Diabetic foot ulcers are a common and serious complication of diabetes, affecting roughly one-third of people with diabetes. These open sores typically develop on the bottom of the feet due to a combination of poor circulation, nerve damage (neuropathy), and prolonged pressure on certain areas of the foot. Without proper treatment, diabetic foot ulcers can lead to infection, hospitalization, and, in severe cases, amputation.
The good news is that with the right treatment plan, diabetic foot ulcers can be effectively managed and even prevented. At Sheehy Ankle & Foot Center, we offer advanced treatment options to promote healing and prevent complications. Here’s what you need to know about treating diabetic foot ulcers.
What are Diabetic Foot Ulcers?
Diabetic foot ulcers occur when pressure, friction, or injury causes a break in the skin that fails to heal properly due to poor blood flow and impaired immune function. If left untreated, these wounds can become infected and lead to more severe complications.
Common causes of diabetic foot ulcers include:
- Peripheral neuropathy: Loss of sensation in the feet, making it difficult to detect injuries.
- Poor circulation: Reduced blood flow slows the healing process and increases the risk of infection.
- Pressure points: Prolonged pressure on specific areas, such as the heel or ball of the foot, can lead to ulcers.
- Foot deformities: Conditions like bunions or hammertoes can increase the risk of skin breakdown.
- Improper footwear: Shoes that do not fit well can create friction and lead to wounds.
Recognizing the early signs of a diabetic foot ulcer — such as redness, swelling, drainage, or an unusual odor — can help ensure timely treatment and prevent further complications.
Treatment Options for Diabetic Foot Ulcers
A comprehensive approach is essential when it comes to diabetic foot ulcer treatment. The following options focus on promoting wound healing, preventing infection, and addressing underlying causes.
Debridement: Removing Damaged Tissue for Faster Healing
Debridement is a critical step in the treatment of diabetic foot ulcers. This procedure involves the removal of dead, damaged, or infected tissue from the wound to promote healthy tissue growth and prevent infection.
Why is it important?
- Eliminates bacteria and reduces the risk of infection
- Encourages the formation of new, healthy tissue
- Allows for a more accurate assessment of the wound’s depth and severity
What to expect during debridement:
Your podiatrist will carefully remove dead tissue using specialized instruments in a sterile environment. This procedure is usually performed in-office and may be repeated periodically to ensure optimal healing.
Skin Substitute Regeneration (Grafts): Advanced Wound Healing Solutions
For wounds that are slow to heal, skin substitute grafts provide an innovative solution. These bioengineered tissues mimic natural skin, providing a scaffold for new cell growth.
Benefits of skin substitute grafts:
- Provides a protective barrier over the wound
- Supports the body’s natural healing process
- Reduces healing time and risk of complications
How it works:
After the wound is cleaned and prepared, a skin substitute is applied to cover the ulcer. Over time, the graft helps stimulate the body’s own healing process, reducing the chances of infection and further tissue breakdown.
Wound Vac Therapy: Harnessing Negative Pressure for Healing
Vacuum-assisted closure (Wound Vac) therapy is a specialized treatment that uses controlled suction to create an optimal healing environment.
How does it help?
- Reduces swelling and removes excess fluid from the wound
- Promotes blood flow to the affected area
- Encourages tissue regeneration by drawing the edges of the wound together
What to expect during treatment:
A foam dressing is placed over the ulcer and sealed with an airtight cover. The wound vac device then applies gentle suction, continuously removing fluids and bacteria to accelerate healing.
Preventative Wound Care: Protecting Your Feet from Future Ulcers
Preventing diabetic foot ulcers is just as important as treating them. By taking proactive steps, you can reduce the risk of ulcers developing in the first place.
Key prevention strategies include:
- Daily foot inspections: Checking your feet every day for cuts, blisters, or changes in color can help catch problems early.
- Proper footwear: Wearing shoes that fit well and provide ample support helps prevent friction and pressure points.
- Moisturization: Keeping your skin hydrated prevents cracking that can lead to wounds.
- Regular podiatry visits: Seeing a podiatrist regularly can help detect issues before they become serious.
Taking these steps can significantly reduce your risk of developing foot ulcers and help maintain your overall foot health.
When to Seek Professional Diabetic Foot Ulcer Treatment
If you have diabetes and notice any signs of a foot ulcer — such as persistent pain, swelling, redness, or drainage — it’s important to seek medical attention right away. Early intervention can prevent complications and help you avoid more serious outcomes.
At Sheehy Ankle & Foot Center, we offer comprehensive wound care solutions tailored to your unique needs. Whether you need debridement, skin substitute grafts, wound vac therapy, or preventative care, we’re here to help you every step of the way.
Take Control of Your Foot Health Today
Diabetic foot ulcers can be challenging to manage, but with the right care and treatment, healing is possible. If you’re dealing with a foot ulcer or want to learn more about preventative care, don’t wait — contact Sheehy Ankle & Foot Center today to schedule an appointment.
