Foot Care for Seniors
Healthy feet = independence + no falls.
Daily check
- Look at top + bottom of feet daily (use mirror or ask spouse).
- Cuts, sores, redness, swelling, blisters.
- Cracks between toes (fungus).
- Wash + dry thoroughly, especially between toes.
- Moisturize tops + bottoms (NOT between toes).
- Trim nails straight across, not curved.
Diabetic feet ESSENTIAL
- Diabetes = nerve damage = can't feel injuries.
- Small cut → infection → amputation if missed.
- NEVER walk barefoot — even at home.
- Check inside shoes for pebbles before wearing.
- See podiatrist every 3 months.
- Medicare covers diabetic shoes annually with prescription.
Senior shoe rules
- Closed-toe always.
- Velcro or BOA closures if fingers hurt with laces.
- Wide toe box — feet spread with age.
- Non-slip rubber soles.
- Shop late afternoon (feet largest).
- Brands: SAS, New Balance, Hoka (cushion), Skechers Go Walk.
- Avoid: heels, flip-flops, slippers without backs.
Common problems
- Bunions — wide-toe shoes, bunion pads, surgery if severe.
- Hammer toes — gel toe caps, surgery option.
- Plantar fasciitis — arch support, stretches, ice.
- Toenail fungus — Lamisil OTC or prescription.
- Corns/calluses — pumice stone after bath. NOT corn removers if diabetic.
- Swelling — elevate legs, compression socks 15-20 mmHg.
Podiatrist coverage
Medicare covers podiatrist for diabetes-related foot care + medical conditions. Routine nail trimming usually NOT covered unless "at-risk" status. Many podiatrists charge $30-50 for nail care if not covered. Worth it if vision/flexibility issues.