I have pain in my ankle and it may need surgery. Will my diabetes make it difficult to heal my ankle?
A diabetic patient needs to see their medical doctor to keep the blood sugars under control as this maintains the bodies ability to fight infection.
The skin is the first line of prevention against infection. We know that if there is poor circulation, a lack of feeling and a lot of pressure on the skin, you can potentially walk a hole in the skin allowing infection.
Infections can increase blood sugars and elevated blood sugar over 200 leads to the bodies inability to fight infection.
So depending on the examination patients need to be observed for evidence of skin breakdown prior to the breakdown, and preventative measures shoud be in place for the at risk patient. The risks have to be identified as well.
There is excessive moisture that you can not control to your satisfaction that would require medical help and there are treatments that can provide mental and physical relief of excessive perspiration
OTC Anti-inflammatory medication such as Tylenol or Motrin
Heel lift 1/4” piano felt both sides
If that is unsuccessful, you need immobilization with boot cast and see a foot specialist as you have a potential for a tear or fracture. It is always better to get an accurate diagnosis before embarking on a treatment plan for best results.
Jan David Tepper, DPM
Further diagnostic testing such as an x-ray to rule out fracture or dislocation that may give information regarding ligament tear in conjunction to a doctor evaluating the anatomic structures to see where the pain and swelling corresponds to the anatomic structures to see if a pneumatic boot cast or even a weight bearing or non weight bearing below the knee cast is necessary. However If there is still pain with weight bearing a MRI may be necessary before you can put weight on the area to see if surgery is indicated prior to weight bearing as premature weight bearing may ensure the conservative care is unsuccessful and only surgery may provide he necessary alignment and function that you may want and need to regain full function.