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How to Check Pulse in Foot?

Published in Pulse Assessment 2 mins read

To check the pulse in your foot, you'll typically assess the dorsalis pedis pulse on the top of the foot and the posterior tibial pulse on the inside of the ankle.

Checking the Dorsalis Pedis Pulse

  1. Locate the Pulse: The dorsalis pedis pulse is usually found on the top of your foot, roughly in the middle. It's typically located between the first and second toe tendons.
  2. Palpate Gently: Use your index and middle fingers to gently press down on the area. Avoid using your thumb, as it has its own pulse that can be confusing.
  3. Feel for the Pulse: You should feel a rhythmic tapping. If you have difficulty finding it, try moving your fingers slightly around the area or pressing a little harder or softer. Some people have a naturally faint dorsalis pedis pulse, or it may be congenitally absent.

Checking the Posterior Tibial Pulse

  1. Locate the Pulse: The posterior tibial pulse is found on the inside of your ankle, behind the medial malleolus (the bony bump on the inside of your ankle).
  2. Palpate Gently: Use your index and middle fingers to gently press down in the area between the medial malleolus and the Achilles tendon.
  3. Feel for the Pulse: You should feel a rhythmic tapping. Similar to the dorsalis pedis pulse, you may need to adjust your finger placement slightly to find the strongest pulse.

Important Considerations

  • Consistency: Check the pulse on both feet for comparison.
  • Pressure: Use gentle pressure. Excessive pressure can obliterate the pulse.
  • Absence of Pulse: If you cannot find a pulse, it doesn't always indicate a serious problem, but it should be evaluated by a medical professional, especially if accompanied by other symptoms like pain, numbness, or coldness in the foot.
  • Medical Evaluation: If you are concerned about the pulses in your feet, consult a healthcare provider. They can perform a more thorough examination and determine if further investigation is necessary.
  • Doppler Ultrasound: In some cases, a Doppler ultrasound may be needed to detect pulses that are difficult to palpate.

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