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Dr. Comfort Blog

Keeping feet happy and healthy since 2002.

  1. Steps to Help Prevent Amputations

    By: Erick Janisse, CO, CPed, Corporate Trainer

    A recent article published in Podiatry Today notes that the frequency of foot amputations in patients with diabetes has increased during the COVID-19 pandemic.1  Pandemic or no, having to have a foot amputation is a fear for many of the 34 million Americans living with diabetes. Fortunately, the majority of diabetes-related foot complications are preventable – and fairly easily so.2

    Most amputations in folks with diabetes are preceded by a foot ulcer.3  A diabetic foot ulcer is a wound that can develop on the foot as an indirect result of the nerve damage that diabetes can cause called peripheral neuropathy.4  When someone has peripheral neuropathy, they may have diminished sensation in their feet and might not be able to feel things like foreign objects in their shoe or a shoe that is too tight and causing excessive pressure on the foot.  Things like foreign objects or shoes rubbing can cause skin breakdown (i.e. an ulcer).5  If the ulcer becomes infected, it could eventually require full or partial amputation of the foot.

    The steps to preventing a diabetic foot ulcer are, therefore, the steps to preventing amputations.  As mentioned above, they are pretty simple and straightforward.6,7

    1. Have your feet examined by a doctor regularly – at least twice a year.
    2. If you have neuropathy, it is important to have your shoes fit by a shoe-fitting professional.
    3. You should look for shoes that have plenty of space for your feet as well as any special inserts your doctor may prescribe for you. Generally speaking, we like to see about ½” of space between the end of your longest toe and the front of the shoe when you’re standing. It’s also important that the shoe is the proper width so that no part of your foot overlaps the shoe sole.
    4. Always keep your feet protected – especially if you’ve been diagnosed with neuropathy. This means always wearing well-fitting shoes whenever you’re up and walking…and never going barefoot.
    5. Check your feet daily for wounds, blisters or red spots and contact your doctor right away should you find anything amiss.
    6. If you have swelling in your feet, your doctor may prescribe compression socks to help control the swelling. Wearing the compression socks helps maintain your skin’s integrity and may improve shoe fit.
    7. Replace your shoes at least annually; or sooner if needed or recommended by your physician.

    The majority of amputations are preventable.  It isn’t difficult but does require some diligence in following a few simple guidelines.

     

    References:

    1. Spector, J. Studies note increase in amputations after arrival of COVID-19 pandemic. Podiatry Today. 2020 Oct;33(10):10-11.
    2. Bus SA, van Netten JJ. A shift in priority in diabetic foot care and research: 75% of foot ulcers are preventable. Diabetes Metab Res Rev. 2016 Jan;32 Suppl 1:195-200.
    3. Brocco E, Ninkovic S, Marin M, Whisstock C, Bruseghin M, Boschetti G, Viti R, Forlini W, Volpe A. Diabetic foot management: multidisciplinary approach for advanced lesion rescue. J Cardiovasc Surg (Torino). 2018 Oct;59(5):670-684.
    4. https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/nerve-damage-diabetic-neuropathies (accessed 10/7/20)
    5. Reiber GE, Vileikyte L, Boyko EJ, del Aguila M, Smith DG, Lavery LA, Boulton AJ. Causal pathways for incident lower-extremity ulcers in patients with diabetes from two settings. Diabetes Care. 1999 Jan;22(1):157-62.
    6. Ang GY, Yap CW, Saxena N. Effectiveness of Diabetes Foot Screening in Primary Care in Preventing Lower Extremity Amputations. Ann Acad Med Singap. 2017 Nov;46(11):417-423.
    7. Iraj B, Khorvash F, Ebneshahidi A, Askari G. Prevention of diabetic foot ulcer. Int J Prev Med. 2013;4(3):373-376.

     

    The contents of this blog were independently prepared and are for informational purposes only. The opinions expressed herein are those of the author and are not necessarily indicative of the views of any other party. Individual results may vary depending on a variety of patient-specific attributes and related factors.

  2. OFFICIAL RULES: ENTER TO WIN THE Dr. Comfort® 2020 Father’s Day GIVEAWAY

     

    NO PURCHASE OR PAYMENT REQUIRED TO ENTER OR WIN. A PURCHASE WILL NOT INCREASE YOUR CHANCES OF WINNING. MANY WILL ENTER AND FEW WILL WIN. YOU HAVE NOT YET WON.

    THIS GIVEAWAY IS NOT ENDORSED BY OR AFFILIATED WITH INSTAGRAM. AS A CONDITION TO ENTERING THIS PROMOTION, YOU RELEASE INSTAGRAM, FROM ALL LIABILITY.

