History needs to be comprehensive and must cover general, medical, Surgical (including ulcers, disarticulation, amputation, vascular or orthopedic intervention), drug and allergies history. Specifi c to the foot, neuropathic vs ischemic pain, daily activities & use, callus formation, deformities, skin & nail changes needs to be documented.

All patients with diabetes require proper foot inspection, and a thorough foot examination should be performed at least once each year. Patients with diabetic foot-related complaints will require detailed evaluations more frequently. Examination of both feet should be performed systematically from dorsum, plantar, lateral border, medial border, back of the heel, interdigital areas and malleoli. A comprehensive assessment of vascular system, neurological system, skin and integumentary system, musculoskeletal system and Footwear examination is critical in managing diabetic foots.

Introduction Diabetic foot as defined by the World Health Organization is, ‘The foot of a diabetic patient that has the potential risk of pathologic consequences, including infection, ulceration, and/ or destruction of deep tissues associated with neurologic abnormalities, various degrees of peripheral vascular disease, and/or metabolic complications of diabetes in the lower limb’.

History needs to be comprehensive and must cover general, medical, Surgical (including ulcers, disarticulation, amputation, vascular or orthopedic intervention), drug and allergies history. Specifi c to the foot, neuropathic vs ischemic pain, daily activities & use, callus formation, deformities, skin & nail changes needs to be documented.

All patients with diabetes require proper foot inspection, and a thorough foot examination should be performed at least once each year. Patients with diabetic foot-related complaints will require detailed evaluations more frequently. Examination of both feet should be performed systematically from dorsum, plantar, lateral border, medial border, back of the heel, interdigital areas and malleoli. A comprehensive assessment of vascular system, neurological system, skin and integumentary system, musculoskeletal system and Footwear examination is critical in managing diabetic foots.