Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 I think Dr. Bernstein is wonderful; but his patient caseload does not cover every diabetic-in fct, it probably only covers a very small percentage of the number of diabetics in the country and world! Re: All diabetics, never do this You are right about a blister or a foot wound being the primary cause. Dr. Bernstein surveyed a bunch of amputees who had lost a foot or a leg in his practice. He discovered that virtually all of them had a callus removed prior to the foot infection and subsequent foot amputation and leg amputation. For $129 you can listen to his CD's about type1 treatment or type2 treatment. I happen to have the type2 CD's. I heard this directly from his mouth as recorded on the CD. All diabetics, never do this > > You heard me right. It makes no difference whether or not you are a type1 > or a type2. You should never have calluses removed from your feet by > filing > them off or by surgical removal. Almost without exception all foot and > leg > amputations of diabetics started with an infection in the foot caused by > callus removal. The only way to remove calluses is to wear properly > fitting > shoes, and keep the pressure off your foot where calluses form. Calluses > are caused by the pressure due to ill fitting shoes or lack of proper shoe > inserts. Never go bare foot, if at all possible, even inside your own > house. Have house slippers available to wear at all times. This warning > should be especially taken if you have numbness in the feet due to > diabetic > neuropathy, which is the culprit most of the time. Be sure your socks fit > properly, and no pebbles or hard materials like a string or rock is in > your > shoe, which can be the cause of the bad pressure causing callusses. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 Pat and Harry, I would wager that what Dr. Bernstein said is, most likely, true - but - I also suspect that the facts are somewhat askew. It may well be true that all of the amputees have had calluses removed - but - I would also wager that is these folks had calluses removed they also had blisters and/or other open wounds. Also, I would also wager that of these folks with the calluses they most likely created further damage by the same means they got the calluses. Because of poor oxygen delivery to the feet any wound should be considered extremely serious and ones foot hygiene needs to be fastidious. Cy, the ancient Okie... Re: All diabetics, never do this You are right about a blister or a foot wound being the primary cause. Dr. Bernstein surveyed a bunch of amputees who had lost a foot or a leg in his practice. He discovered that virtually all of them had a callus removed prior to the foot infection and subsequent foot amputation and leg amputation. For $129 you can listen to his CD's about type1 treatment or type2 treatment. I happen to have the type2 CD's. I heard this directly from his mouth as recorded on the CD. All diabetics, never do this > > You heard me right. It makes no difference whether or not you are a > type1 or a type2. You should never have calluses removed from your > feet by filing them off or by surgical removal. Almost without > exception all foot and leg amputations of diabetics started with an > infection in the foot caused by callus removal. The only way to > remove calluses is to wear properly fitting shoes, and keep the > pressure off your foot where calluses form. Calluses are caused by > the pressure due to ill fitting shoes or lack of proper shoe inserts. > Never go bare foot, if at all possible, even inside your own house. > Have house slippers available to wear at all times. This warning > should be especially taken if you have numbness in the feet due to > diabetic neuropathy, which is the culprit most of the time. Be sure > your socks fit properly, and no pebbles or hard materials like a > string or rock is in your shoe, which can be the cause of the bad > pressure causing callusses. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 I am sure you are right. I doubt his practice comprises over 1000 active patients. If it did, he would still have seen less than one tenth of one percent of the diabetics in the USA, much less than all of the diabetics in the world. How many patients does one have to serve and observe and note in order to draw some valid conclusions? How many temperatures of people does one have to take in order to draw an average for the population? Of course since he mostly treats diabetics his sample is skewed for people located inside this sample of diabetics, and conclusions made from this observation and statistical analysis may not be applicable for those, who are not diabetic. Those who understand statistics can tell when one is using statistics to lie. It is a common practice for those who wish to influence others to use statistical terms in order to sway other's opinion toward what one is saying. I do not believe Dr. Bernstein is using deception. In short I do not believe he is lying. Now if you are a diabetic and have a callus on your foot that you would like to remove, then do it at your own peril. Prevention is always better than treatment. I have no calluses on my feet, so I can assure you, if I did, I wouldn't let someone file or cut them away. As long as it is your feet, do as you wish. In short is you know a diabetic with calluses on their feet, would you recommend they have them removed? Now this gets to the crux of the matter. I am not talking about