Common Conditions
Diabetic Ulcers
Living with diabetes presents unique challenges, one of which is the heightened risk of developing foot ulcers. These open sores or wounds, often found on the bottom of the foot, can lead to severe complications if left untreated.
At Sheehy Ankle & Foot Center, we are committed to providing specialized care that addresses the unique needs of diabetic patients, helping you manage and heal foot ulcers effectively.
A diabetic foot ulcer is an open sore or wound that typically occurs on the bottom of the foot. It’s a common and serious complication of diabetes, especially for those who have poorly controlled blood sugar levels, neuropathy (nerve damage), or poor circulation. These ulcers can develop quickly and, if not properly managed, can lead to infections, gangrene, or even amputation.
- An open wound or sore on the foot that doesn’t heal.
- Swelling and redness around the ulcer.
- Drainage or pus from the ulcer.
- A noticeable odor from the affected area.
- Pain or tenderness in the foot, though those with neuropathy may not feel pain.
Diabetic foot ulcers develop due to a combination of factors associated with diabetes:
Diabetes can cause nerve damage, leading to a loss of sensation in the feet. Without the ability to feel pain, minor injuries can go unnoticed and
develop into ulcers.
Diabetes can affect blood flow, especially to the extremities, making it harder for wounds to heal.
Conditions like hammertoes or bunions, which are more common in diabetic patients, can create pressure points that lead to ulcers.
The risk of infection is higher in individuals with diabetes, and a small cut or blister can quickly become a serious issue.
Diagnosis at Sheehy
Early detection and treatment are crucial to managing diabetic foot ulcers. At Sheehy Ankle & Foot Center, our team will conduct a thorough examination of your feet, checking for signs of ulcers, infections, and other complications. We may also use advanced imaging techniques and blood flow studies to assess the severity of the ulcer and any underlying issues.
Treating diabetic foot ulcers requires a multifaceted approach aimed at promoting healing, preventing infection, and addressing the underlying causes.
- Debridement: This procedure involves removing dead or infected tissue from the ulcer to promote healing and prevent further complications.
- Skin Substitutes (Grafts): Advanced skin grafting techniques can cover and protect the ulcer, encouraging faster healing.
- Wound Vac Therapy: This treatment uses a vacuum-assisted closure device to remove excess fluid and increase blood flow to the area, promoting healing.
- Infection Control: If an infection is present, antibiotics may be prescribed, and in some cases, hospitalization may be necessary for more intensive treatment.
- Vascular Testing: Proper blood flow is essential for healing. Vascular testing helps identify and treat circulation issues that may be hindering recovery.
- Nerve Testing: For patients with neuropathy, nerve testing can help assess the extent of nerve damage and guide treatment to protect against future ulcers.
- Offloading: Specialized footwear, braces, or casts may be used to redistribute pressure away from the ulcer, giving it a better chance to heal.
While diabetic foot ulcers are a serious condition, there are steps you can take to reduce your risk:
Check your feet every day for cuts, blisters, redness, or swelling. Use a mirror to see the bottoms of your feet or ask someone for help.
Keeping your blood sugar within target ranges is essential for overall health and ulcer prevention.
Choose shoes that fit well and provide support, avoiding tight or high-heeled shoes that can cause pressure points.
Smoking can decrease blood flow to the extremities, increasing the risk of foot ulcers and other complications.
Regular physical activity can help improve circulation, but be sure to choose activities that are gentle on your feet.
At Sheehy Ankle & Foot Center, we understand the challenges that come with managing diabetes and the complications it can bring. Our team is here to support you with compassionate, expert care designed to address both the immediate needs of treating diabetic foot ulcers and the long-term goal of preventing future issues. We are committed to helping you maintain your mobility and quality of life.
Don’t wait to get the care you need — schedule an appointment with us today and take the first step toward healing.
