Circulator Boot Therapy is a revolutionary treatment option for both diabetics and non-diabetics that can prevent amputations of the lower extremities, even in advanced cases where surgery has already been scheduled.

Circulator Boot Therapy in action at Delray Beach Podiatry.
Circulator Boot Therapy in action at Delray Beach Podiatry.

As well as providing an immediate boost to arterial and venous circulation, the procedure can also slowly break down clots. It increases the breakdown of plaque within the arteries by the release of nitric oxide oxygen and nourishment increase. You will see swelling and pain subside with the first few sessions. As circulation is restored with each further session, the body can begin to heal itself.

At Delray Beach Podiatry, Dr. Ian S. Goldbaum, a podiatric physician and surgeon with over 30 years of experience, has used Circulator Boot Therapy to save a staggering 38 limbs from being amputated.

“It saves people’s lives,” said Dr. Goldbaum, who is the only doctor in South Florida with access to a Circular Boot. “When you have an amputation, within five years there is usually another event that transpires and people can pass away because of it.”

Circulation Boot Therapy is an excellent method for treating and correcting circulation problems such as diabetic ulcers and venous insufficiency.

“This is one of the few things we have that’s external and it does a terrific job,” said Dr. Goldbaum. “This actually saves people’s limbs from being taken off.”

Many amputations begin with a small injury to the foot, leg or toe, especially in the case of diabetics. Proper treatment, such as Circulator Boot Therapy, can prevent what may ultimately lead to infections and gangrene and end with an amputation and often a myriad of life long medical complications.

“Every time I have used Circulator Boot Therapy, it has increased blood flow,” said Dr. Goldbaum. “It’s all about blood flow. If you have good blood flow, then you have oxygen and nutrients that the body needs to heal.”

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In a recent interview with DiabeticCouncil.com, Dr. Ian S. Goldbaum, a podiatric physician and surgeon with over 30 years of experience, was presented with two questions regarding foot care for newly diagnosed diabetics.

The full article, which features responses from 47 podiatrists around the United States, can be found here, but if you are looking for just Dr. Goldbaum’s responses, they can be be found below.

Dr. Ian S. Goldbaum (pictured) has been practicing medicine for over 30 years, arriving to South Florida in 1985.
Dr. Ian S. Goldbaum (pictured) has been practicing medicine for over 30 years, arriving to South Florida in 1985.

Q: What tips would you give to someone who is newly diagnosed?

A: The first thing a patient needs to do is realize that everything is going to change in terms of how they take care of their feet. What used to be labeled as a harmless cut or blister now can become something far worse if left untreated. The first thing a newly diagnosed diabetic needs to learn is to work a foot check — the bottom, the top and even in between toes — into their daily routine. A podiatrist should also be called upon to keep tabs on the health of their feet, especially if there are any signs of infection or abnormalities. Given how diabetes negatively affects circulation, even a small scape on the bottom of the foot has the potential to turn into a serious ulcer, as your body’s ability to get a proper amount of blood flow heading to your lower extremities becomes more and more limited. For this reason, increased attention to the state of your feet is one of the key changes all diabetics need to make in order to remain healthy.

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Believe it or not, there’s a lot more to good diabetic care than healthy eating and maintaining stable blood sugar levels.

Regular foot checks are an increasingly essential part of diabetes management as nerve damage and reduced circulation caused by diabetes can lead to reduced awareness of pain (neuropathy) and slower healing of the foot, which increases the risk of infection and foot ulcers.

Foot problems are one of the most common complications associated with diabetes and it’s important to check your feet daily for signs of damage in order to avoid future problems. In severe cases, poor foot care may lead to amputation of a foot or leg. In fact, even something as minimal as a blister or a sore could lead to an infection or a non-healing wound.

“Patients with diabetes have a decrease in sensation to their lower extremities,” said Dr. Ian S. Goldbaum, a podiatric physician and surgeon with over 30 years of experience. “Because of this, they can’t feel things that a person would normally feel.”

