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Diabetic Foot Ulcer

Best Diabetic Foot Ulcer Treatment In India

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Diabetes foot ulcers are one of the most common complications in people with poorly treated diabetes mellitus. Common reasons include inadequate diabetic control, underlying neuropathy, peripheral vascular disease, and poor foot care. It is also a common cause of foot osteomyelitis and lower extremity amputation. These ulcers are commonly seen in areas of the foot that have recurring trauma and pressure feelings. Staphylococcus aureus is the most common infective pathogen. Because the illness is typically chronic, a multidisciplinary approach will produce the best benefits. Working with a podiatrist, endocrinologist, primary care physician, vascular surgeon, and infectious disease expert is very useful. This exercise investigates the inspection, management, and implications of diabetic foot ulcers. This therapy costs between Rs. 45,000 and Rs. 85,000.

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Diabetic Foot Ulcer

What you should know about diabetic foot ulcers ?

  • Consult with skilled vascular surgeons for assistance in treating diabetic foot ulcers in a safe and efficient manner.
  • Amputation may be necessary to treat a diabetic foot ulcer if the nerves are seriously injured.
  • It's critical to receive therapy right away in order to avoid it from happening.
  • Find out the best course of action for treating diabetic foot ulcers by speaking with a vascular expert straight now.

Diabetic Foot Ulcer

Diabetic foot ulcer: What is it?

A lesion or an open sore that appears on a diabetes patient's leg after some sort of injury is called a "Diabetic foot," also known as a diabetic foot ulcer. Diabetes-related foot ulcers are regarded as a problem that develops when the skin tissues close to the wound begin to deteriorate and reveal the layers underneath. The fact that these ulcers cannot be controlled by diet, exercise, or even insulin therapy is one of the worst things about them. Therefore, it is usually advisable to seek treatment as soon as possible for a diabetic foot with an ulcer.

Diabetic Foot Ulcer

How is it created?

The human body has a built-in system for wound healing. The greatest component of the dermal skin layer and a major component of wound healing is the replacement of lost extracellular matrix (ECM). One condition that interferes with the healing of wounds by delaying the production of ECM is diabetes. Additionally, it raises the possibility of wound inflammation, which delays the development of mature granulation tissue and lowers the tensile strength of the wound.

The primary cause of a diabetic foot ulcer is the delayed production of granulation tissue. Other variables that contribute to this syndrome include poor circulation, foot abnormalities, and foot trauma. Diabetic patients experience neuropathy, which alters or eliminates the ability to perceive pain in the foot. Consistently high blood sugar damages the nerves without causing any pain or other indications. As a result, patients frequently fail to notice the blisters, scrapes, and other wounds on their feet, which leads to the development of a diabetic foot ulcer.

Diabetic Foot Ulcer


  • Poor blood flow
  • Elevated blood sugar
  • Nerve injury
  • Hypertension
  • Insufficient veins

Diabetic Foot Ulcer


  • Skin discolouration and swelling
  • Stench-filled discharge
  • Firmness and discomfort in the wound
  • Thickened or callused skin
  • Either partial or total gangrene
  • X-ray imaging is used to diagnose ulcers because it can determine how the bones in the foot are aligned.
  • The X-ray will also assist in determining how much bone mass has been lost as a result of diabetes.
MRI scans:
  • The magnetic resonance imaging examination produces a digital, three-dimensional picture of the body's soft tissues.
  • The doctor recommends this test to find out how much harm the ulcer has caused and to see whether there is any inflammation in the foot.
  • A blood test is advised when the ulcer exhibits symptoms of infection.
  • A blood test is conducted to diagnose the infection.

Diabetic Foot Ulcer

Skin Intact Severity

There are no diabetic foot ulcers in this grade. However, there is a big chance that one of the patients would get hurt.
A superficial skin or subcutaneous tissue ulcer

The diabetic foot ulcer is in its early stages. Of which a surface ulcer in this grade is present but does not yet affect the underlying tissues and involves the entire thickness of the skin tissues.
Extension of the Ulcer into the Tendon, Bone, and Capsule

The early stage of a diabetic foot ulcer has passed, and now it has deepened and penetrated the skin to reach the muscles, ligaments, tendons, joint capsule, deep fascia, etc.
Abscess or Deep Ulcer with Osteomyelitis

The ulcer has now progressed to the subcutaneous connective tissue layer. Abscess, osteomyelitis, or inflammation may also

Diabetic Foot Ulcer

Complications & Risks

Everyone responds to the anaesthetic drug differently, whether it be allergic or in another way. Additionally, it's possible that you aren't aware of your sensitivities.

  • The patient may experience an allergic response to anaesthesia or experience itching as a result of either of these causes.


  • The ulcer includes dead tissues, and when those tissues are being removed, it may be necessary to remove the blood vessels as well, which will cause the ulcer to bleed.
  • There may be considerable blood loss during therapy if the ulcer is particularly large.

Diabetic Foot Ulcer

Respiratory embolism

Blood clots may form in the ulcer and break off, travelling to the lungs where they might cause a potentially deadly pulmonary embolism.

Heart attack or arrhythmia (abnormal heart rhythm):

  • Patients believe that diabetic foot ulcer surgery is serious surgery since it occasionally entails the removal of dead tissue.
  • As a result, individuals have anxiety throughout the procedure and may experience arrhythmia.

Diabetic Foot Ulcer


Numerous common issues may be avoided and treated with proper foot care before they become significant complications.

The following advice can assist you in avoiding foot issues:

To keep your blood sugar levels within the recommended range, take care of your general health and follow your doctor's recommendations.
Due to nerve loss in your feet, you won't be able to feel how cold or hot the water is, so wash your feet in warm water and check the temperature with your elbow. Additionally, be sure to thoroughly dry your feet after not soaking them.

Check your feet every day for sores, blisters, redness, calluses, and other problems, especially if your feet don't get enough blood flow. Make sure your feet don't become too dry. Use lotion to keep it moisturized, but avoid applying lotion between your toes. Before using any form of foot lotion, be sure to speak with your doctor.

After a bath or shower, use an emery board or pumice stone to remove any calluses or smooth corns that have developed on your feet. Both during and after the shower, the skin on your feet will be soft. It will therefore be simpler to remove.
Always wear well-fitting, elasticized stockings or socks. To prevent injuries to your feet, avoid wearing sandals or going barefoot. Preferably, wear slippers or closed-toe shoes.
Keep your feet away from intense heat and cold

Diabetic Foot Ulcer

Restoration rate

Depending on the severity of the problem and how the patient's body responds to the therapy, the recovery rate following diabetic foot ulcer surgery varies from patient to patient.

The average time it takes for a wound to heal effectively is three to six weeks, sometimes even longer (in severe situations). The patient will need to wear a cast for the duration of the healing process to support the foot and leg when walking and performing other activities. And even after the cast is taken off, the doctor may advise putting on a leg brace to help with movements, lessen weight-bearing stresses, and adjust the body's form.

Diabetic Foot Ulcer

How much does a surgery cost in India?

The cost of surgery varies across the country. can range from around Rs. 45,000, to Rs. 85,000 .

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