cracks, blisters, splinters, sunburn, puncture wounds, .etc.. I am talking about removal of calluses and amputations with diabetics. I would imagine there is also a very high correlation between these anomalies and amputations also, but I will have to await release of further studies to make a definite statement regarding amputations as a result of them. In order to do this I would first find amputees, then ask them if they had one of these malodies before their amputation. It would also help if they were also a diabetic. If I asked a diabetic amputee the following question, " Did you have a callus removed prior to your infection and amputation? " If the subject answered yes to this question on vertually every diabetic amputee, I would tend to come to the same conclusion. The analysis depends on both the answer and the question. For instance cataract surgery can restore vision 98% of the time. In those 2% or less of failures where the surgery did not work the surgery was a 100% failure. Does this mean I should not have my cataracts removed? There is always a risk. The only time it was 100% for that one particular individual was when it failed. So if it is your foot and you are a diabetic, you will have to figure the odds for yourself. Personally, I would not recommend a diabetic have their calluses removed. All diabetics, never do this >> >> You heard me right. It makes no difference whether or not you are a >> type1 >> or a type2. You should never have calluses removed from your feet by >> filing >> them off or by surgical removal. Almost without exception all foot and >> leg >> amputations of diabetics started with an infection in the foot caused by >> callus removal. The only way to remove calluses is to wear properly >> fitting >> shoes, and keep the pressure off your foot where calluses form. Calluses >> are caused by the pressure due to ill fitting shoes or lack of proper >> shoe >> inserts. Never go bare foot, if at all possible, even inside your own >> house. Have house slippers available to wear at all times. This warning >> should be especially taken if you have numbness in the feet due to >> diabetic >> neuropathy, which is the culprit most of the time. Be sure your socks >> fit >> properly, and no pebbles or hard materials like a string or rock is in >> your >> shoe, which can be the cause of the bad pressure causing callusses. >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 Did you notice you changed the presentation and conclusion? You said, " >> Harry, Where did you hear that the cause of most foot infections is from >> callus removal? In my 62 years of diabetes, I have never heard that. >> The >> most common reason is ture, a foot infection, but it is not necessarily >> caused from callus removal. A wound, blister or cracked skin is more >> common >> than callus removal. " Now you are talking about the cause of infections in the feet of diabetics. Dr. Bernstein was talking about the cause of amputations in the diabetics he interviewed. The cause of amputations and the cause of infections are two completely different topics. I almost lost my left leg due to a string of three, then four and finally six carbuncles on my left leg. Thankfully, the folks on this list serve saved it from amputation and taught me how to teach my doctor how to treat a diabetic with an infection. Otherwise my treating doctor at the time would have drawn the same conclusion, " Oh, those are just boils that diabetics commonly get. " , then pay no more attention to me. The folks here insisted I pester my treating doctor and tell him how serious the situation is. So I did. Finally, he saw the light. He finally prescribed proper treatment and my boils finally went away after three months of proper care. Thank you blind diabetics for being there. I owe you one! All diabetics, never do this >>> >>> You heard me right. It makes no difference whether or not you are a >>> type1 >>> or a type2. You should never have calluses removed from your feet by >>> filing >>> them off or by surgical removal. Almost without exception all foot and >>> leg >>> amputations of diabetics started with an infection in the foot caused by >>> callus removal. The only way to remove calluses is to wear properly >>> fitting >>> shoes, and keep the pressure off your foot where calluses form. >>> Calluses >>> are caused by the pressure due to ill fitting shoes or lack of proper >>> shoe >>> inserts. Never go bare foot, if at all possible, even inside your own >>> house. Have house slippers available to wear at all times. This >>> warning >>> should be especially taken if you have numbness in the feet due to >>> diabetic >>> neuropathy, which is the culprit most of the time. Be sure your socks >>> fit >>> properly, and no pebbles or hard materials like a string or rock is in >>> your >>> shoe, which can be the cause of the bad pressure causing callusses. >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 Harry, you have me concerned I was to the foot doctor today and had calis removed and nails cut. he does this all the time to keep my feet in good working order. I have been doing this for years and thought this was proper care??? what now???? All diabetics, never do this >>>> >>>> You heard me right. It makes no difference whether or not you are a >>>> type1 >>>> or a type2. You should never have calluses removed from your feet by >>>> filing >>>> them off or by surgical removal. Almost without exception all foot and >>>> leg >>>> amputations of diabetics started with an