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A diabetic ulcer is a wound or open sore on the foot, ankle or leg that can develop due to a number of factors, like the lack of blood flow caused by diabetes and sometimes by lifestyle choices. When a patient develops one of these sores, they should seek immediate diabetic foot ulcer treatment.

There are 5 Main Ways to Treat an Ulcer Wound

  1. Use antibiotics if necessary
  2. Dress and wrap the wound according to the type of ulcer
  3. Schedule regular checkups and dressing changes
  4. Prescribe pain medication if needed
  5. Perform surgery if healing isn’t progressing

 

Our podiatrists provide diabetic foot ulcer treatment in the following 5 ways:

 

1. Use Antibiotics

If the ulcer is infected, the podiatrist will first need to apply an antibiotic ointment to combat the infection. If the infection has penetrated to deeper skin layers or even to the bone, then the podiatrist will most likely prescribe stronger antibiotics that will be taken orally.

 

2. Dress and Wrap

After properly treating any infection that is present, the podiatrist will proceed to dress and wrap the ulcer wound to protect it.

Before wrapping the wound, the podiatrist applies a dressing that will help the wound to heal. The type of dressing used will depend on the patient’s specific condition. Some examples of dressings that one of our podiatrists in Baltimore might use are: 

  • Hydrogels
  • collagen wound dressings
  • antimicrobial dressing
  • Hydrocolloids
  • moist dressings
  • alginate dressings
  • debriding agents
  • composite dressings
  • synthetic skin substitutes

Once the appropriate dressing is applied to the wound, the foot doctor will proceed to wrapping the wound. 

 

Wraps for Venous Ulcers

Venous Ulcers or leg ulcers, which occur due to the improper functioning of venous valves, are often protected and treated through compression wraps. For proper diabetic foot ulcer treatment, podiatrists will often use multi-layer compression wraps, or wrap an ACE bandage from just above the toes on the foot to just below the knee. Compression wrapping of venous ulcers is important because it helps to minimize swelling or edema.

 

Wraps for Arterial Ulcers

For arterial ulcers, which tend to occur on the foot, ankle or lower part of the leg, the issue is due to an inadequate blood supply to the wound. For this type of ulcer, podiatrists will often use an Unna’s Boot (a wet zinc oxide bandage).

 

3. Regular Checkups and Dressing Changes

As well as healing the existing ulcer(s), it is important to prevent additional foot and leg ulcers from developing. The foot doctor will proceed to the next phase of diabetic foot ulcer treatment by changing the ulcer bandages during regular appointments, which need to be scheduled more frequently when the ulcer is the worst and then can be scheduled every so often once the ulcer is showing much healing progress.

 

4. Pain Medication

Changing the dressings can be quite painful at first, so the podiatrist may prescribe pain medication to help deal with any major discomfort. The type of medication will depend on each patient’s specific needs, diabetic foot ulcer treatment type, and medical history.

 

5. Surgery

The natural healing of foot and leg ulcers is always preferred, but sometimes due to the patient’s condition, surgery becomes necessary. Each patient’s situation is unique and may require any of a variety of approaches to ulcer surgery from regular debridement (or the removal of infected tissue to amputation in very serious cases.

If you’re looking for diabetic foot ulcer treatment in Baltimore and the surrounding areas, then please don’t hesitate to schedule an appointment at one of our locations. Feel free to call our scheduling office to discuss your specific situation: (833) 500-FEET.

Time to See a Podiatrist?

If you have any of the issues described above, it’s time to consult an expert. Connect with Podiatry Associates for an evaluation. All of our doctors are board certified/qualified and we’re dedicated to preserving your foot health.

 

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