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Wound Care

Education

What is a Diabetic Foot Wound or Diabetic Ulcer?

A diabetic foot ulcer is an open sore or wound that occurs in approximately 15 percent of patients with diabetes and is commonly located on the bottom of the foot. Of those who develop a foot ulcer, 6 percent will be hospitalized due to infection or other ulcer-related complication.

Diabetes is the leading cause of non-traumatic lower extremity amputations in the United States, and approximately 14-24 percent of patients with diabetes who develop a foot ulcer will require an amputation. Foot ulceration precedes 85 percent of diabetes-related amputations. Research has shown, however, that development of a foot ulcer is preventable.

For more information on wound care, see the APMA website.

Causes

What Causes a Diabetic Foot Wound or Diabetic Ulcer?

There are multiple factors that can lead to the formation of a Diabetic Foot Ulcer. One of the key factors is the reduced blood flow to the foot. The reduction of blood flow can be due to multiple factors such as excessive alcohol and tobacco use. Another leading factor is Diabetes because high Glucose levels have a negative effect on artery walls. The deterioration of the arterial walls leads to excessive plaque build up reducing the amount of blood that can reach a diabetic foot. This is known as Peripheral Artery Disease (PAD). Take a simple PAD Test or schedule an appointment with our podiatrist (schedule link) to see if you are at risk for developing diabetic foot ulcers

treat

How does a Podiatrist Treat a Diabetic Foot Ulcer?

There are several key factors in the appropriate treatment of a diabetic foot ulcer:

1) Prevention of infection
2) Taking the pressure off the area, called “off-loading”
3) Removing dead skin and tissue, called “debridement”
4) Applying medication or dressings to the ulcer
5) Managing blood glucose and other health problems
6) Keep the ulcer clean and bandaged;
7) Cleanse the wound daily, using a wound dressing or bandage; and avoid walking barefoot.

Care

Advanced wound care

Podiatry Associates can easily manage diabetic foot ulcer. However, there are instances where the complexity of the diabetic foot ulcer requires specialized care that is typically provided by wound care centers.

Wound care centers are staffed by an interdisciplinary team of providers that includes vascular surgeons, plastic surgeons, general surgeons, hyperbaric oxygen therapy technicians, podiatrists, and wound care nurses. This approach allows wound care centers to offer specialized care ranging from direct wound care to hyperbaric oxygen therapy to manage complex diabetic foot wounds and other hard to heal wounds of the foot and / or lower extremities.

EXPERIENCING FOOT PAIN?

Schedule an Appointment

If you have been experiencing foot or ankle pain, it may be time to consult an expert.  Contact us today to schedule an appointment.