infection in the foot caused >>>> by >>>> callus removal. The only way to remove calluses is to wear properly >>>> fitting >>>> shoes, and keep the pressure off your foot where calluses form. >>>> Calluses >>>> are caused by the pressure due to ill fitting shoes or lack of proper >>>> shoe >>>> inserts. Never go bare foot, if at all possible, even inside your own >>>> house. Have house slippers available to wear at all times. This >>>> warning >>>> should be especially taken if you have numbness in the feet due to >>>> diabetic >>>> neuropathy, which is the culprit most of the time. Be sure your socks >>>> fit >>>> properly, and no pebbles or hard materials like a string or rock is in >>>> your >>>> shoe, which can be the cause of the bad pressure causing callusses. >>>> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 Harry, You are very right about the summation that you can use statistics to lie, businesses do it all the time. A really silly but quick example of how you can skew statistics: " Nine out of 10 doctors recommend Anacin for pain relief. " Yes but after you interviewed those 10 doctors, what about the next 90 of them that didn't say what you wanted? Get my drift? We see it all the time in how numbers are used to misinterpret things. You turn on the TV and CBS says they're number one, NBC says it's number one, ABC does the same. But what are they number one in? Hey, one network can have the most number of viewers, another one can claim " we have the most viewers except for CBS " , etc. So yes, sampling can always be manipulated. I don't think Dr. Bernstein was lying by any means, I think his sincere work speaks for itself. But what I do think is misrepresented is that you can't say that all diabetics lost a limb because they had a callus removed, there was some underlying reason aside from that, of which the callus was part. I know I fight a constant battle with my feet, on which I must do a lot of walking on a daily basis. I now have good fitting diabetic shoes and even so, I deal every day with pain from my big toes as I fight the infection. Even with the diabetic shoes I had a blister on the right side of my right foot that is almost gone now, but how and why it popped up is a mystery to me. I keep my feet very clean and am damned determined not to lose a limb to the Big D. Certainly, if I ever have to get a callus removed, I'm going to want to be vigilant to watch for any signs of infection after that to make sure I don't get clobbered with the loss of a toe, foot or leg. I would suspect there will be more studies to shore up Dr. Bernstein's assertion or disprove it, and whatever the outcome, we're all bound to learn something to help us in our battle against diabetes. Bill Powers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 I don't think he is lieing either. But he never stated if these calluses (calli? Smile) were professionally removed or a hack 'em off job was done by the patient either! Re: All diabetics, never do this I am sure you are right. I doubt his practice comprises over 1000 active patients. If it did, he would still have seen less than one tenth of one percent of the diabetics in the USA, much less than all of the diabetics in the world. How many patients does one have to serve and observe and note in order to draw some valid conclusions? How many temperatures of people does one have to take in order to draw an average for the population? Of course since he mostly treats diabetics his sample is skewed for people located inside this sample of diabetics, and conclusions made from this observation and statistical analysis may not be applicable for those, who are not diabetic. Those who understand statistics can tell when one is using statistics to lie. It is a common practice for those who wish to influence others to use statistical terms in order to sway other's opinion toward what one is saying. I do not believe Dr. Bernstein is using deception. In short I do not believe he is lying. Now if you are a diabetic and have a callus on your foot that you would like to remove, then do it at your own peril. Prevention is always better than treatment. I have no calluses on my feet, so I can assure you, if I did, I wouldn't let someone file or cut them away. As long as it is your feet, do as you wish. In short is you know a diabetic with calluses on their feet, would you recommend they have them removed? Now this gets to the crux of the matter. I am not talking about cracks, blisters, splinters, sunburn, puncture wounds, .etc.. I am talking about removal of calluses and amputations with diabetics. I would imagine there is also a very high correlation between these anomalies and amputations also, but I will have to await release of further studies to make a definite statement regarding amputations as a result of them. In order to do this I would first find amputees, then ask them if they had one of these malodies before their amputation. It would also help if they were also a diabetic. If I asked a diabetic amputee the following question, " Did you have a callus removed prior to your infection and amputation? " If the subject answered yes to this question on vertually every diabetic amputee, I would tend to come to the same conclusion. The analysis depends on both the answer and the question. For instance cataract surgery can restore vision 98% of the time. In those 2% or less of failures where the surgery did not work the surgery was a 100% failure. Does this mean I should not have my cataracts