Gulshan Grover on Ace Medicare

About Diabetic foot ulcer

diabetic foot ulcer is a prevalent complication of poorly managed diabetes, impacting approximately one in ten individuals with diabetes. Despite seemingly minor triggers like new shoes or minor foot injuries, these open sores can develop and worsen due to reduced sensation and impaired healing. Detecting them early and practicing proper foot care is vital to prevent severe complications such as infections and potential amputations. Diabetic patients must remain vigilant, inspect their feet regularly, and seek immediate medical attention for any signs of ulcers to ensure timely intervention and optimize the chances of successful healing and recovery.

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Treatment

Diagnosis

  • Your doctor may perform a battery of tests to determine the severity of the diabetic foot ulcer. The doctor may inquire about your medical history and perform a physical examination to search for scratches, wounds, and blisters. To assess blood flow to your feet, the doctor may take your pulse. In addition to the physical exam, your doctor may request X-rays to check for foot misalignment caused by decreasing bone mass. MRI scans may also be performed to determine the degree of the ulcer's damage, and if symptoms of infection are detected, blood tests may be ordered.
Debridement

  • Debridement is a skin wound treatment process. A sharp instrument or a scalpel is used in this technique to remove dead tissue or diseased skin tissues from the ulcerated foot. Following the surgery, the wound is wrapped with a sterile bandage, which is changed on a regular basis. Ointments can also be used to accelerate healing.
Infection Prevention

  • Infections are common in foot ulcers. Antibiotics such as cephalexin, amoxicillin, moxifloxacin, or clindamycin may be prescribed by your doctor for infection prevention and management. These are effective against bacteria such as Staphylococcus aureus, -hemolytic streptococci, Enterobacteriaceae, and others that are known to cause ulcer infections.
Vascular Procedures

Because artery constriction and poor blood circulation are key causes of diabetic foot ulcers, surgery to improve blood flow may be necessary.

  • Atherectomy is a surgical operation that is used to treat diabetic foot ulcers caused by peripheral artery disease. Plaque composed of fat, cholesterol, and calcium is removed from the artery during this operation, causing the artery to widen. Blood circulates more freely in larger arteries. Plaque is eliminated by shaving or vaporising it with tiny revolving blades attached to the end of a catheter, or by utilising laser radiation.
  • Depending on your medical history, the surgery is conducted under the influence of general or regional anaesthesia. Balloon angioplasty is sometimes performed following atherectomy. In the Balloon a stent is put into the blood artery during angioplasty to keep it open.
  • If you have extensive artery blockage, gangrene, or open foot sores, your doctor may recommend a leg bypass instead of balloon angioplasty. The construction of a new channel allows blood to move around the blocked artery while maintaining normal blood flow to the foot.

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