    1. Eligibility:The Dr. Comfort® 2020 Father’s Day Giveaway (the “Giveaway”) is open only to legal residents of the 50 United States and the District of Columbia. In order to enter, you must be 18 years of age or older at the time of entry or if you are a minor in your state of residence, you must have the consent of your parent or legal guardian to enter. Employees and non-employee workers of DJO Consumer, LLC and its respective parent companies, subsidiaries, affiliates, and agents, and those prize providers and agencies that are involved in the development or execution of this Giveaway or any of its materials, and the immediate family (spouse, parents, siblings, and children) and household members of each such person are not eligible. The Giveaway is subject to all applicable federal, state, and local laws and regulations and is void where prohibited by law.
    2. Sponsor:The Giveaway is sponsored by DJO Consumer, LLC, 1430 Decision St, Vista, CA 92081 (“Sponsor”).
    3. Agreement to Official Rules:By participating in the Giveaway, each entrant fully and unconditionally agrees to and accepts these Official Rules and the decisions of the Sponsor, which are final and binding in all matters related to the Giveaway.
    4. Promotion Period:The Giveaway begins at 11:00am Pacific Standard Time (“PST”), June 15, 2020 and ends at 11a.m. PST, June 18, 2020 (the “Promotion Period”).
    5. How to Enter:To enter, during the Promotion Period, you must follow Dr. Comfort® on Instagram (@dr.comfort.footcare), tag one (1) friend (each an “Entry”) and tell us in the comments section of the post why your dad deserves to win. You must have an account with Instagram and comply with the Instagram Terms of Use (see https://help.instagram.com/478745558852511). One only one (1) Entry per person during the Promotion Period.   Any attempt to enter using scripts, bots or any automated programs or any attempt to obtain more Entries through the use of false or fictitious Instagram accounts shall be prohibited and will subject such Entries and the entrant to disqualification.
    6. Guidelines And Restrictions:
    • Entries must not contain material that violates or infringes on another’s rights, including but not limited to privacy, publicity, or intellectual property rights.
    • Entries must not disparage Sponsor or any other person or party affiliated with the Promotion.
    • Entries must not contain material that is inappropriate, indecent, obscene, hateful, tortious, defamatory, slanderous, derogatory, or libelous.
    • Entries must not contain material that promotes bigotry, racism, hatred, or harm against any group or individual, or promotes discrimination based on race, gender, religion, nationality, disability, sexual orientation, or age.
    • Entries must not contain material that is unlawful, in violation of, or contrary to the laws or regulations in any state where the Entry is created.

    Sponsor reserves the right in its sole discretion to disqualify any Entry that violates these restrictions or that otherwise does not comply with the requirements of these Official Rules.

