I stepped on a rusty nail 8 months ago but didn't feel it right away since i'm diabetic and do not have feelings at the bottom of my feet. in short, i've been treated for a bacterial infection that went into my bone system. every 2 wks. the doctor cuts

The : The treatment for a bone infection involves long-term antibiotics (months) and regular debridements (cutting away) to remove devitalized or dead tissue. This may involve skin, bone, and anything else between the two. Sometimes, outer skin starts closing up and healing while there is still infection and dead tissue underneath, which is probably the reason your doctor keeps cutting away at it. The fact that you're bleeding when he does this is good. One of the principles of debridement is to remove all devitalized tissue until good, healthy, bleeding tissue is found. But i can't stress enough the importance of you taking meticulous care of your diabetes while you're trying to heal from a bone infection. You can't leave everything up to your doctor. You need to take an active role in your recovery. Something you might want to ask your doctor about is the use of a total contact cast, which will redistribute pressure away from the area. As long as you walk on an ulcer, you will delay or even prevent complete healing. Part of having loss of sensation in your feet must involve daily inspection of your feet. The body has no compensatory mechanism for loss of pain. And because you don't feel pain, there is nothing to remind you to take a look and check out what's going on down there. I also want to add that the only way to diagnose a bone infection is to actually remove a piece of the bone and have it biopsied and cultured. This will also allow the proper antibiotic to be used for the bone infection. Wound cultures taken from diabetic foot wounds are notoriously inaccurate in seeing what's infecting the bone underneath. Good luck, and please watch your diabetes!

Debridement: Deep puncture wounds can be potentially dangerous as one may develop tetanus, or a number of other types of deep infections. If the wound was deep enough they may lead to bone infections. You may need periodic debridement of you wound to remove any unhealthy tissue.