Loss of connective tissue

I have diabetes in a light form, and neuropathy in my feet. I do not think that it is surface-neuropathy, because I am still feeling every touch on my feet, but it is related to my balance, which is without proper support of my feet in shoes and with additional support (I also have over pronation) a bit difficult. The feet do feel “strange” even when I am in bed. However my biggest problem is that apparently the connective tissue has somehow disappeared from the bottom of my feet. The result is that even with good shoes and a specially made othopedic sole within my shoe walking is very painful, and standing even more. It feels as though I am standing and walking on my bare bones. I do not see this foot-condition anywhere on the website. In Dutch it is called “skinny feet”. Is there any treatment, or any way to easy the pain?

One Response

  1. Foot-com

    Thank you for your question. What you are describing is actually very common in the diabetic population. Diabetes does in fact negatively impact your circulation, nervous system and connective tissue. In addition to impaired blood flow and decreased sensation to the feet, the skin and fat pads begin to thin.

    Most diabetics are put into a diabetic shoe with a plastozote (peach colored) insert to provide increased support and cushioning. I would make sure that your orthopedic insole is not too rigid but is designed in a way to better disperse your body weight. Sometimes adding a metatarsal pad can take pressure off of the ball of the foot.

    I would also try to keep the foot and ankle as flexible as possible as this also takes away increased pressure in the foot. Some Podiatrists do inject dermal fillers into the foot which replaces the atrophied fat pad in the ball of the foot. I hope this helps!

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    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

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