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This often triggers the train of events that lead to the diabetic foot. The trauma may be sufficiently mild to escape notice and may be of various types :
- The use of chemical agents, e.g., strong antiseptic agents.
- Thermal burns e.g. from hot soaks.
- Damage by mechanical means , e.g., due to pressure from tight shoes, and / or friction through torn socks.
- Cuts from pedicures, punctures from nails, prickles, etc. (This is particularly dangerous as it rapidly gives rise to deep sepsis and gangrene).