    1. Drawings:Winners will be chosen by a randomized drawing on or about June 19, 2020. The random drawing pool will consist of all eligible Entries received during the Promotion Period. One winner will be drawn by the Sponsor and will be notified by direct message on their Instagram account. Entrants agreed to be so notified and to maintain their account in a manner to allow such direct messaging. If a potential winner fails to respond within two (2) days of notification or if any notification is returned as undeliverable, Sponsor may select an alternate winner in a random drawing. The odds of winning a prize depend on the number of eligible Entries received during the Promotion Period.
    2. Prize: The following prize will be awarded (the “Prize”):
    • One (1) pair of Dr. Comfort® shoes.
    • Prize is not transferable and not redeemable in cash. There is no prize substitution, except that Sponsor may substitute a prize of equal or greater value if the advertised prize is not available. Each Prize winner is responsible for all taxes and fees associated with Prize receipt and/or use. Limit: 1 Prize per person. All expenses of using the Prize not specifically listed above are the sole responsibility of the winner. Sponsor makes no representation and warranties regarding the Prizes and expressly disclaims the implied warranties of merchantability and fitness for a particular use.
    1. Publicity:Except where prohibited, participation in the Sweepstakes constitutes entrant’s consent for Sponsor and its designees to use entrant’s name, likeness, prize information, city and state of residence for promotional purposes in any media worldwide without further consideration or right of approval.
    2. General Conditions: In the event that the operation, security, or administration of the Giveaway is impaired in any way for any reason, including, but, not limited to, fraud, virus or other technical problem, the Sponsor may, in its sole discretion, either: (a) suspend the Giveaway to address the impairment and then resume the Giveaway in a manner that best conforms to the spirit of these Official Rules; or (b) cancel the Giveaway and award the prizes in a random drawing from among all eligible Entries received up to the time of the impairment. The Sponsor reserves the right in its sole discretion to disqualify any individual it finds to be tampering with the entry process or the operation of the Giveaway or to be acting in violation of the Official Rules of this or any other promotion, or in an unsportsmanlike or disruptive manner. Any attempt by any person to undermine the legitimate operation of the Giveaway may be a violation of criminal and civil law, and, should such an attempt be made, the Sponsor reserves the right to seek damages from any such person to the fullest extent permitted by law. The Sponsor’s failure to enforce any term of these Official Rules shall not constitute a waiver of that provision.
    3. Release and Limitations of Liability:Except where prohibited, by participating in the Giveaway, entrants agree to release and hold harmless Sponsor and their respective parent companies, subsidiaries, affiliates, promotional partners, prize partners, agents and agencies, and the officers, directors and employees of them (the “Released Parties”) from and against any claim or cause of action arising out of participation in the Giveaway or receipt or use of any prize, including, but not limited to: (a) unauthorized human intervention in the Giveaway; (b) technical errors related to computers, servers, providers, printers or telephone or network lines; (c) printing errors; (d) errors in the administration of the Giveaway or the processing of Entries; (e) late, lost, or undeliverable Entries; or (f) injury or damage to persons or property which may be caused, directly or indirectly, in whole or in part, from entrant’s participation in the Giveaway or receipt, use or misuse of any prize. Entrant further agrees that in any cause of action, the Released Parties’ liability will be limited to the cost of entering and participating in the Giveaway and in no event shall the Released Parties be liable for attorney’s fees. Entrant waives the right to claim any damages whatsoever, including, but not limited to, punitive, consequential, direct, or indirect damages. If, for any reason, an entrant’s Entry is confirmed to have been erroneously deleted, lost, or otherwise destroyed or corrupted, entrant’s sole remedy is another Giveaway Entry, if it is possible. If the Giveaway, or any part of it, is discontinued for any reason, Sponsor, in its sole discretion, may elect to hold a random drawing from among all eligible Entries received up to the date of discontinuance for any prize offered herein. No more than the stated number of prizes will be awarded. In the event that production, technical, seeding, programming or any other reasons cause more than the stated number of prizes as set forth herein to be available and/or claimed, Sponsor reserves the right to award only the stated number of prizes by a random drawing among all legitimate, un-awarded, eligible prize claims.
    4. Disputes:Entrant agrees that: (a) any and all disputes, claims and causes of action arising out of or connected with this Giveaway or any prizes awarded shall be resolved individually, without resort to any form of class action, and exclusively by the United States District Court for the Southern District of California or the appropriate California State Court located in San Diego County, California; and (b) any and all claims, judgments and awards shall be limited to actual out-of-pocket costs incurred, including costs associated with entering any Giveaway, but in no event attorneys’ fees. All issues and questions concerning the construction, validity, interpretation and enforceability of these Official Rules, or the rights and obligations of the entrant and Sponsor in connection with the Giveaway, shall be governed by, and construed in accordance with, the laws of the State of California, without giving effect to any choice of law or conflict of law rules (whether of the State of California or any other jurisdiction), which would cause the application of the laws of any jurisdiction other than the State of California.
    5. Privacy: Entry in the Giveaway constitutes consent to transfer personal information to Sponsor in the United States for purposes of administration of the Giveaway by Sponsor and its authorized agents and for such other purposes to which entrant may consent, or as otherwise described in these Official Rules and in accordance with Sponsor’s privacy policy at https://www.drcomfort.com/privacy-policy

     

    Winner List: For a winner list, visit the Dr. Comfort® Instagram stories. The winner will be posted after winner confirmation is complete.

  3. Don’t let exercise fall by the wayside just because you’re stuck at home.

    playlist for walking

    Most, if not all, of the local and state “Stay at Home” mandates call for the temporary closure of gyms, health clubs and community centers to prevent gathering which could spread the COVID-19 virus.  That doesn’t mean you should stop exercising, though.  In fact, many of those same “Stay at Home” orders also include reminders that you can still take a walk outside or go a park provided you employ good social distancing practices.

    Continue reading

  4. Don't Go Barefoot

    Don't go barefoot

    Even when you’re not out and about…wearing your shoes is important!We hope that this finds you all well in these constantly changing times.  Many of us are sticking close to home and not going out as much as we are accustomed to.  However, it’s important to remember that those of us with diabetes and/or at-risk feet should still wear our shoes and inserts whenever we’re up and walking around – inside the house and out. Continue reading

  5. Health Savings Accounts (HSAs) vs. Flexible Spending Accounts (FSAs) Benefits

    HSA vs FSA

    Daily living costs certainly can add up. From home and foot expenses to everyday necessities and health care, everything adds up. 
    Continue reading

  6. 4 Essential Daily Tips When Living With Diabetes

    national diabetes month

    You are your biggest health care advocate.

    Managing your health can be a daily challenge, let alone living with diabetes. 
    Continue reading

  7. New Men's Dress Shoe: The John

    dress-diabetic-shoe

    New season, new shoes! 
    Continue reading

  8. Meet Jack and Diane, the New Athletic-Inspired Shoe

    jack and diane diabetic shoe

    Whether your style is sophisticated, timeless or sporty, these new casual shoes are your savior to daily activity.
    Continue reading

  9. Introducing the Ruth and Roger

    Finally, your go-to adventure shoe is here!

    Whether it’s for busy days around town or relaxing walks on the boardwalk, show off your urban style in the new Dr. Comfort® Women’s Ruth and Men’s Roger shoe.
    Continue reading

  10. How To Manage Plantar Fasciitis

    how to manage plantars fasciitis

    It often starts as a minor irritation. But if left untreated, it can develop into a sidelining injury: plantar fasciitis.
    Continue reading

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