Assessment of foot deformity

Foot deformity, especially in combination with peripheral neuropathy, can lead to abnormally high pressures on the foot, predisposing it to a wound.

Assess the foot for deformities, including:

• hallux abducto valgus (bunions)
• claw or hammer toes
• bony prominences
• Charcot foot deformity
• congenital abnormalities.

Deformity may also occur as a result of surgical intervention. Rheumatoid arthritis, gout, diabetes and other conditions that cause peripheral neuropathy commonly lead to changes in foot shape and deformity.