Evaluation of Foot Problems Among Diabetics in Rural Population: A Prospective Study at a Tertiary Center
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ID: 311594
2025
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Abstract
Background: Diabetic foot, being a crippling and life-threatening condition, awareness about its pathophysiology, symptoms, deformities, and preventive measures would lessen its frequency and severity. This study aimed to obtain representative data about the foot problems of diabetes mellitus in the rural population and to propose a Podiatric Health Education Program within the hospital complex.
Methods: A prospective study was conducted on all diabetic patients with foot problems from rural backgrounds at a tertiary center from January 2009 to April 2010. Data regarding demographic details, clinical features, investigation findings, management, and follow-up were collected. Diabetic foot ulcers in admitted patients were classified according to Wagner’s grading and clinical staging systems. “Footcare and Footwear Questionnaire” was used to assess patients’ awareness. The collected data were analyzed.
Results: A total of 400 diabetics with foot problems were assessed; 50 (12.5%) had diabetic foot ulcers. The most affected age was 41 to 60 years; the mean duration of diabetes was 5.02 years. Numbness (45%) and pain (40%) in the foot were the common symptoms, while callosities (55%), great toe deformity (28%), and claw/hammer toe (18%) were the common deformities. Most ulcers (60%) were of Wagner Grade 2 and 3 types. Extensor muscle involvement (36%), medial longitudinal arch abnormalities (42%), and posterior tibial artery involvement were frequent. Neuropathic feet (76%) outnumbered neuroischemic feet (24%). Patients had poor awareness about foot care and footwear.
Conclusions: Diabetic foot frequently complicates diabetes; presentation may vary, but severe handicap due to limb loss may result if not cared for. Footwear and footcare awareness promote preventive health and help in rehabilitation.
| Reference Key |
rahul2026evaluation
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| Authors | Sandip Kumar Rahul, Avinash Kumar, Om Prakash Purbey, Rupesh Keshri, Digamber Chaubey, Chandrakant Maurya, Pallavi Suman, Sourabh Chandrabhushan Sharma |
| Journal | Yemen Journal of Medicine |
| Year | 2025 |
| DOI |
10.63475/yjm.v4i3.0252
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| URL | |
| Keywords | Keywords not found |
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