Diabetic Foot Ulcer
Diabetic Foot Ulcer
What is Diabetic Foot Ulcers (callous ulcer)?
It is a chronic non healing wound (Diabetic Foot Ulcers) in sole of foot which is due to increased pressure in foot at some areas while walking
How does Diabetic Foot Ulcers (callous ulcer) differ from routine wound in foot?
Any wound by dressings or antibiotics usually heals or shows signs of healing within 1-2 months time, if wound does not show signs of healing by above things either it is callous ulcer or wound has infected the bone.
Why does Diabetic Foot Ulcers (callous ulcer) leads to amputations?
Either due to negligence of patients or unawareness of how to heal callous ulcer by some doctors many patients end up in infections and later amputations.
How Diabetic Foot Ulcers (callous ulcer) are commonly mismanaged outside?
Callous ulcer looks like a normal wound without any infection so many practitioners prescribe antibiotics/costly ointments/normal MCP or MCR footwear’s, but this wound never heals with routine treatment because it is due to increased pressure while walking, until methods are adopted to reduce pressure while walking this type of wound will never heal but could later lead to bone infection or wet gangrene and foot amputations.
Some doctors advice total contact casting which heals wound temporally while they are on cast but once they start walking again wound will come back
How to treat callous ulcers (Diabetic Foot Ulcers )?
It could be treated by individualized custom made footwear according to patients wound location, if it recurs in spite of footwear’s there are podiatric surgeries to reduce pressure to prevent recurrence of ulcer or wound, If any wound not healing with routine treatment of yours practitioners all you have to do is consult a diabetic foot specialist or a podiatric surgeon.
How negligence of patients does lead to foot amputations?
Many patients feel it is normal they don’t realize it could get infected in future, so once they have seen some doctors and if told it will not heal they live with ulcer rather than searching for specialist, another common factor is non-compliance of patients for using customized footwear and following doctor’s advice.