By Robin052 Latest Reply 2013-02-26 16:38:24 -0600
Started 2013-02-09 14:28:03 -0600

I take neurontin 3 times a day to help with the neuropathy. I really need to see a podiatrist. Had an appointment but got bronchitis. Anyone else having issues with callous build up in you heel with pain and also sometimes bleeding? Please let me know. I'm freaking out!!!!

26 replies

mary, the diabetes lady
mary, the diabetes lady 2013-02-24 20:02:02 -0600 Report

Please do not cut, rasp, peel off, shave or sandpaper your callouses. This is so wrong on so many levels. That type of action can very easily and quickly lead to an infection. You already have neuropathy otherwise you wouldn't be taking Neurontin. Oh, I feel your pain.

My husband suffered with neuropathy for over 15 years. He too was on Neurontin for the pain. It helped but not enough. In 2002 he could barely walk 75 feet without sitting down to rest. I told my grown children that in 6 months I'd be pushing dad around in a wheelchair and I meant it.

I read a book in late 2002 that changed our world. "Diabetes Solution" by Dr. Richard Bernstein. That books set me out on a quest to understand, read and learn all I could about how to beat the horrible effects of diabetes.

In 2003 I put together a program that my husband could live with. Within 3 months he came off of insulin and never looked back. Within 9 months he lost 80 pounds and since has lost another 20 for a total weight loss of 100 pounds - and has never looked back.

Here's what you need to hear: Within 1 year he was in 2 5K races and finished! The neuropathy is gone! Yes, Gone. G-O-N-E! Not covered over with a medication, not smoothed over with a cream or soaking. It is gone! He has been off the Neurontin since 2004. Let's see that's 9 years almost to the day now.

We went to Disney World this past May and he walked - WALKED - from 8:30 a.m. until 11:45 p.m. with only a 2 hour rest break in the afternoon - which we all needed. My favorite photo from that trip is the one of him getting off the monorail at 11:45 p.m. with a huge smile on his face. This from the man who 12 years earlier could not walk more than 75 feet!!

No magic pills. No exlir. No creams. It's Education, Motivation and Implementation. A 3 step program - that's what we share in our seminars.

My husband is off of diuretics, off of statin drugs, off of insulin, off of pain medication. I am not anti-drugs. I am anti-too many drugs and no plan to actually help prevent diabetic issues.

Also my husband's profuse nights sweats are gone. Angry and irritable disposition gone. Fatigue and lack of energy gone.

He just celebrated and I mean celebrated his 74th birthday at the beginning of February. This month he stripped the wallpaper off one of our bedrooms, painted the walls and the woodwork (2 coats of kilz and 2 coats of paint on each wall and woodwork).

I wish I could tell you about our program. I am not allowed under the guidelines of this group and I abide by their rules. But I know I can tell you about Dr. B's book. Also Gary Taubes "Why We Get Fat". Dr. Mark Hyman, "Blood Sugar Solutions", Dr. Jonny Bowden's "The Great Cholesterol Myth" and "Living The Low Carb Life" because I have no affiliation with these people.

Do not let ANYONE cut these callouses or shave them off. Get diabetic shoes. Shoes that are deeper, wider and have plenty of room for your foot. Go to a reputable shoe store where they have trained professionals to fit your shoes properly. Let them know you are a diabetic. If your podiatrist sells the diabetic shoes get him/her to get you the right fit.

With the right shoes, you callouses will clear up over time. Watch them carefully. Make sure your podiatrist watches them for any signs of redness or tearing or infection. This kind of condition needs immediate attention by your doctor.

I hope this helps.

pixsidust 2013-02-25 05:07:45 -0600 Report

If it goes against the rules to market your program then why are you marketing your program? The only thing missing is your link

Lentyl 2013-02-13 08:30:06 -0600 Report

I know a chap who had the worst calluses on his heals that his podiatrist had ever seen. After the treatment the podiatrist told the chap to use Bag Balm on his heels to keep them soft. Apparently it works wonderfully well. Perhaps you might want to consider this suggestion that my friend was given.

re1ndeer 2013-02-09 19:37:34 -0600 Report

You should never, never do anything to a diabetic foot, that could cause you to injure yourself.
Please read the article I'm posting here :
You are better to go see a doctor than to possibly lose your foot.

Robin052 2013-02-09 21:36:06 -0600 Report

Wow, thank you so much for the information. I know it's time to see a podiatrist for sure. Had an appointment and then got bronchitis and then no money. But I will definitely follow up. Thanks so much.

re1ndeer 2013-02-09 21:44:09 -0600 Report

You are most welcome, glad I could offer some help.

