QUICK EXAMINATION OF THE FEET
History is a pivotal component.
Tingling, numbness, burning in feet, previous foot ulcer, and use of tobacco and claudication pain in legs are key components of the history.
In busy office practice, feet should be examined after removal of socks for deformities, nail pathologies or callus
. Sensation in feet should be tested by pin prick or 10 g monofilament and vibration by 126-Hz tuning fork or by the newly introduced vibratip.
Vibratip is a small handy battery operated instrument. It vibrates on pressing the knob (Fig. I). Peripheral pulsation should be palpated on both feet for dorsalis pedis and posterior tibial.
In the presence of abnormal examination findings, further elaborate examination should be recommended.
Examination of the feet should at least be done once in a year even if there are no abnormal findings.
History is a pivotal component.
Tingling, numbness, burning in feet, previous foot ulcer, and use of tobacco and claudication pain in legs are key components of the history.
In busy office practice, feet should be examined after removal of socks for deformities, nail pathologies or callus
. Sensation in feet should be tested by pin prick or 10 g monofilament and vibration by 126-Hz tuning fork or by the newly introduced vibratip.
Vibratip is a small handy battery operated instrument. It vibrates on pressing the knob (Fig. I). Peripheral pulsation should be palpated on both feet for dorsalis pedis and posterior tibial.
In the presence of abnormal examination findings, further elaborate examination should be recommended.
Examination of the feet should at least be done once in a year even if there are no abnormal findings.
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