Diabetic foot is one of the important long-term complications due to macrovascular pathology in the form of the peripheral vascular disease (PVD). The sufferings patients undergo out of this complication is indescribable. The need for amputation of the toes or below knee amputation makes the psychology of the patients as well as relatives on the depressed side. Doctors who deal with these patients need to plan for avoiding amputation from the beginning. The basic pathology involved in the development of diabetic foot may be described under five headings.

Diabetes is not under control for various reasons and to be explored. Blood supply to the foot is compromised out of the development of PVD. The important point to be noted here is there need not be the block in the artery and there can be good flow in the Doppler. But the calcification of arteries which can be seen in X -rays as well…