Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle, Howell & Bloomfield Township, MI
Last reviewed: May 2026

| Daily Task | What to Check / Do | Why It Matters | Call Podiatrist If… |
|---|---|---|---|
| Visual foot inspection | All surfaces, between toes, heels | Neuropathy masks pain from wounds | Any new wound, blister, or redness |
| Temperature check | Feel both feet; compare sides | Warmth = inflammation or Charcot onset | One foot notably warmer than other |
| Washing | Warm (not hot) water, mild soap, pat dry | Clean skin resists infection | Skin maceration or softening between toes |
| Moisturizing | Apply to heels and dorsum; NOT between toes | Dry skin cracks = portal for bacteria | Deep heel cracks not improving with cream |
| Nail inspection | Check for discoloration, thickness, ingrowth | Fungal nails and ingrowns cause ulcers | Any ingrown edge or nail drainage |
| Footwear check | Inspect inside shoes before putting on | Debris causes undetected pressure wounds | Found debris + wound inside shoe |
| Sock check | Seamless, clean, dry, not too tight | Tight socks restrict circulation | Sock left indentation marks on skin |
| Diabetic Foot Risk Category | Features | Podiatry Visit Frequency | Key Interventions |
|---|---|---|---|
| Category 0 (Low risk) | No neuropathy, no PAD, no deformity | Annual | Education, proper footwear |
| Category 1 (Moderate risk) | Neuropathy OR PAD present | Every 6 months | Protective footwear, callus management |
| Category 2 (High risk) | Neuropathy + PAD or deformity | Every 3 months | Therapeutic shoes, custom orthotics |
| Category 3 (Very high risk) | Prior ulcer or amputation history | Every 1–3 months | Total contact casting if ulcer present |
| Active ulcer | Open wound present | Weekly or more frequent | Wound debridement, offloading, antibiotics |
Medically Reviewed | Dr. Tom Biernacki, DPM | Board-Certified Podiatrist | Balance Foot & Ankle, Michigan
Why Diabetics Must Inspect Their Feet Daily
Peripheral neuropathy (nerve damage) affects up to 50% of people with diabetes, reducing the ability to feel pain, pressure, temperature, and injury. A small cut or blister that a non-diabetic would feel immediately can go completely undetected in a diabetic — and without detection and treatment, it can progress to a wound, then a deep infection, then osteomyelitis (bone infection), and ultimately amputation.
The majority of lower-extremity amputations in people with diabetes are preventable with consistent daily foot care and timely podiatric intervention.
The Daily Diabetic Foot Care Checklist
Morning Inspection (Before Getting Dressed)
☐ Check the tops, bottoms, and sides of both feet in good light. Use a magnifying mirror for the bottom if flexibility is limited, or ask a family member to look.
☐ Look for: redness, blisters, cuts, cracks, swelling, bruising, drainage, nail changes, or any new discoloration.
☐ Feel between all toes — fungal infections start in moist web spaces.
☐ Note any warm or cool areas compared to surrounding skin (temperature asymmetry can indicate inflammation or vascular change).
Washing
☐ Wash feet daily in warm (not hot) water — test with elbow or thermometer, never with feet directly (neuropathy can cause burns).
☐ Wash for 3–5 minutes with mild soap.
☐ Rinse thoroughly to remove all soap (residue can irritate skin).
Drying
☐ Pat feet completely dry — especially between every toe.
☐ Residual moisture between toes is the primary cause of diabetic foot fungal infections and maceration.
Moisturizing
☐ Apply fragrance-free moisturizer or urea cream to the tops and bottoms of feet.
☐ Do NOT apply moisturizer between the toes.
Footwear
☐ Check inside shoes before putting on — shake out loose objects and run a hand inside to feel for foreign objects or rough seams.
☐ Wear diabetic socks (seamless, moisture-wicking, non-constricting) every day.
☐ Never go barefoot — even inside the home. Slippers with closed toes and rigid soles at a minimum.
Evening
☐ Remove socks and inspect feet again before bed.
☐ Report any new finding to your podiatrist — do not wait to see if it resolves.
When to Call Your Podiatrist Immediately
Any wound, blister, cut, or ulcer. Any new redness, warmth, or swelling — even without pain (neuropathy means you may not feel an infection). Any nail changes or ingrown toenail. Any new skin color change or dark spot.
FAQ
How often should diabetics see a podiatrist?
Every 2–3 months at minimum for most diabetics. High-risk diabetics (neuropathy + PAD, or prior ulceration) should be seen every 1–2 months. Frequency is based on individual risk assessment.
Michigan Foot Pain? See Dr. Biernacki In Person
Appointments at our Howell and Bloomfield Township offices.
📞 (810) 206-1402 Book Online →Frequently Asked Questions
Podiatrist-Recommended Products
These are the products Dr. Tom recommends most often in his clinic at Balance Foot & Ankle for lasting foot pain relief:
- PowerStep Pinnacle Arch Support Insoles — #1 clinic recommendation for arch support and heel pain relief
- VitaMedica Arnica Gel — Arnica gel for sore feet, plantar fasciitis flares and post-activity soreness
- CURREX RunPro Insoles — Dynamic arch profile for active patients and runners
As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. These recommendations reflect genuine clinical use.
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Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has made him one of the most-followed foot & ankle educators on YouTube.