Exercise therapy has many forms, such as: walking, running, playing, swimming, mountain climbing and so on, but the choice of exercise therapy varies, in
some cases, particularly those with a serious foot lesions (diabetic foot), the Patients not suitable for exercise therapy. Is there any diabetic foot
patients can not exercise?
Diabetic foot is the most common complication of diabetes. There are two cases: First, an open lesions (ulcers, infections, gangrene) of the foot; Second,
although not an open foot lesion, but there are risk factors for disease to occur, such as neuropathy, vascular disease (commonly known as risk of foot). In
principle, an open foot lesion is not suitable for exercise therapy. Because weight-bearing pressure foot lesions can be further accentuated. So there is no
danger of an open foot lesion how to exercise therapy?
Diabetic foot risk mainly in the following four conditions: neuropathy foot, vascular disease foot, clubfoot, had past history of foot ulcers. Risk foot in
patients with diabetes can be the movement, because the appropriate exercise can also improve the blood circulation of lower limb and foot. It should be
noted the following:
1. Foot neuropathy, the most common sensory neuropathy were caused by senseless foot. Foot because of sensory neuropathy and can not perceive all kinds of
discomfort, can not be perceived by the trauma or disease has occurred, so the problem can not have enough timely care or treatment, that is, the lack of
adequate protective sensation. Motor neuron lesions can lead to foot deformities, abnormal protrusion of part of the foot vulnerable to oppression, autonomic
neuropathy to foot swelling, discomfort wearing shoes can also be subject to oppression. Neuropathy is the main reason for foot ulcers. Therefore, there is
foot neuropathy in patients with exercise should pay special attention to the protection and care of the foot.
First, select the appropriate shoes, sports shoes or leather shoes optional, the size should be appropriate, there is foot deformity or swelling of feet,
especially when attention must not be barefoot or wear sandals movement. Every time before exercise should pay attention to check whether the foreign body
inside the shoe, shoes, and whether the damage (not wearing shoes or damaged through the repair of shoes); after exercise should be carefully examined
whether the swelling of foot or the pressure traces (if any Note inappropriate shoes), once found to have skin ulceration should go to hospital. There is
sufficient deformity or foot swelling is appropriate for patients to walk, not to do a more intense exercise.
2. Vascular disease, also should pay attention to the foot protection. Because vascular resistance to reduce foot ulcers, but the event is difficult to heal
ulcers. If the lower extremity pain after exercise, suggesting that vascular disease are serious, at this time should go to hospital for treatment, the
patient not to insist on sports.
3. If you have an open foot lesion, with gangrene, acute ulcer with infection, severe neuropathy leading to Charcot's joints, the patient should be in bed,
unable to walk. If you have chronic ulcers and there is no infection, the use of special shoes or insoles to ensure Ulcer cases are not subject to oppression
in order to appropriate physical activity.