removed? There is always a risk. The only time it was 100% for that one particular individual was when it failed. So if it is your foot and you are a diabetic, you will have to figure the odds for yourself. Personally, I would not recommend a diabetic have their calluses removed. All diabetics, never do this >> >> You heard me right. It makes no difference whether or not you are a >> type1 >> or a type2. You should never have calluses removed from your feet by >> filing >> them off or by surgical removal. Almost without exception all foot and >> leg >> amputations of diabetics started with an infection in the foot caused by >> callus removal. The only way to remove calluses is to wear properly >> fitting >> shoes, and keep the pressure off your foot where calluses form. Calluses >> are caused by the pressure due to ill fitting shoes or lack of proper >> shoe >> inserts. Never go bare foot, if at all possible, even inside your own >> house. Have house slippers available to wear at all times. This warning >> should be especially taken if you have numbness in the feet due to >> diabetic >> neuropathy, which is the culprit most of the time. Be sure your socks >> fit >> properly, and no pebbles or hard materials like a string or rock is in >> your >> shoe, which can be the cause of the bad pressure causing callusses. >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 I'm curious if he included in his survey *how* these people had calluses removed. I've heard almost everywhere that a diabetic shouldn't remove a callus *themselves* with remedies that you can buy over-the-counter at pharmacies, but rather that this should be done by a podiatrist to ensure it's done safely. Also, it's important to remember that correlation does not equal causation. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 Harry, Boy you were right to pester your doc to that you would get the right treatment. I've said it before and I'll say it again, too many people are complacent to take their doctor at his word figuring he knows what he's talking about, but like you, I had to educate my doc about diabetes, and now he can carry that on to other patients. The more of us that become educated about our care, the more of us can help others, including doctors, toward the ultimate goal that no one be poorly treated for diabetes. Being a pest never hurt me, it has saved me a lot of grief down the road and I intend to go right on being a pest because this is MY body and I want to feel GOOD while I'm in it. Bill Powers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 Well, Harry, I actually left out the supposition I made-supposing that the removed callus eventually led into an infection (which most often happens) with diabetics-no matter how scrupulous they keep themselves clean. The excess sugar in the body makes infection brew. I have a diabetic client who recently lost a foot and leg because of an infection caused from a blister on his foot and despite multiple doctor visits and debridement (not sure of spelling) and antibiotics, need up with the amputation. He also had decreased circulation in his leg, which usually goes along with the increased BGs; the decreased circulation doesn't let any antibiotic get to the infection. Re: All diabetics, never do this Did you notice you changed the presentation and conclusion? You said, " >> Harry, Where did you hear that the cause of most foot infections is from >> callus removal? In my 62 years of diabetes, I have never heard that. >> The >> most common reason is ture, a foot infection, but it is not necessarily >> caused from callus removal. A wound, blister or cracked skin is more >> common >> than callus removal. " Now you are talking about the cause of infections in the feet of diabetics. Dr. Bernstein was talking about the cause of amputations in the diabetics he interviewed. The cause of amputations and the cause of infections are two completely different topics. I almost lost my left leg due to a string of three, then four and finally six carbuncles on my left leg. Thankfully, the folks on this list serve saved it from amputation and taught me how to teach my doctor how to treat a diabetic with an infection. Otherwise my treating doctor at the time would have drawn the same conclusion, " Oh, those are just boils that diabetics commonly get. " , then pay no more attention to me. The folks here insisted I pester my treating doctor and tell him how serious the situation is. So I did. Finally, he saw the light. He finally prescribed proper treatment and my boils finally went away after three months of proper care. Thank you blind diabetics for being there. I owe you one! All diabetics, never do this >>> >>> You heard me right. It makes no difference whether or not you are a >>> type1 >>> or a type2. You should never have calluses removed from your feet by >>> filing >>> them off or by surgical removal. Almost without exception all foot and >>> leg >>> amputations of diabetics started with an infection in the foot caused by >>> callus removal. The only way to remove calluses is to wear properly >>> fitting >>> shoes, and keep the pressure off your foot where calluses form. >>> Calluses >>> are caused by the pressure due to ill fitting shoes or lack of proper >>> shoe >>> inserts. Never go bare foot, if at all possible, even inside your own >>> house. Have house slippers available to wear at all times. This >>> warning >>> should be especially taken if you have numbness in the feet due to >>> diabetic >>> neuropathy, which