Robin052 2013-02-09 21:59:57 -0600 Report

Diabetes never ran in my family so I was shocked when I was diagnosed. I don't know much about my dad's side, so it might come from his line. Crazy. Thanks again.

pixsidust 2013-02-09 18:40:33 -0600 Report

My heals are so dry that they crack and bleed. Callouses build up fast. I bought a callus shaver. You use it on moist softened skin. Then use a rasp to sand the rough edges and the flat fine sand paper side to smooth the skin.
If I do not do this I have your problem. The key is you can not let the callouses build up because they will crack and bleed and that hurts. I would do this regularly if i were you. minimally once a week. Go slow and careful. I do it right out of the shower or after I soak my feet. Its time to take care of your feet and you do not need a podiatrist for that. Even if you have cracked heals now or toe pads shave them down and sand them. It will let them heal faster and stop that deep cracking from going further. Then keep it up and make it part of your regiment. Here is a link to what I use so you can see what I am talking about

mary, the diabetes lady
mary, the diabetes lady 2013-02-24 19:31:19 -0600 Report

NO, NO, NO! Do not shave, rasp, peel off or sand callouses! Please! In a diabetic this type of action could lead quickly to an infection, followed by an ulcer, followed by amputation!

Diabetics feet are dry and they crack because the small blood vessels in the feet are being deprived of the blood supply they need to keep all systems in a "go" mode. Diabetic's feet do not sweat which sets them up to be dry and to crack.

You should never, ever treat a callous yourself. Don't even let your podiatrist take a callous off your foot. Diabetics, especially a diabetic who already is exhibiting signs of neuropathy, do not have the blood supply to their feet that will enable healing of any injury to take place. And removal of a callous is an injury to that foot.

You need to buy better, wider, deeper shoes for diabetics. Keep your feet soft and moist by applying a moisturizer daily if not twice a day — ask your doctor how often and what type of moisturizer to use.

Check your feet daily - even twice a day. If you are having trouble seeing the bottom of your feet, use a mirror. Check for ANY cracks or signs of redness - even the most minor areas of redness can be the beginning of an ulcer if left untreated.

Don't be hoodwinked into buying special "diabetic socks". These products do nothing for your feet.

And finally and very important - your primary care physician should be checking your feet at every visit. If the nurse who gets you settled into the exam room doesn't tell you to take off your shoes and socks so the doctor can examine your feet, you do that anyway. When the doctor comes in, make sure he/she knows that you want him/her to examine your feet. It should be done with an instrument that looks like a tuning fork as well as an instrument that looks like a wire or a thin needle. This is your right as a patient. This is very important to your well-being.

pixsidust 2013-02-24 20:33:25 -0600 Report

I have had no problem caring for feet. When I had insurance The time, the copay to just remove a callous did not seem worth it. I remove the callous and nothing more. Infections cause amputations not callous removal. Moisturising which I do at least twice daily is not enough and I spend money on the best lotions and creams. They don't work. Now I have no insurance so caring for my feet, inspecting them and babying them I can do just fine. When its something more than a callous, then the doctor will see me right away

mary, the diabetes lady
mary, the diabetes lady 2013-02-24 21:26:31 -0600 Report

I appreciate your comments pixsidust and I understand how difficult it can be without insurance. Yes, you are correct in saying that "Infections cause amputations…", however, when you remove a callous you are causing a wound on the foot. Whether that wound comes from scraping or cutting - it doesn't matter.

White blood cells protect a cut or sore from becoming infected. Because the diabetic foot is already compromised due to the total lack of blood supply which includes a lack of white blood cells, any wound any sore can quickly and easily become infected.

The diabetic foot especially one with neuropathy has an extremely limited supply of blood - therefore that foot has a limited supply, if any, white blood cells to fight off an infection.

Once an infection sets in, it is often difficult to impossible to cure because of the lack of circulation. Doctors try to fight these infections but are frustrated because you must have circulation of blood to the area to heal the wound/infection.

A stubborn infection leads to gangrene and ultimately to amputation. You don't ever want to take a chance on that happening especially since you can take steps to prevent it.

More amputations are performed every year because of a diabetic infected foot than any other reason.

The best way to cure a diabetic foot wound that leads to an infection is to not get a diabetic food wound.

A diabetic foot has lost much if not all of it's ability to heal itself. Taking callouses off of a foot already compromised by diabetes is not a wise decision.

I wish you all the best and please understand I am only trying to help you.

pixsidust 2013-02-25 05:01:19 -0600 Report

Dead skin of a callous being removed is not causing a wound to my feet. I have neuropathy and that Diabetic foot you speak of. Ever get a pedicure? Many women do and their feet are not wounded. Its part of hygiene. Not everything has to be a medical trip to the doctors. They are rich enough as it is. Just be wise and decide when a doctor is necessary. For daily care…Nah. As James is pointing out its the Total lack of blood supply that causes amputation…not removal of a little dead skin.

mary, the diabetes lady
mary, the diabetes lady 2013-02-25 16:58:05 -0600 Report

I stand behind my assessment that removing callous causes a wound to the foot of a diabetic person. Even the slightest redness from rubbing of a sock or shoe can be a huge problem for a person with diabetes.

