Diabetic Foot & Wound Care in Las Vegas
Protect your feet and prevent serious complications with comprehensive diabetic foot care. Our board-certified podiatric surgeons specialize in diabetic wound management, preventive care, and patient education.
Condition Overview
Understanding Diabetic Foot Care & Wound Management
Diabetes significantly affects foot health, making specialized podiatric care essential for prevention and early intervention. High blood sugar levels can damage nerves (neuropathy), reduce circulation, impair immune function, and slow healing—all factors that put diabetic patients at higher risk for serious foot complications.
Many diabetics experience reduced sensation in their feet, meaning injuries, blisters, or wounds may go unnoticed until they become serious. Poor circulation limits the body’s ability to fight infection and heal wounds. Without proper care, even minor foot problems can escalate into ulcers, infections, and potentially life-threatening complications including amputation.
At The Foot Docs in Las Vegas, we provide comprehensive diabetic foot care focused on prevention, early detection, and advanced wound healing. Our board-certified surgeons understand the unique challenges diabetic patients face and offer specialized services including regular foot screenings, neuropathy management, custom therapeutic footwear, and state-of-the-art wound care. We partner with your endocrinologist or primary care physician to ensure coordinated care. Our goal is simple: keep you walking, active, and healthy by preventing complications before they start and treating any issues promptly with the most advanced therapies available.
Symptoms and Signs
Warning Signs Diabetic Patients Should Never Ignore
Seek immediate evaluation if you experience any of these symptoms
Nerve Damage (Neuropathy) Signs
- Numbness, tingling, or burning in feet
- Loss of sensation—inability to feel hot, cold, or pain
- Sharp, stabbing pains especially at night
- Extreme sensitivity to touch
- Muscle weakness or difficulty walking
- Loss of balance or coordination
Circulation Problems
- Feet that feel cold to touch
- Changes in skin color (pale, blue, or red)
- Slow-growing toenails
- Hair loss on legs or feet
- Shiny, tight skin on legs
- Weak or absent pulses in feet
Skin & Wound Issues
- Any open sore, cut, or blister on feet
- Redness, warmth, or swelling
- Drainage or foul odor from wounds
- Wounds that don't heal within a few days
- Thickened, discolored, or ingrown toenails
- Calluses with dried blood underneath
- Cracked, dry skin especially between toes
- Fungal infections (athlete's foot)
Foot Structure Changes
- Bunions, hammertoes, or other deformities
- Charcot foot (collapsed arch, swollen foot)
- Corns or calluses in unusual places
Treatment Options
Comprehensive Diabetic Foot Care in Las Vegas
Our specialized approach combines prevention, education, and advanced wound healing technologies.
Preventive Diabetic Foot Care
- Regular Foot Examinations
- Comprehensive screenings every 3-6 months including neurological testing (monofilament, vibration, sensation), vascular assessment (pulse checks, circulation evaluation), skin and nail inspection, and structural evaluation for deformities. Early detection prevents serious complications.
- Patient Education & Self-Care Training
- Essential instruction on daily foot inspection techniques, proper washing and moisturizing, safe nail trimming, recognizing warning signs, when to seek immediate care, and footwear selection. Education is your first line of defense.
- Custom Diabetic Orthotics & Footwear
- Therapeutic shoes and custom inserts redistribute pressure, protect high-risk areas, accommodate deformities, and prevent ulcer formation. Medicare often covers diabetic footwear for qualifying patients.
Advanced Wound Care Treatments
- Debridement
- Professional removal of dead, infected, or damaged tissue to expose healthy tissue, reduce infection risk, and stimulate healing. Essential first step in wound management.
- Advanced Wound Dressings
- Medical-grade dressings including antimicrobial, moisture-retentive, and growth-factor-enhanced options that create optimal healing environment, protect wounds, and accelerate tissue regeneration.
- Offloading Devices
- Specialized boots, casts, or padding remove pressure from wounded areas, allowing tissue to heal without constant trauma. Critical for successful ulcer healing.
- Infection Management
- Aggressive treatment with appropriate antibiotics (topical or systemic), wound cultures to identify specific bacteria, and close monitoring to prevent spread. Uncontrolled infection is a medical emergency.
- Class IV Laser Therapy
- Non-invasive treatment that increases circulation, reduces inflammation, stimulates cellular healing, and accelerates wound closure. Particularly effective for slow-healing diabetic wounds.
- Regenerative Medicine
- Advanced biologics and growth factors promote tissue regeneration, enhance healing of chronic wounds, and reduce healing time for stubborn ulcers.
