.com\/#\/schema\/person\/8a918c6e3d3b0f43c4f96a15d6beecd7"},"headline":"How an Ingrown Toenail Caused a Leg Amputation","datePublished":"2023-07-12T08:50:26+00:00","dateModified":"2025-07-02T18:17:43+00:00","mainEntityOfPage":{"@id":"https:\/\/www.diabetesguardians.com\/?p=4517"},"wordCount":229,"commentCount":0,"image":{"@id":"https:\/\/www.diabetesguardians.com\/?p=4517#primaryimage"},"thumbnailUrl":"https:\/\/www.diabetesguardians.com\/wp-content\/uploads\/2023\/07\/Picture1.png","articleSection":["Diabetic Foot"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.diabetesguardians.com\/?p=4517#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.diabetesguardians.com\/?p=4517","url":"https:\/\/www.diabetesguardians.com\/?p=4517","name":"How an Ingrown Toenail Caused a Leg Amputation - DG","isPartOf":{"@id":"https:\/\/www.diabetesguardians.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.diabetesguardians.com\/?p=4517#primaryimage"},"image":{"@id":"https:\/\/www.diabetesguardians.com\/?p=4517#primaryimage"},"thumbnailUrl":"https:\/\/www.diabetesguardians.com\/wp-content\/uploads\/2023\/07\/Picture1.png","datePublished":"2023-07-12T08:50:26+00:00","dateModified":"2025-07-02T18:17:43+00:00","author":{"@id":"https:\/\/www.diabetesguardians.com\/#\/schema\/person\/8a918c6e3d3b0f43c4f96a15d6beecd7"},"breadcrumb":{"@id":"https:\/\/www.diabetesguardians.com\/?p=4517#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.diabetesguardians.com\/?p=4517"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.diabetesguardians.com\/?p=4517#primaryimage","url":"https:\/\/www.diabetesguardians.com\/wp-content\/uploads\/2023\/07\/Picture1.png","contentUrl":"https:\/\/www.diabetesguardians.com\/wp-content\/uploads\/2023\/07\/Picture1.png","width":275,"height":226},{"@type":"BreadcrumbList","@id":"https:\/\/www.diabetesguardians.com\/?p=4517#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.diabetesguardians.com\/"},{"@type":"ListItem","position":2,"name":"How an Ingrown Toenail Caused a Leg Amputation"}]},{"@type":"WebSite","@id":"https:\/\/www.diabetesguardians.com\/#website","url":"https:\/\/www.diabetesguardians.com\/","name":"DG","description":"Setting a Standard of Excellence in Patient Education for Amputation for the People with Diabetes Worldwide","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.diabetesguardians.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/www.diabetesguardians.com\/#\/schema\/person\/8a918c6e3d3b0f43c4f96a15d6beecd7","name":"dgs","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/68f8796df73f98de995f5be9532e6590a357413b91540c6ca82dfb3aeb398d92?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/68f8796df73f98de995f5be9532e6590a357413b91540c6ca82dfb3aeb398d92?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/68f8796df73f98de995f5be9532e6590a357413b91540c6ca82dfb3aeb398d92?s=96&d=mm&r=g","caption":"dgs"},"sameAs":["https:\/\/www.diabetesguardians.com"],"url":"https:\/\/www.diabetesguardians.com\/?author=1"}]}},"_links":{"self":[{"href":"https:\/\/www.diabetesguardians.com\/index.php?rest_route=\/wp\/v2\/posts\/4517","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.diabetesguardians.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.diabetesguardians.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.diabetesguardians.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.diabetesguardians.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4517"}],"version-history":[{"count":4,"href":"https:\/\/www.diabetesguardians.com\/index.php?rest_route=\/wp\/v2\/posts\/4517\/revisions"}],"predecessor-version":[{"id":6005,"href":"https:\/\/www.diabetesguardians.com\/index.php?rest_route=\/wp\/v2\/posts\/4517\/revisions\/6005"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.diabetesguardians.com\/index.php?rest_route=\/wp\/v2\/media\/6000"}],"wp:attachment":[{"href":"https:\/\/www.diabetesguardians.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4517"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.diabetesguardians.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4517"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.diabetesguardians.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4517"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}