{"id":4529,"date":"2023-07-13T04:07:07","date_gmt":"2023-07-13T04:07:07","guid":{"rendered":"https:\/\/www.diabetesguardians.com\/?p=4529"},"modified":"2025-07-02T18:14:52","modified_gmt":"2025-07-02T18:14:52","slug":"shoe-selection-can-lead-to-diabetic-foot-complications","status":"publish","type":"post","link":"https:\/\/www.diabetesguardians.com\/?p=4529","title":{"rendered":"Shoe Selection Can Lead to Diabetic Foot Complications"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4529\" class=\"elementor elementor-4529\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-50c081f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"50c081f\" 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-da4d36d\" data-id=\"da4d36d\" 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-fe25f4e elementor-widget elementor-widget-text-editor\" data-id=\"fe25f4e\" 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;\">Ms. Henry is a 47-year-old female with a history of insulin-dependent diabetes. She came to the emergency room with an infected blister of her left foot. She stated that she was wearing this shoe (Fig 1) for her friend\u2019s dancing party and when she came home, she noticed a blister on the side of her left foot (Fig 2). After a few days, she noticed the redness and pain had increased so she came to our emergency room.\u00a0<\/span><\/span><\/p><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;\">\u00a0<\/span><\/span><\/p><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;\">When I examined this patient in the emergency room, the skin abscess on her left foot was infected and the redness was extending toward the ankle. The blister had to be incised and pus had to be drained (Fig 2).\u00a0\u00a0<\/span><\/span><\/p><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;\">\u00a0<\/span><\/span><\/p><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;\">She was admitted to the hospital for infection treatment. The infection was eventually resolved, but even with months of numerous wound care attempts to close this wound defect, the foot was left with a large non-healing hole in the foot (Fig 3). When I have a suspicion that the bone under the wound was also infected, I ordered MRI of the foot.\u00a0<\/span><\/span><\/p><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;\">\u00a0<\/span><\/span><\/p><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;\">The bone next to the ulceration was infected which showed on MRI images (Fig 4). At this point, the infected bone had to be removed(Fig 5) so that within a month the wound was finally resolved (Fig 6) and she was finally able to return to her normal activity.<\/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<div class=\"elementor-element elementor-element-e251278 elementor-widget elementor-widget-spacer\" data-id=\"e251278\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a9cc27c elementor-widget elementor-widget-spacer\" data-id=\"a9cc27c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\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>Ms. Henry is a 47-year-old female with a history of insulin-dependent diabetes. She came to the emergency room with an infected blister of her left foot. She stated that she was wearing this shoe (Fig 1) for her friend\u2019s dancing party and when she came home, she noticed a blister on the side of her&hellip;&nbsp;<\/p>\n","protected":false},"author":1,"featured_media":5995,"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-4529","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>Shoe Selection Can Lead to Diabetic Foot Complications - 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=4529\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Shoe Selection Can Lead to Diabetic Foot Complications - DG\" \/>\n<meta property=\"og:description\" content=\"Ms. Henry is a 47-year-old female with a history of insulin-dependent diabetes. 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