58 year lady comments on her toes. She states that during the day her toes gets red, hot toes but no swelling but pain. This redness occurs mainly in the evening but also during the day but to a lesser extent. The rest of her feet feel cold with a noticeable colour difference She has had previous episodes last year of this but it went away lasting a few months. On examination she has no sensory loss in either feet, full motor function and all her pulses are palpable. Her soles of her feet have numerous callouses,. her past medical history include diabetes for 6 years, and general arthritis in her knees, back and hands. Any idea?

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Its because she have used to long nails... Now its trimmed and due to tight athlete footwear its not adjusting, advice to wait few days..... Advice foot bath with Sphatika Bhasma..... 2nd Pic Charma Keelaka.... Advice for surgical management....

Thank you sir
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@Dr. Nisar Patel , Thank you Doctor for requesting my opinion. The toes are swollen and appear inflamed,plus if you observe carefully, you will see that both the big toes (thumb) are bending outwards laterally... this happens when the foot is compressed continuously by either wearing tight shoes, a size smaller or by narrow pointed shoes. @Dr. Kamal Singh pls enquire with the patient if she has been wearing narrow pointed shoes, in which case she will have to give up that narrow footwear and wear chappals or broad footwear. Narrow pointed footwear is a big fashion faux pas. Human feet are not naturally tapered at toes but are broad. However if this has not been caused by footwear, then do rule out early onset of Cellulitis. From the picture, it is seen that there is a corn on the sole not a callus which are if present, then where on the foot. For the time being I would suggest Homeopathic medicine BELLADONNA 200/tds/one week. When this acute inflammation subsides, we can begin proper treatment for corns and/or callus.

Neuritis/diabetes neuropathy Nishamalaki 1bd before food Sitopaladi churna20gm, godanthi bhasm5gm,giloy satva 10gm, muktha pishti 2gm in combination(1/4tsp bd before food) Himasagar taila/chandanadi taila/castor oil application at night and foot bath with Luke warm water

Thanks mam
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Check for varicose veins . Its better get ABI study done to know the the status of blood circulation in LE SEEMS TO HAVE SOME OBSTRUCTION IN BLOOD FLOW . . WHENEVER THIS HAPPENS ASK HER TO LIE DOWN WITH LEGS RAISED ABOVE LEVEL OF HEART AND SEE IF REDNESS DISAPPEARS .

Thanks mam
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Might be diabetes neuropathy

Onychomycosis of all nails.

Thank you sir
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इस आयु में वात व्याधि से ग्रस्त हो गई है। साथ ही मधुमेह भी है। अब आप को युक्ति पूर्वक जीवन शैली से लाभ होगा योग राज गुगल महारास्नादि क्वाथ का उपयोग करें

This needs full investigations like blood sugar. Kidney functions. Status of vessels. Nerves conduction tests etc

Thank you sir
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Callus

Thank you sir
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Blood sugar levels monitoring in such cases with blood pressure measures is imperative There are two things 1. Diabetic neuropathy chances as one of the Doctors has given a view and 2. It may be due to hypertension which is always present in diabetics since it is a chronic case it might have created a vascular damage which is likely to cause gangrene of the affected part. All investigations must be done : CBC LFT KFT BSF/PP and most probably HTN evaluation Calender This way Diagnosis becomes clear before we treat Thanks

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