Q I have no sensation in my feet due to peripheral neuropathy. Is there anything I need to be particularly careful about in my daily life?
A Since reduced foot sensation can prevent you from noticing wounds or burns, it is essential to visually check the condition of your feet every day. Basic guidelines include wearing cushioned shoes designed for diabetic feet, avoiding walking barefoot, and exercising caution with hot foot baths.
Detailed Answer
Daily Safety Guidelines for Patients with Reduced Foot Sensation: ① Daily Foot Inspection: Use a mirror to check for wounds, blisters, redness, or discoloration on the soles and between the toes. ② Check Before Wearing Shoes: Check with your hands for any foreign objects or creases inside. ③ Cushioned Shoes for Diabetic Feet: Distribute pressure and minimize friction. ④ Foot Bath Temperature: 38–40 degrees Celsius or lower (Check with an elbow or thermometer; do not test directly on your feet). ⑤ Avoid Walking Barefoot Even Indoors: Wear non-slip socks or slippers. ⑥ Be Caution Regarding Cold Exposure: Increased risk of ulcers due to vasoconstriction. ⑦ Do not attempt self-removal of calluses or toenails: Leave it to a professional.
Korean Medicine Clinic Perspective
In Korean medicine, the feet are where the starting points of the leg meridians are concentrated. If foot care is not done properly, meridian stagnation can spread throughout the entire lower body. Dongjedang provides guidance on self-acupressure techniques for the soles and ankles after a foot bath, as well as methods to keep them warm. For those with a lack of temperature sensation, we strictly instruct them to avoid direct contact with electric blankets or hot packs. A single small habit makes a big difference in preventing complications of diabetic foot.
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