Surgical Interventions When Needed
- For severe infections, deep ulcers, or structural problems: Incision and drainage of abscesses, partial amputation of infected tissue (toe, part of foot) to save remaining limb, Charcot reconstruction to restore stability, and vascular surgery referrals for circulation problems. Our goal is always limb preservation.
Ongoing Management & Monitoring
- Regular follow-up appointments track healing progress, blood sugar optimization coordination with your diabetes care team, adjustment of treatment protocols based on response, and long-term prevention strategies to avoid recurrence.
FAQ
Frequently Asked Questions
We know you have questions before your visit. Find quick, helpful information about our services, appointment scheduling, insurance, and what to expect from your treatment.
How often should diabetics see a podiatrist?
All diabetic patients should have comprehensive foot exams at least once or twice yearly, even without symptoms. Patients with neuropathy, circulation problems, previous foot ulcers, or other risk factors need more frequent visits—typically every 3-4 months. If you have an active wound or infection, you may need weekly or even more frequent appointments until healed. Regular preventive care is far more effective and less costly than treating complications.
Can diabetic foot wounds heal completely?
Yes, with proper treatment most diabetic wounds can heal completely. However, healing takes longer than in non-diabetic patients—often several weeks to months depending on wound severity, blood sugar control, and circulation. Success requires controlling blood glucose levels, following treatment protocols precisely, keeping weight off the wound, attending all appointments, and maintaining excellent wound care. Early intervention significantly improves healing outcomes.
Why are foot problems so dangerous for diabetics?
Diabetes creates a “perfect storm” for serious foot complications. Neuropathy means you may not feel injuries, so problems worsen before you notice them. Poor circulation reduces healing ability and infection-fighting capacity. High blood sugar impairs immune function and tissue repair. This combination means a minor blister can rapidly become a deep infection or non-healing ulcer. Diabetic foot infections are the leading cause of non-traumatic amputations. However, most amputations are preventable with proper care.
What should I do if I get a cut or blister on my foot?
Clean the area immediately with mild soap and water, apply antibiotic ointment, cover with a clean bandage, avoid putting pressure on the area, and contact our office the same day for evaluation—don’t wait to see if it heals on its own. Even minor wounds require professional assessment in diabetic patients. Never try to treat wounds yourself with home remedies. Prompt medical attention can prevent a minor issue from becoming a major complication.
Does Medicare cover diabetic foot care?
Yes. Medicare Part B covers therapeutic shoes and inserts for diabetics with specific conditions, routine foot care for high-risk patients with neuropathy or circulation problems, and treatment of foot wounds and infections. Coverage requires documentation of medical necessity and proper certification. We’re experienced with Medicare requirements and help you navigate coverage. Most diabetic foot care services are covered when medically necessary.
Can I prevent diabetic foot problems?
Absolutely. Most diabetic foot complications are preventable through proper blood sugar control (single most important factor), daily foot inspection and care, wearing appropriate footwear always (never walk barefoot), regular podiatric exams, immediately reporting any changes or problems, maintaining overall health (diet, exercise, not smoking), and managing other conditions like high blood pressure. Our prevention-focused approach has helped countless patients avoid serious complications.
What is Charcot foot?
Charcot foot is a serious condition where bones in the foot weaken and fracture while joints dislocate, causing the foot to collapse and deform. It occurs in patients with severe neuropathy who can’t feel the injury happening. The foot becomes red, swollen, and warm but often painless. Without immediate treatment, permanent deformity occurs. Charcot foot requires emergency care with complete immobilization. We provide specialized Charcot management including custom bracing and, when necessary, reconstructive surgery to restore stability and prevent further damage.
Why can't I do my own foot care at home?
Many diabetic patients have reduced sensation, making it dangerous to trim nails or calluses yourself—you may cut too deep without feeling it, creating wounds. Poor eyesight and reduced flexibility make it difficult to see and reach feet properly. Improper tools or techniques can cause injuries. Professional foot care ensures safe, proper treatment without risk of accidental injury. We provide nail trimming, callus removal, and other care safely and effectively. Never use sharp objects, corn removers, or heating pads on diabetic feet.
What happens if my wound isn't healing?
Non-healing wounds require immediate intervention to prevent serious complications. We’ll reassess the wound, check for underlying infection or bone involvement, evaluate circulation to ensure adequate blood flow, adjust treatment approach using advanced therapies, possibly refer to vascular specialist if circulation is severely compromised, and intensify monitoring. Chronic wounds may benefit from regenerative medicine, hyperbaric oxygen therapy referral, or other advanced modalities. We’re committed to healing even the most challenging wounds.
Ready for Relief?
If foot or ankle pain is holding you back, our board-certified Las Vegas podiatrists are here to provide the expert solution you need.