is the culprit most of the time. Be sure your socks >>> fit >>> properly, and no pebbles or hard materials like a string or rock is in >>> your >>> shoe, which can be the cause of the bad pressure causing callusses. >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 , I would not see any problem with getting caluses removed and getting your nails filed or cut. I get my nails cut every couple of months (which is what Medicare allows, every two months), and the doc checks my feet to see if I have any caluses or blisters. I do have dry cracked skin on the bottom of both my feet and have had this for many years, but I had always attributed it to the fact that I use my feet a LOT. I now use a lotion on my feet every morning and every night to soften the skin, and it does work. I also use a cream on my nails to help fight the infection but boy, that is a battle in itself. And I keep my feet clean and wear good fitting shoes, too. It isn't an easy battle to be sure, but keeping the nails cut and getting rid of caluses and keeping the skin soft, are all good things in my opinion. One thing I might add at this point about the thread concerning Dr. Bernstein's findings, is that we don't know just how serious a problem these patients had before they even had callus removal, as in what other kinds of problems they were having, were they practicing good hygiene, etc. There are all kinds of things we don't know so it's only fair to point out that while all of Bernstein's patients did have calluses and later required amputations, we just don't know all the variables that caused this course to happen and can't categorically say that everybody who gets a callus removed is in for an amputation. I just can't go that far. Bill Powers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 , Right-O, no mention of how the caluses were taken off, but as I also said in another post (to ), there are some other variables that could have contributed to the amputations that were not mentioned. Yes it is true that with any type of surgery you run a high risk of infection right after the surgery, be it a prosthetic eye, a lump on the skin, a callus, whatever. The body is naturally more open to infection at that time and requires skilled treatment to get through the recovery so that the infection doesn't come back with a vengence. IMHO, I firmly believe that if properly removed and with proper post treatment, unless there are some other mitigating circumstances, removing the callus _should_ actually keep the patient in better condition. That's a big IF though. I think it's good to keep this in mind in weighing what to do for your treatment of diabetes, I just don't want to see people panic and be afraid to get rid of a callus when it may benefit them to be rid of it. Bill Powers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 , You spelled debridement corectly. Very good point about circulation playing a part in what happens in diabetics. That's one I hadn't thought of in my argument but it's valid, yet I sort of covered it by saying that there could be other conditions that could still lead to eventual amputation. Bill Powers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 Jen, " correlation does not equal causation. " Very well put! Bill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 Be sure to prevent infection by using betadene, iodine, mysotracin,polysporin, neosporin mercurochrome or hydrogen peroxide. I am sure your podiatrist did use one of these antiseptics after he treated you. Always carry an antiseptic in your pocket or purse and treat wounds, blisters, cuts and scratches seveeral times each day until the area is completely healed. Otherwise you risk infection. I would also recommend you stop wearing those tight fitting shoes causing pressure on your foot where the calluses form. Of course women for some reason have been conditioned to wear those ill fitting shoes for banity sake. The shoes I would like to see you wear are referred to as clunkers, but they are comfortable to your feet. I am built for comfort and not for looks. I learned a long time ago to never walk out of a shoe store wearing a pair of shoes that are too tight or too loose. They must fit me perfectly or I do not buy them. Maybe this is the reason I have never had calluses. On the other hand my wife likes to be stylish and she always buys shoes that are too tight and actually too small for her feet. She always has calluses, too. At least she did until the past three years, since I harped on her all the time for wearing those damn tight shoes, and she finally stopped buying them. Now she buys shoes that fit. Now she has finally gotten rid of the one callus on the ball of her foot that has always caused trouble. Uh ho, I just discovered that I did not tell the truth. When I went on a cruise my wife insisted I buy some dress shoes, which were too tight, but the closest thing I could find in the store that would almost fit my feet. So I dressed up in them on formal night and got a big bad blister. I finally took off the shoes, which were loose in the heel where the blister formed, and walked in my black socks. I did not care what the people thought. So I put on my black walking shoes and wore them to the formal. People did not seem to notice. At least no one complained to me, except my wife, whom I ignored. All diabetics, never do this >>>>> >>>>> You heard me right. It makes no difference whether or not you are a >>>>> type1 >>>>> or a type2. You should