Diabetes Leg Pain and Care

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Diabetes leg pain is a common and often debilitating complication of diabetes, stemming from conditions like peripheral neuropathy and peripheral artery disease (PAD). This pain not only affects mobility and quality of life but also increases the risk of infections and ulcers.

Understanding the causes and management strategies for diabetes leg pain is crucial for preventing further complications and maintaining overall health and well-being in individuals with diabetes.

Diabetes Leg Pain

What causes leg pain in diabetes?

Leg pain in diabetes can be caused by several factors, primarily due to complications associated with the disease. 

Here are the main causes:

  1. Peripheral Neuropathy due to Nerve Damage: High blood sugar levels can damage the nerves, particularly in the legs and feet, leading to a condition known as diabetic peripheral neuropathy. This damage results in symptoms like tingling, burning, numbness, and pain.
  2. Peripheral Artery Disease (PAD) due to Poor Circulation: Diabetes can cause the blood vessels to narrow and harden, reducing blood flow to the legs and feet. This condition, known as peripheral artery disease, can cause pain, cramping, and discomfort, especially during physical activities like walking.
  3. Diabetic Amyotrophy due to Muscle Weakness: This is a less common complication where diabetes affects the nerves in the thighs, hips, buttocks, or legs, leading to pain, weakness, and muscle wasting. It's also known as proximal neuropathy.
  4. Infections and Ulcers due to Wounds and Sores: Due to reduced blood flow and nerve damage, diabetics are more prone to infections and ulcers, especially on their feet. These can become serious and lead to severe pain if not properly treated.
  5. Charcot Joint due to Joint Damage: Diabetes can cause a rare complication called Charcot joint, where the bones in the foot weaken and fracture, leading to pain, swelling, and changes in the shape of the foot.
  6. Inflammation characterized by Swelling and Pain: Chronic inflammation due to diabetes can cause pain and discomfort in the legs, as tissues become inflamed and swollen.

Managing blood sugar levels, maintaining a healthy lifestyle, and regular check-ups with a healthcare provider are essential to prevent and manage these complications.

Dealing with leg pain is one of the most difficult challenges (complications) diabetics are facing. 

  • The most important causes of pain in the legs in diabetics are due to vascular problems that offer a poor circulation in this peripheral part of your body.

So, due to these circulatory problems, your blood might pool in the lower parts of your body, causing what is called peripheral vascular disease.

  • If you have diabetes, another big concern is arteriosclerosis. It can cause your blood vessels to narrow. Thus, there is a reduced healthy oxygen-rich blood flow to muscles in your legs.

In this case, you may feel claudication. That means you may feel a special pain which is result from lack of good blood supply to calf muscles.

On the other part, the poor circulation makes it difficult to fight infection in the lower parts of your body. However, an uncured infection and these blood flow problems can lead to amputations in these regions.


That’s why you need to care about recognizing in time the diabetes feet symptoms and have a good feet care too.

  • Another thing I wanted to share wish you is the news that astonished me published in the Canadian Medical Association Journal: it is better to be tall or short when you have diabetes.

This is according to a study of the National Taiwan University Hospital that was reported in this journal, from which was resulted that taller diabetics are more likely to need amputation than those who are shorter.

In fact, what happens is that when you have diabetes, it’s common for you to face nerve damages (called neuropathy). The nerves that go to the legs and feet are longer than those that reach other parts of your body.

This characteristic makes them be more vulnerable to diabetic nerve damages. It’s natural that the taller you might be the longer, more susceptible to deterioration and function loss these nerves can be.

Meanwhile, when you are short, these nerves can be shorter too, and nerve damages can hardly happen to them. So, you can feel better leg or feet pain when you cut or some other wounds can happen.

In this way, you have greater chance to cure them before serious damages can occur.

Anyway, keep in mind that you don’t have to regret if you are tall. No way. What you should do is to care about your leg pain.



How to care about leg pain ?

Through a regular and accurate everyday check of your legs and feet for wounds, ulcers, or anything else that might seem unusual. Once you notice them, immediately get them treated. Don’t wait!

This is not an advice given to you as a tall diabetic person, but it is of worth for both tall and short diabetics!

Furthermore, it is important to take a good control of diabetes in order to minimize or avoid having such problems.


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