Shaving, rasping, peeling, sanding or otherwise attempting to remove a callous is even more of a threat to the health of that foot. A person with diabetes who is already suffering from peripheral neuropathy is at extreme risk for a dangerous wound and ensuing infection.

The best way to cure a diabetic foot wound is to not get a wound in the first place.

I am happy for you that you have not had any problems with removing your callouses. Since you have neuropathy, a wound on your foot would be an even bigger concern. A person with peripheral neuropathy can not get an adequate supply of blood to their extremities in order to properly heal wounds there.

Yes, I know many women get pedicures. I am not talking about non-diabetic women. My concern is for women with diabetes and worse yet women with diabetes who are already experiencing neuropathy and who remove callouses. It can spell disaster.

In terms of what James pointed out about the total lack of blood supply that causes amputation… please check out my reply to James for clarification of my statement regarding the "total lack of blood supply…"

As I said, I am trying to help by sharing what I have learned about diabetes and neuropathy. If you are happy and all is well - then I am happy for you.

My advice is just that…my advice. As with all of us on this web site, we are sharing what we know. Your experience is different. May it continue to be so for you.

Thanks for sharing your thoughts and comments.

jayabee52 2013-02-25 00:11:39 -0600 Report

Mary, a TOTAL lack of blood supply would make the foot tissue necrotic (dead) and gangrene would set in leading to amputation.

What you said later: "The diabetic foot especially one with neuropathy has an extremely limited supply of blood - therefore that foot has a limited supply, if any, white blood cells to fight off an infection"

Anonymous 2013-02-25 15:45:02 -0600 Report

Hi Jayabee
You are so right! A "TOTAL" lack of blood supply would make the tissues of the foot necrotic and gangrene would set in leading to amputation. I need to explain my interpretation of the word "lack."

Dictionary dot com defines, "lack" :
noun - deficiency or absence of something needed, desirable, or customary: (as in) lack of money; lack of skill.

verb (used with object)
to be without or deficient in: to lack ability; to lack the necessities of life.

My use of "total lack" was: as a deficiency in the blood supply to the foot. The word "total" was used for emphasis.

The way I wrote that line, it could and was very easily interpreted as "total absence" of blood supply… I appreciate your calling that to my attention.

I am glad that my later paragraph clearly states how a "limited" blood supply to the foot of a person with neuropathy can have dire consequences. While I agree with him, my caution regarding this matter comes from what Dr. Richard Bernstein said about removing callouses.

it is important to understand that the wound/soreness that occurs to a diabetics foot after removing a callous can be and is particularly dangerous especially for a person suffering from peripheral neuropathy.

I wouldn't want anyone to lose a toe or foot because of a callous.

Thanks for the opportunity to make sure this information is not misinterpreted. :)

jayabee52 2013-02-26 16:18:38 -0600 Report

My issue was with the word total.

If I were to rewrite that reply for you I would have used a word like "severe" to modify the word lack rather than "total", meaning absolutely no blood flow there. That emhasis gave erroneous information in my opinion.

I used to write for a living. And I learned that the difference between almost the right word and the right word was the difference between a lightning bug and lightening!

Robin052 2013-02-09 21:38:12 -0600 Report

Is there a special moisturizer or ointment we can put on our feet when we sleep at night with special socks on? Like re1ndeer said, I need to go to the doctor.

pixsidust 2013-02-13 02:08:36 -0600 Report

I use a heavy cream naturally made with Shea butter, Vitamin E oil and Jojoba oil blended and whipped. I buy it on Etsy where people hand craft items. I hate petroleum oil but this is simply my preference. You may like it very much. That recipe for lotion link reindeer included looks great and bears me giving it another try. No matter the oil callouses still build quickly on me and I have to do everything. I also buy Diabetic socks at the Dollar Tree store for a buck. I can't believe how fast my callouses form. I noticed that before I even knew I was Diabetic. Be of good courage, you will figure out what works for you. Daily care is so important!

JSJB 2013-02-10 03:02:05 -0600 Report

No special ointment. I get mine from the diabetic section of the pharmacy and I do put it on over night. They all work and if you are not sure ask the pharmacist. Oh, at night I wear socks just like in reindeer's post.

JSJB 2013-02-09 14:37:55 -0600 Report

Yes I have had callous on my heals and balls of my feet for a while now. I soak them in a epsom salts foot bath and us a foot cream to soften them up but no pain. Sometimes a little tingleing.

Robin052 2013-02-09 21:39:48 -0600 Report

I didn't have pain or this callousing before. Maybe because I went on a major binge of all the wrong foods for like 4 months. You think it caught up with me? I used to be a vegetarian and I was doing so well. What kind of foot cream do you use?

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