never have calluses removed from your feet by >>>>> filing >>>>> them off or by surgical removal. Almost without exception all foot >>>>> and >>>>> leg >>>>> amputations of diabetics started with an infection in the foot caused >>>>> by >>>>> callus removal. The only way to remove calluses is to wear properly >>>>> fitting >>>>> shoes, and keep the pressure off your foot where calluses form. >>>>> Calluses >>>>> are caused by the pressure due to ill fitting shoes or lack of proper >>>>> shoe >>>>> inserts. Never go bare foot, if at all possible, even inside your own >>>>> house. Have house slippers available to wear at all times. This >>>>> warning >>>>> should be especially taken if you have numbness in the feet due to >>>>> diabetic >>>>> neuropathy, which is the culprit most of the time. Be sure your socks >>>>> fit >>>>> properly, and no pebbles or hard materials like a string or rock is in >>>>> your >>>>> shoe, which can be the cause of the bad pressure causing callusses. >>>>> >>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 I believe it is a fact. All calluses are caused by pressure on the area of the foot where the callus is formed. Proper fitting shoes will not cause any undue pressure on the foot. If you have calluses, you are wearing ill fitting shoes. Re: All diabetics, never do this > , > > Right-O, no mention of how the caluses were taken off, but as I also said > in > another post (to ), there are some other variables that could have > contributed to the amputations that were not mentioned. Yes it is true > that > with any type of surgery you run a high risk of infection right after the > surgery, be it a prosthetic eye, a lump on the skin, a callus, whatever. > The > body is naturally more open to infection at that time and requires skilled > treatment to get through the recovery so that the infection doesn't come > back with a vengence. IMHO, I firmly believe that if properly removed and > with proper post treatment, unless there are some other mitigating > circumstances, removing the callus _should_ actually keep the patient in > better condition. That's a big IF though. I think it's good to keep this > in > mind in weighing what to do for your treatment of diabetes, I just don't > want to see people panic and be afraid to get rid of a callus when it may > benefit them to be rid of it. > > Bill Powers > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 Harry, I generally wear a running shoe or an expensife walking shoe with custom made insoles and still get callus under the big toe. All diabetics, never do this >>>>>> >>>>>> You heard me right. It makes no difference whether or not you are a >>>>>> type1 >>>>>> or a type2. You should never have calluses removed from your feet by >>>>>> filing >>>>>> them off or by surgical removal. Almost without exception all foot >>>>>> and >>>>>> leg >>>>>> amputations of diabetics started with an infection in the foot caused >>>>>> by >>>>>> callus removal. The only way to remove calluses is to wear properly >>>>>> fitting >>>>>> shoes, and keep the pressure off your foot where calluses form. >>>>>> Calluses >>>>>> are caused by the pressure due to ill fitting shoes or lack of proper >>>>>> shoe >>>>>> inserts. Never go bare foot, if at all possible, even inside your >>>>>> own >>>>>> house. Have house slippers available to wear at all times. This >>>>>> warning >>>>>> should be especially taken if you have numbness in the feet due to >>>>>> diabetic >>>>>> neuropathy, which is the culprit most of the time. Be sure your >>>>>> socks >>>>>> fit >>>>>> properly, and no pebbles or hard materials like a string or rock is >>>>>> in >>>>>> your >>>>>> shoe, which can be the cause of the bad pressure causing callusses. >>>>>> >>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 bill, i am very concerned because i have my feet looked at every six weeks and taken care of at the hospital. right now the hospital has announced that they are getting rid of our Foot Clinic beginning the first of March of next year. now that we have proper care they are going to dump the patients. that makes a lot of sense. i suppose they will make more money with amputations for the diabetic . karen Re: All diabetics, never do this > , > > I would not see any problem with getting caluses removed and getting your > nails filed or cut. I get my nails cut every couple of months (which is > what > Medicare allows, every two months), and the doc checks my feet to see if I > have any caluses or blisters. I do have dry cracked skin on the bottom of > both my feet and have had this for many years, but I had always attributed > it to the fact that I use my feet a LOT. I now use a lotion on my feet > every > morning and every night to soften the skin, and it does work. I also use a > cream on my nails to help fight the infection but boy, that is a battle in > itself. And I keep my feet clean and wear good fitting shoes, too. It > isn't > an easy battle to be sure, but keeping the nails cut and getting rid of > caluses and keeping the skin soft, are all good things in my opinion. > > One thing I might add at this point about the thread concerning Dr. > Bernstein's findings, is that we don't know just how serious a problem > these > patients had before they even had callus removal, as in what other kinds > of > problems they were having, were they practicing good hygiene, etc. There > are > all kinds of things we don't know so it's only fair to point out that > while > all of Bernstein's patients did have calluses and later required > amputations, we just don't know all the variables that caused this course > to > happen and can't categorically say that everybody who gets a callus > removed > is in for an amputation. I just can't go that far. > > Bill Powers > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 What do you suppose is causing the pressure? All diabetics, never do this >>>>>>> >>>>>>> You heard me right. It makes no difference whether or not you are a >>>>>>> type1 >>>>>>> or a type2. You should never have calluses removed from your feet >>>>>>> by >>>>>>> filing >>>>>>> them off or by surgical removal. Almost without exception all foot >>>>>>> and >>>>>>> leg >>>>>>> amputations of diabetics started with an infection in the foot >>>>>>> caused >>>>>>> by >>>>>>> callus removal. The only way to remove calluses is to wear properly >>>>>>> fitting >>>>>>> shoes, and keep the pressure off your foot where calluses form. >>>>>>> Calluses >>>>>>> are caused by the pressure due to ill fitting shoes or lack of >>>>>>> proper >>>>>>> shoe >>>>>>> inserts. Never go bare foot, if at all possible, even inside your >>>>>>> own >>>>>>> house. Have house slippers available to wear at all times. This >>>>>>> warning >>>>>>> should be especially taken if you have numbness in the feet due to >>>>>>> diabetic >>>>>>> neuropathy, which is the culprit most of the time. Be sure your >>>>>>> socks >>>>>>> fit >>>>>>> properly, and no pebbles or hard materials like a string or rock is >>>>>>> in >>>>>>> your >>>>>>> shoe, which can be the cause of the bad pressure causing callusses. >>>>>>> >>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 Hi Harry, You can wear proper fitting shoes and still get callouses. They are caused by the way you walk. My husband has this problem even with the shoes the foot doctor recommended. Ruth Re: All diabetics, never do this What do you suppose is causing the pressure? All diabetics, never do this >>>>>>> >>>>>>> You heard me right. It makes no difference whether or not you are a >>>>>>> type1 >>>>>>> or a type2. You should never have calluses removed from your feet >>>>>>> by >>>>>>> filing >>>>>>> them off or by surgical removal. Almost without exception all foot >>>>>>> and >>>>>>> leg >>>>>>> amputations of diabetics started with an infection in the foot >>>>>>> caused >>>>>>> by >>>>>>> callus removal. The only way to remove calluses is to wear properly >>>>>>> fitting >>>>>>> shoes, and keep the pressure off your foot where calluses form. >>>>>>> Calluses >>>>>>> are caused by the pressure due to ill fitting shoes or lack of >>>>>>> proper >>>>>>> shoe >>>>>>> inserts. Never go bare foot, if at all possible, even inside your >>>>>>> own >>>>>>> house. Have house slippers available to wear at all times. This >>>>>>> warning >>>>>>> should be especially taken if you have numbness in the feet due to >>>>>>> diabetic >>>>>>> neuropathy, which is the culprit most of the time. Be sure your >>>>>>> socks >>>>>>> fit >>>>>>> properly, and no pebbles or hard materials like a string or rock is >>>>>>> in >>>>>>> your >>>>>>> shoe, which can be the cause of the bad pressure causing callusses. >>>>>>> >>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 harry, i have no clue what is causing the pressure. but I just ordered doctor biernsteens c ds today and i will look into this further. karen All diabetics, never do this >>>>>>>> >>>>>>>> You heard me right. It makes no difference whether or not you are >>>>>>>> a >>>>>>>> type1 >>>>>>>> or a type2. You should never have calluses removed from your feet >>>>>>>> by >>>>>>>> filing >>>>>>>> them off or by surgical removal. Almost without exception all foot >>>>>>>> and >>>>>>>> leg >>>>>>>> amputations of diabetics started with an infection in the foot >>>>>>>> caused >>>>>>>> by >>>>>>>> callus removal. The only way to remove calluses is to wear >>>>>>>> properly >>>>>>>> fitting >>>>>>>> shoes, and keep the pressure off your foot where calluses form. >>>>>>>> Calluses >>>>>>>> are caused by the pressure due to ill fitting shoes or lack of >>>>>>>> proper >>>>>>>> shoe >>>>>>>> inserts. Never go bare foot, if at all possible, even inside your >>>>>>>> own >>>>>>>> house. Have house slippers available to wear at all times. This >>>>>>>> warning >>>>>>>> should be especially taken if you have numbness in the feet due to >>>>>>>> diabetic >>>>>>>> neuropathy, which is the culprit most of the time. Be sure your >>>>>>>> socks >>>>>>>> fit >>>>>>>> properly, and no pebbles or hard materials like a string or rock is >>>>>>>> in >>>>>>>> your >>>>>>>> shoe, which can be the cause of the bad pressure causing callusses. >>>>>>>> >>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 Ruth, thanks for that, I have one arch which seems really high and this is caused from diabetes I am told but nothing can be done about it. so I really don't know what options I have. All diabetics, never do this >>>>>>>> >>>>>>>> You heard me right. It makes no difference whether or not you are >>>>>>>> a >>>>>>>> type1 >>>>>>>> or a type2. You should never have calluses removed from your feet >>>>>>>> by >>>>>>>> filing >>>>>>>> them off or by surgical removal. Almost without exception all foot >>>>>>>> and >>>>>>>> leg >>>>>>>> amputations of diabetics started with an infection in the foot >>>>>>>> caused >>>>>>>> by >>>>>>>> callus removal. The only way to remove calluses is to wear >>>>>>>> properly >>>>>>>> fitting >>>>>>>> shoes, and keep the pressure off your foot where calluses form. >>>>>>>> Calluses >>>>>>>> are caused by the pressure due to ill fitting shoes or lack of >>>>>>>> proper >>>>>>>> shoe >>>>>>>> inserts. Never go bare foot, if at all possible, even inside your >>>>>>>> own >>>>>>>> house. Have house slippers available to wear at all times. This >>>>>>>> warning >>>>>>>> should be especially taken if you have numbness in the feet due to >>>>>>>> diabetic >>>>>>>> neuropathy, which is the culprit most of the time. Be sure your >>>>>>>> socks >>>>>>>> fit >>>>>>>> properly, and no pebbles or hard materials like a string or rock is >>>>>>>> in >>>>>>>> your >>>>>>>> shoe, which can be the cause of the bad pressure causing callusses. >>>>>>>> >>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 Keren, What does your podiatrist say about that? Re: All diabetics, never do this Harry, I generally wear a running shoe or an expensife walking shoe with custom made insoles and still get callus under the big toe. All diabetics, never do this >>>>>> >>>>>> You heard me right. It makes no difference whether or not you are a >>>>>> type1 >>>>>> or a type2. You should never have calluses removed from your feet by >>>>>> filing >>>>>> them off or by surgical removal. Almost without exception all foot >>>>>> and >>>>>> leg >>>>>> amputations of diabetics started with an infection in the foot caused >>>>>> by >>>>>> callus removal. The only way to remove calluses is to wear properly >>>>>> fitting >>>>>> shoes, and keep the pressure off your foot where calluses form. >>>>>> Calluses >>>>>> are caused by the pressure due to ill fitting shoes or lack of proper >>>>>> shoe >>>>>> inserts. Never go bare foot, if at all possible, even inside your >>>>>> own >>>>>> house. Have house slippers available to wear at all times. This >>>>>> warning >>>>>> should be especially taken if you have numbness in the feet due to >>>>>> diabetic >>>>>> neuropathy, which is the culprit most of the time. Be sure your >>>>>> socks >>>>>> fit >>>>>> properly, and no pebbles or hard materials like a string or rock is >>>>>> in >>>>>> your >>>>>> shoe, which can be the cause of the bad pressure causing callusses. >>>>>> >>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 my foot doctor asked who i got my insoles from? that is all. I never got them from him because he was asking four hundred and fifty dollars and I got them from another specialist a lot cheaper. karen All diabetics, never do this >>>>>>> >>>>>>> You heard me right. It makes no difference whether or not you are a >>>>>>> type1 >>>>>>> or a type2. You should never have calluses removed from your feet >>>>>>> by >>>>>>> filing >>>>>>> them off or by surgical removal. Almost without exception all foot >>>>>>> and >>>>>>> leg >>>>>>> amputations of diabetics started with an infection in the foot >>>>>>> caused >>>>>>> by >>>>>>> callus removal. The only way to remove calluses is to wear properly >>>>>>> fitting >>>>>>> shoes, and keep the pressure off your foot where calluses form. >>>>>>> Calluses >>>>>>> are caused by the pressure due to ill fitting shoes or lack of >>>>>>> proper >>>>>>> shoe >>>>>>> inserts. Never go bare foot, if at all possible, even inside your >>>>>>> own >>>>>>> house. Have house slippers available to wear at all times. This >>>>>>> warning >>>>>>> should be especially taken if you have numbness in the feet due to >>>>>>> diabetic >>>>>>> neuropathy, which is the culprit most of the time. Be sure your >>>>>>> socks >>>>>>> fit >>>>>>> properly, and no pebbles or hard materials like a string or rock is >>>>>>> in >>>>>>> your >>>>>>> shoe, which can be the cause of the bad pressure causing callusses. >>>>>>> >>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2006 Report Share Posted October 20, 2006 Perhaps the callus is because of the way you walk-keep on seeing the podiatrist! I'm sure he won't do anything to your feet that would cause an injury. Re: All diabetics, never do this my foot doctor asked who i got my insoles from? that is all. I never got them from him because he was asking four hundred and fifty dollars and I got them from another specialist a lot cheaper. karen All diabetics, never do this >>>>>>> >>>>>>> You heard me right. It makes no difference whether or not you are a >>>>>>> type1 >>>>>>> or a type2. You should never have calluses removed from your feet >>>>>>> by >>>>>>> filing >>>>>>> them off or by surgical removal. Almost without exception all foot >>>>>>> and >>>>>>> leg >>>>>>> amputations of diabetics started with an infection in the foot >>>>>>> caused >>>>>>> by >>>>>>> callus removal. The only way to remove calluses is to wear properly >>>>>>> fitting >>>>>>> shoes, and keep the pressure off your foot where calluses form. >>>>>>> Calluses >>>>>>> are caused by the pressure due to ill fitting shoes or lack of >>>>>>> proper >>>>>>> shoe >>>>>>> inserts. Never go bare foot, if at all possible, even inside your >>>>>>> own >>>>>>> house. Have house slippers available to wear at all times. This >>>>>>> warning >>>>>>> should be especially taken if you have numbness in the feet due to >>>>>>> diabetic >>>>>>> neuropathy, which is the culprit most of the time. Be sure your >>>>>>> socks >>>>>>> fit >>>>>>> properly, and no pebbles or hard materials like a string or rock is >>>>>>> in >>>>>>> your >>>>>>> shoe, which can be the cause of the bad pressure causing callusses. >>>>>>> >>>>>>> Quote Link to comment Share on other sites More sharing options...
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