U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Monday, July 28, 2014

Division of Diabetes Treatment and Prevention - Leading the effort to treat and prevent diabetes in American Indians and Alaska Natives


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Complete Diabetic Foot Exam

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NOTE: Access to this information is not restricted; however, the information found here is intended for use by medical providers. Some videos contain graphic images. Patients should talk with their medical providers about any specific concerns.

Equipment:

  • 10 gm monofilament
  • 128 Hz tuning fork
  • Good lighting
  • Comfortable place for the patient to put their feet up
  • Foot cleaning station or clean drape and non-sterile gloves

Procedure:

  • Ask patient if they have had any previous foot problems.
  • Ask patient if they are currently having foot problems.
  • Under good lighting, check feet and between the toes for sores, calluses, infections, fissures, cracks and deformities.
  • Check each foot for pulses:
    • Posterior tibial pulse - behind the ankle bone.
    • Dorsalis pedis pulse - on top of the foot, just below the ankle.
  • Next conduct a monofilament exam.
  • Consider an optional test, Vibration Sensation Exam using a tuning fork.

Overview How To Other Resources

Division of Diabetes Treatment and Prevention | Phone: (505) 248-4182 | Fax: (505) 248-4188 | diabetesprogram@ihs.gov