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Doctor insights on: Diabetic Leg Ulcer Treatment

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Can a leg ulcer cause diabetic retinopathy?

Can a leg ulcer cause diabetic retinopathy?

No: A leg ulcer will not cause diabetic retinopathy. The two are related though. A person's whose diabetic disease has progressed to the point of having a leg ulcer will also often have diabetic retinopathy. Both happen with poorly controlled diabetes. ...Read more

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Ulceration (Definition)

Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more


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How is a diabetic foot ulcer best treated?

How is a diabetic foot ulcer best treated?

Depends on site: This is dependent on many factors: locations, depth, involvement of deeper structures, underlying deformity, present medical status, actual cause (not all ulcers in diabetics are diabetic related) and compliance of the patient. ...Read more

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What is a stage 3 diabetic foot ulcer?

What is a stage 3 diabetic foot ulcer?

Diabetic Foot Ulcer: Well, what you mean i suppose is a wagner stage 3 ulceration since using the term 'stage" to describe an ulcer is reserved for pressure ulcers. A wagner staging is one of several, and probably the most common, ways of describing a certain stage of a diabetic foot ulcer. It means that there is an ulcer, tendon and or bone is exposed, and that there is evidence of either tendon or bone infection. ...Read more

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How common are diabetic foot ulcers?

How common are diabetic foot ulcers?

Very: This is very common especially in diabetics with neuropathy. Since they have no feeling in their feet, they are prone to break down. Proper shoe wear and seeing your podiatrist on a regular basis is a must! ...Read more

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What causes foot ulcers in diabetics?

What causes foot ulcers in diabetics?

Foot ulcers: Diabetes causes a condition known as microangiopathy. This is where the microscopic blood vessels become clogged and do not deliver blood to the skin and sub-cutaneous tissue. The decrease in available bloodflow causes these ulcers (wounds) that are very difficult to heal. ...Read more

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Are diabetic foot ulcers contagious?

Are diabetic foot ulcers contagious?

They are not...: Hello, Diabetic foot ulcers are not contagious and not everyone with diabetes will obtain one. With proper glucose control and timely/monitored footcare they can be avoided. The vascular and nerve status in the lower extremity are also important to prevent their formation. Shoe gear is also important for prevention. Be sure to be vigilant with any callus, cut, blister, or bruises in the feet. ...Read more

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Neuropathic pain after arterial bypass surgery on leg. Possible treatments, please?

Neuropathic  pain after arterial bypass surgery on leg.  Possible treatments, please?

Medication: Gabapentum or Lyrica (pregabalin) beneficial. Gabapentum lower side effect profile see your physician for direction. ...Read more

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What kind of doctor treats diabetic foot infections and ulcers?

What kind of doctor treats diabetic foot infections and ulcers?

Multiple factors: Wound care requires multi-discipline input for proper infection control and wound healing. There are multiple modalities and multiple strategies to get a wound infection resolved and closed but it takes a knowledgeable well trained specialist to know when to implement the appropriate treatment during the course of wound healing using evidenced based medicine. ...Read more

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What are alternative treatments for venous leg ulcers ?

What are alternative treatments for venous leg ulcers ?

See vein specialist: Leg ulcers are often caused by chronic venous insufficiency which is a problem that causes to much pressure to be in the veins near the skin. A venous specialist can diagnose and treat this condition. Our cure rate with venous ulcers is 97%. ...Read more

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What is a good treatment for quick healing of diabetic neuropathic ulcer?

What is a good treatment for quick healing of diabetic neuropathic ulcer?

Diabetic Ulcer: Offloading is the most helpful treatment for a neuropathic ulcer. Having said that, the treatment should be performed by a physician with experience in treating diabetic foot wounds. Diabetic wounds can be complicated and having them treated sooner rather than later can make a huge difference in the patient's life. ...Read more

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Is it possible for warfarin to cause diabetic foot ulcers?

Is it possible for warfarin to cause diabetic foot ulcers?

No: No. Warfarin can cause something called, "coumadin (warfarin) skin necrosis", which is more likely to happen if you aren't anticoagulated with Heparin / Lovenox before starting coumadin (warfarin). Otherwise, Coumadin (warfarin) does not commonly affect your blood sugar or your diabetes. ...Read more

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Dose diabetics results to foot ulceration? What type of diabetics? And how can we differentiate an injury from this foot ulcer

Dose diabetics results to foot ulceration? What type of diabetics? And how can we differentiate an injury from this foot ulcer

Diabetic Foot Ulcer: Diabetes mellitus or any pathology that contributes to numbness in the feet ("neuropathy") contributes to foot ulcers. Xrays of the foot and a thorough physical examination by a foot/ankle specialist will put the pieces of the puzzle together. Dr. H. ...Read more

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What are treatments for leg edema and ulcers?

What are treatments for leg edema and ulcers?

Leg edema and ulcers: 1. Find the cause. 2. Almost always caused by eating too much salt or more that your body can get rid of. recommend you get this book, read it and use it. DASH Diet for Hypertension ISBN 9780743410076 Get only this book. ...Read more

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What remedies relieve foot neuropathy caused by diabetes?

What remedies relieve foot neuropathy caused by diabetes?

Multiple remedies: Diabetic neuropathy is nerve damage and therefore can never be 100% restored. To improve and prevent further deterioration diet and exercise is the key. Keep blood sugars under control. