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Diabetes Related
Foot Ulcer

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    Barrie, Brampton, Bayview/Midtown Toronto, Etobicoke, Oakville, Scarborough, Vaughan and Ottawa.
    Diabetes Related Foot Ulcer or Wound Conditions and Treatment to Help

    Diabetes Related Foot Ulcer or Wound

    Diabetes causes many complications, and your feet are highly susceptible. A diabetic foot ulcer or wound can occur if your diabetes isn’t well managed via diet, exercise and medication in combination with reduced sensation (feeling) or decreased circulation. Diabetes related foot ulcers can occur on the soles, heels, or toes.

    Conditions

    Diabetes Related foot ulcers or wounds are commonly found on the bottoms of your feet, or high-pressure spots. Wounds or ulcers affect the skin, tissue, muscles or even bones, with the possibility of infection. Those with diabetes can develop ulcerations, but routine footcare care and monitoring can reduce your chances of them.

    Diabetes Related Foot Ulcer and Diabetic Toe Ulcer Causes

    Ulcers can be identified by a break in the skin, with possible drainage. In some cases, the area may not be painful.
    Diabetes related foot ulcer causes {may} include:

    Common Diabetes Related Foot Ulcer Signs and Symptoms

    Signs and symptoms of a diabetic foot ulcer are not always clear. Certain signs or symptoms may not be present until the ulcer has become infected.

    Diabetes Related Foot Ulcer Treatment

    Alongside blood glucose monitoring, starting ulcer treatment early can help prevent ulcers on feet from causing further complications. Often, leg ulcers can be present alongside foot ulcers due to swelling or edema. Leg ulcer healing can be further complicated from uncontrolled blood sugars or high blood pressure. and can help reduce the risk of diabetic leg ulcers.

    Chiropody foot ulcer treatment can include the following:

    Debridement

    Debridement is a treatment where tissue is removed to clean out the ulcer or wound. LMC Chiropodists recommend this procedure when it’s necessary to help assess the wound, help with wound healing, and monitor for signs of infection. If signs of infection are present, our Chiropodists can help with the prescription of an oral antibiotic, and proper wound dressing instructions.

    Monitoring

    Regular monitoring and maintenance are encouraged during treatment. Monitoring foot pressures, drainage, temperature, smell, and size are essential to ensure healing and watching for infection.
    Some of the ways to help with monitoring treatment at home include: 

    Offloading

    One of the ways to manage a foot ulcer is to stay off your feet. This is called offloading and works for all forms of diabetes related foot ulcers. Pressure from walking can make the wound/ulcer bigger, which can make you more prone to infection. Putting less pressure on the area can help with healing.
    Some offloading foot items LMC Chiropodists may recommend include:

    Why Choose LMC

    We are part of one of Canada’s largest teams of Medical Specialists and treat the most complex foot conditions, such as diabetic wounds, daily. It makes simple cases such as heel pain (plantar fasciitis) and plantar warts easily handled by our experts.
    Trail Blazers

    Trail Blazers

    LMC Healthcare has one of the largest research divisions in North America, Centricity Research. Our Chiropodists (Footcare Specialists) have the opportunity to participate in cutting-edge foot health research and new treatment approaches.

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    Members of the Approved Provider Network (APN)

    LMC Healthcare is one of a handful of the most skilled and trusted footcare providers included in the APN. It allows us to be exclusive providers for various hospitals and insurance companies in Ontario.
    Chiropodists

    Collaborative and Convenient Approach

    While a referral is not required to see our Chiropodists, we keep your family physician informed every step of the way with assessment and treatment summaries.


    You also never have to wait long for an appointment! We have eight easily accessible locations in Ontario. Brampton, Vaughan, Oakville, Scarborough, Etobicoke, Midtown Toronto, Barrie, Ottawa, with more coming soon.

    Contact Us About Your Foot or Heel Pain

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    Helping you understand and ease your foot or heel pain
    Do you have questions about your foot health? Call us today to find out how our specialists can help!
    Easily book an appointment online with one of our specialists today to help with your foot health needs
    Email us to set up an appointment and find out how our specialists can help improve your foot health!
    FAQ

    Top questions we get asked

    We answer the top questions our foot clinic gets asked.

    It’s recommended to have a foot exam at least once a year, or more often if you have a history of diabetic foot complications.

    Even small wounds can become serious for people with diabetes. Contact an LMC footcare specialist (Chiropodist) right away to prevent more serious complications.

