One of the US’s top diabetes doctors has warned about the potential harm of pedicures to the 37 million Americans who suffer from the chronic condition.
Diabetes, which increases the risk of heart attacks, strokes and dementia, is characterized by high blood sugars, which damage the nerves in the lower extremities.
The nerve problems prevent wounds in the area from healing properly, making them a fertile ground for infections.
Foot treatments such as pedicures are particularly risky because there is a chance of being cut or injured by sharp instruments designed to smooth the skin and nails.
“A small cut during a pedicure or excessive pressure during a leg massage can potentially lead to serious complications,” said Dr. David Armstrong, professor of surgery at the University of Southern California Keck School of Medicine. Medscape.com.
A pedicure is risky for diabetics because the smallest cut can lead to a disastrous infection
Complications include infections and ulcers that, he says, “may necessitate amputation in severe scenarios.”
About 154,000 amputations occur in the United States each year, the majority of which are preventable, according to the American Diabetes Association.
The risk of limb loss is greatly reduced with good blood sugar control, through medications or significant weight loss.
Some doctors say pedicures are unsafe for diabetics — and that patients should avoid them altogether.
Approximately 154,000 amputations are performed on diabetics every year, and most are preventable
But Dr. Armstrong, who is the president of the American Limb Preservation Associationsays foot pampering is off the charts.
Patients can receive the treatment as long as they “consult with their podiatrist or healthcare provider” beforehand – and adhere to his list of “precautions that ensure a safe experience.”
If diabetics do this, the overall risk of complications from a pedicure is ‘low’.