While there are many preventative measures that diabetics can be taken reduce the risk of a foot infection, Dr. Golbaum insists that his patients not only check their feet twice a day — once in the morning and again at night — but also moisturize their feet daily to combat dryness.

“Diabetics have a dryness, which can cause cracking on their feet,” said Dr. Goldbaum. “This cracking makes them more vulnerable to infections that can enter through those openings and cause problems.

“The moisturizing and massaging process increases circulation through movement and also supplies moisture that diabetes takes away from the skin. It really acts as a protective barrier for your skin.”

When examining your feet at home, look out for any general signs of damage that include:

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If you are currently living with diabetes, it’s important that you know the dangers of neuropathy.

Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. High blood sugar can injure nerve fibers throughout your body, but diabetic neuropathy most often damages nerves in your legs and feet.

(Base Image: MorgueFile.com)
(Base Image: MorgueFile.com)

This condition can manifest in both Type 1 and Type 2 diabetics. In Type 1 diabetes, the body does not produce the insulin necessary to convert glucose into the energy that the body needs. Type 2 diabetes, which is far more common, occurs when the body is unable to use insulin properly.

It has been estimated that between 60 to 70 percent of diabetics will deal with some form of neuropathy in their lifetime, compared to only a 25 to 30 percent chance for non-diabetics.

There are four main types of neuropathy seen in people with diabetes. The most common form is peripheral neuropathy, or damage to the nerves that reach out from the brain and spine to all the parts of the body.

The symptoms of diabetic neuropathy can range from pain and numbness in your extremities to problems with your digestive system, urinary tract, blood vessels and heart.

Other potential complications of diabetic neuropathy include:

The Dangers of Diabetic Neuropathy

Amputation: People with peripheral neuropathy of the lower body may not feel an injury to one of their feet, or may not feel a sore, which can become severely infected. The risk of infection is high because diabetes reduces blood flow to your feet. Infections that spread to the bone and cause tissue death (gangrene) may be impossible to treat and require amputation.

Urinary problems: Damage to the nerves that control your bladder can prevent it from emptying completely. This allows bacteria to multiply in your bladder and kidneys, leading to urinary tract infections.

Low blood pressure: Damage to the nerves that control circulation can affect your body’s ability to adjust blood pressure. This can cause a sharp drop in pressure when you stand after sitting and can result in dizziness and fainting.

Digestive problems: Nerve damage in the digestive system can cause a wide variety of problems, including constipation, diarrhea and nausea. It can also cause gastroparesis, a condition in which the stomach empties too slowly or not at all.

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For diabetics suffering from neuropathy, proper foot care is necessary to live a happy and healthy life.

Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. High blood sugar can injure nerve fibers throughout your body, but diabetic neuropathy most often damages nerves in your legs and feet.

Helpful tips for good Diabetic Foot Care
Dr. Goldbaum’s helpful tips for good diabetic foot care

This condition can manifest in both Type 1 and Type 2 diabetics. In Type 1 diabetes, the body does not produce the insulin necessary to convert glucose into the energy that the body needs. Type 2 diabetes, which is far more common, occurs when the body is unable to use insulin properly.

It has been estimated that between 60 to 70 percent of diabetics will deal with some form of neuropathy in their lifetime, compared to only a 25 to 30 percent chance for non-diabetics.

For diabetics already living with neuropathy, or those who may deal with it in the future, Dr. Ian S. Goldbaum of Delray Beach Podiatry has come up with several helpful tips to help keep your feet healthy:

Check your feet regularly: Regular foot checks are an increasingly essential part of diabetes management as nerve damage and reduced circulation caused by diabetes can lead to reduced awareness of pain and slower healing of the foot. Foot problems are one of the most common complications associated with diabetes and it’s important to check your feet daily for signs of damage in order to avoid future problems. In severe cases, poor foot care may lead to amputation of a foot or leg. In fact, even something as minimal as a blister or a sore could lead to an infection or a non-healing wound.

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