Diabetic Foot Ulcer: Causes, symptoms and treatments

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One of the most frequent side effects of individuals with inadequately managed diabetes mellitus is diabetic foot ulcers. It is also a prevalent cause of lower limb amputations and osteomyelitis of the foot.

These ulcers typically appear in the foot parts that are subjected to pressure points and recurrent trauma. Since the illness is usually persistent, treating it with an interdisciplinary team will yield the best results. Working together with podiatrists, endocrinologists, general practitioners, vascular surgeons, and infectious disease specialists is very helpful.

Now let’s delve into this article and get a profound and detailed idea about what Foot ulcers are, their causes, symptoms, and treatments, 

TABLE OF CONTENT

  • What are diabetic foot ulcers 
  • How are they caused?
  • The symptoms of diabetic ulcers
  • Treatment for Diabetic foot ulcers 
  • Conclusion 
  • Frequently asked questions  

What are diabetic foot ulcers? 

People with diabetes tend to be more prone to foot conditions, which often occur due to diabetes-related neuropathy or poor circulation. Diabetes-related neuropathy is the result of continuously elevated blood sugar (hyperglycemia), which damages nerve tissue., which usually, affects your feet.

When skin tissue deteriorates and reveals the layers beneath, ulcers are created. They can damage your feet down to the bones, and they are most frequently found under your big toes and on the heel of your feet.

Although foot ulcers are possible for anyone with diabetes, proper foot care can help avoid them. Depending on what causes them, diabetic foot ulcers require different treatments.


How are they caused?

Neuropathy

Sensory motor experiences may get damaged due to major complication of diabetes that develops from nerve damage and makes nerve endings in feet get damaged. In such a case, the feeling of blisters, pressure, and soreness may go unnoticed and this leads to ulcers. 

Peripheral Artery Disease (PAD)

Impaired blood flow to the muscles and surrounding skin tissues resulting from PAD may affect the process of healing and sometimes lead to ulcers that slow down the healing process, hence, they will take a longer time if at all they will heal.

Foot Deformities

Bunions, hammertoes, etc. may appear as structural abnormalities across the feet causing areas of high pressure that can lead to ulcers in the feet.

Poor Foot Care

Improper preparation and care of the foot can be a factor in ulcer formation. Among them, one omnipresent mistake is undue negligence toward minor injuries, lack of or wrong footwear, or an ignored regular inspection of the feet.

Hyperglycemia

The high concentration of sugar in the body is a root cause of destabilizing the healing and immune function in your body. Spiking blood glucose can also worsen the issues that affect the vascular system and nerves which in turn, will prove harmful in the formation of the foot ulcer.

Symptoms of Diabetic Foot Ulcer 

Open Wound

An ulcer can become manifest as an open wound on one’s foot, often in a circular shape. 

Redness

The vicinity of the ulcer could turn red and inflammatory since blood can pool in the affected area.

Swelling

The region adjacent to an ulcer might balloon out, suggesting inflammation.

Drainage

The ulceration drains a color of pus sometimes leads to an infection.

Pain

Meanwhile, those people suffering from diabetic neuropathy, which suppresses pain sensation, can also have numbness at the ulcer location. On the other hand, others may have pain or tingling at the location of the ulcer.

Foul Odor

A badly-smelling abscess can be pointed as an infection.

Thickening of the Skin

Around the ulcer borders is where the skin may already become calloused.

Black or Discolored Tissue

The deficient blood flow or the extreme infection can result in black or discolored skin directly due to necrosis (tissue mortality).

Treatment for Diabetic foot ulcers 

Depending on the type of diabetes-related foot problem will determine how it is treated. Diabetes-related foot problems require immediate medical attention, do not attempt self-treatment. 

To treat these conditions, a podiatrist—a medical professional with a focus on foot care—may be involved. At NORMS Healthcare, we provide personalized healthcare in the comfort of your home. Make sure to check our website and contact us if you need any treatment for diabetic  Foot ulcers, 

If you develop an ulcer brought on by diabetes, your doctor might:

  • Tidy up the wound.
  • Empty the ulcer of any remaining liquid or pus.
  • Debridement is the removal or cutting away of diseased or dead tissue.
  • To help the wound heal, protect it, and absorb excess fluid, they may apply specific bandages and ointments.
  • Recommend a wheelchair or crutches to offload weight from the injured foot.
  • To control and get rid of infection, prescribe oral or intravenous antibiotics.
  • Your doctor might advise hospitalization based on the severity of the infection.  

Conclusion

Diabetic foot ulcer is the most frequent and dreaded complication of diabetic disease the prevention of which the earlier and proper therapeutic measure must be taken to avoid further complications like infection and amputation. Appropriate treatment implies unloading ulcer pressure, meeting the requirements of wound care, controlling blood sugar levels, and affecting infection management. The development of the patient’s knowledge about safe foot maintenance or close tracking will likely prevent a recurrence of the wounds.

Frequently asked questions

1. How can I prevent their occurrence?

– Just be watchful the least for the signs of pain or any disturbance to your feet like cuts, sores, or anything like these.

– Keep your feet dry and properly hygienic by engaging in a mixed bathing regimen.

– Pick the right shoes, ie. boots and shoe inserts that match you.

2. How long does it take to heal a diabetic ulcer?

The healing duration for diabetes-induced foot ulceration can range from minor to severe strains surrounding the tissue of the diseased footing, and thus, differ with the patient’s overall health condition.

3. In what case is the visit to the doctor needed for diabetic foot ulcers?

you must immediately report to a medical professional with any symptoms of an ulcer developing, which include an open wound, redness, swelling, or unexpected fluid discharge. A prompt diagnosis and treatment allows for a chance of a much better prognosis with fewer complications.

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