I’ll ask about that when I’m in next too. But what does that mean exactly? I don’t make it a habit to trim my toenails into a razor-sharp point, but at the same time I don’t like the edges sharp either (for when I play footsie with my wife or kick one of my kids in the butt). I’ve always heard “trim them straight across”. One area that I don’t feel very confident though, is proper technique in trimming my nails. I wear hard bottom slippers at home, and the times where my feet are exposed are very limited. I do check them myself fairly often, and apply lotion at least a few times a week. 128 Hz tuning fork for vibration perception and the NDS or NSS for neuropathy scoring. Even growing up my mom always stressed wearing slippers in the house, and not going barefoot outside. monofilament is recommended for the light pressure test, the. I have not had any problems with my feet so far, but have learned to be very careful with them. The vibration sense testing using a tuning fork was Performed. TENS units intensity ranges from 1 mA to 100 mA. You, with your eyes closed again, will respond that yes, you can feel the vibration.Īnother common thing is to check your pulse in some specific parts along your ankle and foot, which apparently gives some indication as to your blood flow down there. TENS probes were placed adjacent to the hallux. The doc will strike this thing on something to start it vibrating, then start touching the end to your feet. The other is very similar, but it uses something kind of like a tuning fork (not sure what it’s really called). You close your eyes, then they touch your feet in various places with the line, and you are to respond when you feel it. One is to use a small filament, very much like a piece of thick fishing line. There are a couple of ways that I know of for checking the level of feeling in the feet. I think that most endo’s would make it part of the routine for someone like me (approaching 26 years of D in April), and I’m a bit concerned that I’ll have to actually ask to have them examined when I go in next. Vibration testing with the 128-Hz tuning fork is recommended as a test for DPN, but no specific method has been agreed upon. I’m just thinking back, and it’s been years for me. The CTF test should replace the 10-g monofilament test as the recommended technique for detection of DPN.How often do you guys & gals have your feet examined? The risk of foot ulcers, which is associated with diminished vibratory sensation, can therefore be detected earlier and more accurately with the CTF test. It provides a quantitative assessment of DPN and can document severe neuropathy, even in the presence of a normal result with the 10-g monofilament test. The CTF test is reproducible and accurate. Of 32 patients with vibration perception of 4 seconds or less, 50% had normal monofilament test scores, including 29% of 17 patients with absent vibratory sensation. Among patients with 8 seconds or less of vibration perception, results of monofilament testing were abnormal only in those whose vibration perception was less than or equal to 4 seconds. The Pearson correlation coefficient comparing the right and the left foot scores for the same patient was 0.947 (P<0.05). The mean duration of vibration sensation was 10.2 seconds, with a standard deviation of +/-1.3 seconds. Presence of foot ulcers in 81 patients was correlated with both test scores. The scores of the CTF test were compared with the monofilament scores in 45 patients with diabetes. After these tests, 30 randomly selected patients were tested on both feet, with right and left scores compared for reproducibility of the results. To determine the mean and standard deviation for the CTF test, repeated measurements were taken on one toe of 12 patients with diabetes during one visit. To describe the clanging tuning fork (CTF) test, a novel method for using the C 128-Hz tuning fork to test for diabetic peripheral neuropathy (DPN), to evaluate the accuracy and reproducibility of this technique, and to compare it with the 5.07 (10 g) Semmes-Weinstein monofilament test.
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