Moray patient is first in Scotland to receive new form of diabetic foot ulceration care
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A MORAY patient has become the first in Scotland to benefit from a new “gold standard” in diabetic foot care, thanks to medics at Dr Gray’s Hospital.
The Podiatry Team at the Elgin hospital is spearheading a new initiative for NHS Scotland by establishing a Total Contact Casting (TCC) service to aid those suffering with diabetic foot ulceration.
TCC works by fitting a well-moulded plaster cast with padding, helping to secure the ankle at 90 degree angle, relieving pressure on the foot.
This direct transfer of weight load from the foot to the plaster cast wall relieves pressure, the key to healing diabetic foot ulceration.
This allows patients to remain mobile, while minimising disruption to their daily lives.
Diabetes specialist podiatrist, Marie Stirling, who has been driving the project forward, said: “Foot problems are the most common cause of hospital admission for people with diabetes.
"Diabetic foot ulceration is also the most common cause of amputation in the UK, with over 169 amputations carried out per week.
“It is hoped this project will help reduce the number of hospital admissions and amputations.
“This will be a big step towards improved treatment for patients who are dealing with this difficult condition.”
Throughout lockdown, the team continued to provide assessment and treatment of patients with foot ulcers.
Despite the challenges, lockdown brought new opportunities such as a virtual Vascular Clinic providing better outcomes for patients facing these ailments.
Diabetologist and clinical lead, Dr Fiona Strachan, said: “I have been supporting the work of our specialist podiatry team through the Dr Gray’s Diabetic Foot Clinic and I have seen the benefits of their hard work progressing a TCC service.
“It can be challenging for patients and a time-consuming process to achieve healing.
“This new ‘gold standard’ technique will certainly improve this, and it is a credit to the team that they are making these advances in local service delivery despite the disruption of the Covid pandemic.
“I would also encourage patients to attend for foot screening when offered to ensure any changes in circulation or sensation can be identified early and appropriate advice offered to minimise risk of a future ulcer complication."
Advice on good self-care of the feet can be found on the Grampian Diabetes Website – www.nhsgrampiandiabetes.scot.nhs.uk.
