People with chronic kidney disease (CKD) are more likely to develop foot problems, including ulcers. They may also have a higher risk losing part of a lower limb. This risk increases as kidney function gets worse, especially for people who also have diabetes or who need haemodialysis.
The Northern Trust runs a specialist foot care service (Renal Podiatry Service) at Antrim Area Hospital. This service mainly helps people with severe kidney disease who are receiving haemodialysis.
The renal podiatrist checks patients’ feet regularly to spot problems early. This includes checking blood flow in the legs and testing for any loss of feeling in the feet. Treatment focuses on easing symptoms and helping people stay mobile, independent, and well. Patients are also given advice on how to take care of their own feet.
The service also treats foot problems like ulcers, working as part of a wider healthcare team. The aim is to prevent hospital stays and reduce the need for amputations.
In addition, the renal podiatrist supports other podiatrists and healthcare staff who care for people with chronic kidney disease.
Declining kidney function is an independent risk factor for foot ulceration and lower extremity amputation with a greater risk identified in individuals with Diabetes Mellitus and who require Haemodialysis.