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Diabetic foot ulcers are controlled by offloading the wound, applying saline dressings daily to keep the damage moist, debridement, and antibiotic therapy. Also, soft tissue infection is present with or without surgery, and blood glucose control and correcting peripheral arterial insufficiency can help.The non-surgical offloading treatment of diabetes and a neuropathic plantar ulcer may need to be complemented with Achilles tendon lengthening, metatarsal head resections, and joint replacements. Book an appointment to have the best treatment.
At times, wounds can be covered by recombinant growth factors, cultured human cells, and hyperbaric oxygen treatments, but only if arterial insufficiency is absent.
Diabetes patients with ulcers must choose between the sometimes conflicting options of performing invasive procedures (e.g., soft tissue and musculoskeletal reconstruction, angiography, bypass surgery) for limb salvage and avoiding unnecessary aggressive treatment in patients with cardiac risk. Diabetes ulcerations often lead to legal troubles due to delayed diagnosis of ischemia, inadequate debridement and treatment of infection, and inadequate wound care.
Patients who present with new diabetic foot ulcers should receive treatment from a multidisciplinary team consisting of doctors, surgeons, podiatrists, and pedorthotists who are interested in this complex condition.
Some Management Practices
In ulcer treatment, there are some practices to reduce pressure offloading:
The best offloading device for patients with a neuropathic plantar ulcer is a nonremovable knee-high offloading device. It is like a total contact cast (TCC) or a removable walker, irremovable by the provider who fits it.
Removable versions can help if patients do not tolerate a nonremovable, knee-high offloading device. If a contradiction or toleration occurs in a removable appliance, you can view an ankle-high offloading device; you should educate patients on the benefits of adherence to removable device use. Visit our vascular surgery hospital in Bangalore for the best treatment.
It may be possible to consider felted foam in conjunction with appropriate footwear without other forms of biomechanical relief.
Offloading remains essential for infections or ischemia, but you should exercise caution.
Depending on their type and location, offloading devices, footwear modifications, toe spacers, and orthotics can be used to treat nonplantar foot ulcers.
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