    Yes! Choose comfortable, well-fitting shoes with good support and avoid tight seams or rough spots that could cause blisters. Diabetic socks can also help keep your feet dry and reduce friction.
    You should see a Chiropodist at minimum yearly for those with no diabetic complications. If you notice any changes, like lack of feeling, infection, swelling, redness, or sores that don’t heal, schedule an appointment right away. Early intervention is key to preventing serious complications such as amputations.
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    Fairouz Altwair

    Canadian Certified Pedorthist
    Fairouz is a Canadian certified Pedorthic Clinician with a strong medical foundation, having earned her Doctor of Medicine (MD) degree before continuing her career in Canada. Her medical background, combined with her expertise in lower limb biomechanics, enables her to provide comprehensive, patient-centered care. Fairouz specializes in lower limb assessments, custom foot orthotics, footwear recommendations, knee braces, compression therapy, and other conservative treatment options to help improve mobility, reduce pain, and enhance quality of life. She is passionate about educating patients and tailoring treatment plans to meet each individual’s needs

    Andre Moniz

    Andre knew from an early age that he wanted to work in healthcare. He learned to appreciate this field of work as numerous health-related professionals worked to keep him healthy and active in his competitive sporting activities. Andre’s post-secondary studies began at Western University where he received an Honours
    Bachelor of Arts with a specialization in Kinesiology. He used this opportunity to explore the many streams of healthcare by completing a variety of courses in Anatomy, Physiology, Biomechanics and Psychology to name a few. In his final years of undergraduate studies, Andre completed various specialized courses in Physical Rehabilitation and volunteered to coordinate health education and physical activities for various demographics. Andre chose Chiropody as this profession most strongly integrates his educational experiences with real-world opportunities. He completed the Post-Graduate Advanced Diploma in
    Chiropody from the Michener Institute of Education at UHN in 2022. Andre brings an emerging scope of practice into the workplace with diverse experiences at Family Health Centres, St. Michael’s Hospital and Foot Clinics dedicated specifically to a wide range of foot-care services. Andre is well equipped to be a member of your healthcare team and is dedicated to his lifelong practice.

    Mohamed Kalimuddin

    Mohamed Kalimuddin is a licensed Chiropodist and graduate of the Michener Institute (2017). He has developed extensive clinical experience across private practices and wound care clinics throughout the GTA. His primary focus is diabetic foot care, including the management of thickened nails, fungal infections, and wound treatment, with an emphasis on education and prevention to support long-term foot health. Outside of his clinical work, Mohamed enjoys exploring new cuisines—most recently Thai cooking—and has a passion for travel and sports. He’s an avid fan of both the Toronto Blue Jays and Raptors.

    Cindy Micciola

    Cindy is a registered Chiropodist, with the D.Ch designation. She graduated in 2000 from the Michener Institute. With over 20 + years working in both a hospital and private practice setting, she feels she can bring many years of experience and education as a Chiropodist to the role of Manager of Medical Education and Clinical Operations position within LMC. She also holds a Bachelor of Physical and Health Education from the University of Toronto, graduating in 1996.

    Karam Al-Naqar

    Karam Al-Naqar, D. Ch, BSc., is a licensed Chiropodist who graduated with distinction from the Michener Institute of Education with an advanced diploma in chiropody. He also holds a Bachelor of Science in Biology (First Class with Distinction) from York University. Through his clinical experience at St. Michael’s Hospital, The Four Villages Community Health Centre, LAMP CHC,FCO and The Michener Institute Chiropody Clinic, Karam has developed extensive expertise in wound care, biomechanics, wart treatments, and nail procedures. He currently practices at LMC Etobicoke, where he is dedicated to providing comprehensive foot care to his patients. Outside of work, Karam enjoys crafts, art, watching soccer, and spending time with his loved ones.

    Aqsa Arshaad

    I graduated from York University with a B.Sc Hons., in Kinesiology and Health Sciences. To flourish in medical field was always my passion and dream. After volunteering in many clinics and specialities I chose Chiropody as my career and I am proud of my choice. I graduated in 2011 from Chiropody. To enhance my interest in wound care and diabetes foot care I pursued to be a wound care specialist and certified diabetes educator in 2012 and 2014 respectively. Treating persons with diabetes is my passion and delights me when I see them healing. I treat my patients with care and empathy and their satisfaction is the greatest reward for me. I enjoy my work and like to explore and learn every day.

    Sumrat Randhawa

    Sumrat graduated from the University of Waterloo with an Honours Bachelor of Science, majoring in Biomedical Sciences and a minor in Psychology. Following completion of his undergraduate degree his passion for the medical field lead him to pursue a career in Chiropody at the Michener Institute at the UHN in Toronto. Sumrat graduated from the Michener Institute in 2021 gaining valuable experience working at both the Michener Foot Clinic and private practice ensuring each and every patient is treated with the utmost care and respect. Sumrat’s passion for Podiatric Medicine allow him to comprehensively treat a wide variety of foot and ankle conditions ranging from diabetic foot care to sports medicine, he looks forward to helping you with any foot care needs you may have.

    Melissa Skuy

    Melissa knew very early in her life that working in the healthcare field and helping enhance the health and quality of life of individuals was her passion. With an Honors undergraduate degree in Kinesiology from The University of Western Ontario, as well as a keen interest in anatomy, physiology, Diabetes, biomechanics and sports medicine, she is able to help patients with a wide array of concerns, so they are able to get back on their feet and active as soon as possible.

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