Diabetic foot service

An expert-led service to help you manage diabetes complications in your feet.

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Diabetic foot service consultation at The London Clinic

Diabetes is a chronic disease that affects 537 million adults worldwide.

If you’ve been diagnosed with diabetes, you may be aware that over time high blood glucose (hyperglycaemia) puts you at risk of many complications.

One of the problems caused by long-term high blood glucose is conditions affecting your feet are often collectively referred to as diabetic foot disease, or just diabetic foot.

Diabetic foot complications can include:

•    Ulcers which do not heal
•    Infection
•    Changes to the shape of your foot which can cause pain and difficulty walking

Managing diabetic foot disease can include making sure that your diabetes and other health conditions are optimally controlled and that your feet are well looked after.

If there’s any significant deformity, this can be corrected using advanced surgery.

Our world-class service for diabetic foot problems will help to manage any complications you have from diabetes and improve your function, allowing you to do more of what you love.

Personalised treatment for diabetic foot problems

Diabetic foot complications can dramatically change your life as it becomes harder to walk or stand.

You might find your quality of life isn’t what you’re used to, as your ability to work, see family and friends, or even leave home is impacted. Thanks to our work with a leading orthopaedic surgeon, Professor Nima Heidari, The London Clinic is at the forefront of transforming the outlook for diabetic foot patients with life-changing new techniques in reconstruction surgery.

More about The London Clinic

The London Clinic is the first choice for many patients as we deliver highly specialised care required to manage the complexities and risks of surgery associated with diabetes. We offer everything you may need on one site, such as:

• Psychological therapy
• Well-being therapies
• Podiatry
• Pathology
• Our own 13-bed intensive care unit
• Eye health
• Nutrition
• Physiotherapy

Procedures and surgical options

If your diabetic foot disease is more advanced, it may be necessary for procedures to be carried out to try and prevent further complications.

Procedures can include:

•    Ulcer debridement – in the early stages of diabetic foot, patients may develop ulcers.
•    Soft tissue balancing – diabetic foot can cause tendons and muscles to become tight or damaged.
•    Bone exostectomy – a bone can develop a bump or protrusion which can cause an ulcer.
•    Minor amputations – in some cases a toe may become deformed or infected and require amputation.

Preventative care

Our options for managing diabetic foot begin with preventative care to avoid further damage to the foot, prevent mobility problems and reduce the risk of more complex surgery.

Preventative care will involve a range of specialists who contribute to your personalised management, including surgeons, diabetologists, nurses and podiatrists.

FAQs

A single-stage surgery takes between three to seven hours depending on how complex the procedure will be. Your foot deformity will be corrected, and the bones set in place using metal rods. 

A two-stage procedure may be necessary if there is a lot of damage or an infection in your foot. You’ll need time to heal before the full reconstruction can take place.

Diabetic foot reconstruction is a six-to-eight-month treatment journey that involves commitment and patience to make a good recovery. 

It could be considered a lifesaving procedure, offering an alternative to the complexities of amputation. These specialist procedures can help you regain mobility and keep your independence, significantly improving your quality of life.

After a complex foot reconstruction surgery, you can expect to stay in the hospital for six weeks while your foot begins to heal. You’ll be cared for by our expert multidisciplinary team with your clinicians making frequent checks on your progress. 

Our specialist nursing staff will ensure that you’re well-cared for and our physiotherapy team will start your daily rehabilitation programme.

Once you leave the hospital, your treatment will continue as an out-patient. 

You’ll have two appointments a week that includes a review with your clinician. If you have a single-stage reconstruction, we expect you to be up and walking unaided within six months.

If you and your specialist decide that reconstructive surgery should form part of your personalised care, your procedures could include:

•    Charcot correction – a deformity in the middle of the foot requires the use of screws, plates, pins or rods to realign your bones and reshape the foot.

•    Major deformity correction – where the bones, joints or soft tissues of the foot and ankle have become damaged and significantly deformed, a reconstruction can provide better shape and limb function.

•    Two-stage Charcot reconstruction – in severe cases a deformed diabetic foot can become infected and this will need to be cleared before reconstructive surgery can be carried out.

To get the best results from your surgery, you’ll have several consultations and comprehensive assessments to help your surgical team plan your procedure and decide if any pre-treatment is necessary. 

As part of the pre-surgical optimisation, you’ll be assessed by an endocrine physician with a specialist interest in the treatment of diabetic patients with foot problems. 

You’ll also have the opportunity to meet our team of dietitians, podiatrists, psychologists, and physiotherapists, who will prepare and support you through your treatment and a holistic recovery process.

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We offer Fixed Price Packages

Where possible, we’ll provide a fixed-price package for your hospital care. This covers your hospital stay, nursing, and use of our facilities, giving you a clear guide to what those costs will be.
  • Pre-op assessment
  • Hospital stay, nursing care and meals
  • Tests, scans and physio during your stay
  • Take-home medication (up to 5 days)
  • Post-op follow-up appointments
  • Standard equipment or prosthesis (if needed)
  • Unplanned extended stay or ITU (if clinically required)
  • Initial consultation and any tests done during it
  • Consultant and anaesthetist fees (quoted separately)
  • Physio or therapy before or after your stay
  • Diagnostics before admission (unless agreed in your plan)
  • Specialist medication beyond 5 days
  • Ambulance transport or bespoke prosthetics

Your consultant’s fees are quoted separately and shared directly by their office after your consultation. These professional fees cover the time, expertise, and care provided by your consultant before, during, and after your treatment. See our full terms and conditions

Why choose The London Clinic?

Why choose The London Clinic?

Trusted for over 90 years, The London Clinic is an independent charitable hospital that reinvests into care, research, and support for those who can’t easily access private treatment.

The UK’s largest independent hospital

More patients choose The London Clinic than any other.

Top-rated by real patients

4.86/5 from over 1,600 reviews on Doctify and over 4.5 on Google.

Full intensive care on-site

World-class 13-bed ICU for expert support if your care becomes complex.

Investing in clinical excellence

Backed by Northwestern, we equip our teams with cutting-edge medical equipment.

0% Finance Options

We’ve teamed up with Chrysalis to offer you funding options that allow you to spread the cost of your treatment.

If you choose to pay for your treatment at The London Clinic over 12 months, you can make use of a great 0% interest option and pay nothing extra. Or you can choose to pay over two to five years at 14.9% APR.

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Trustees of the London Clinic Ltd trading as The London Clinic is an Appointed Representative of Chrysalis Finance Limited, which is authorised and regulated by the Financial Conduct Authority. The London Clinic is a credit broker, not a lender. The provider of a payment scheme which is not offered through or by Chrysalis Finance Limited may not be so authorised and regulated. Cancer treatments or transplants aren’t covered by finance packages. Finance options are only available for UK patients.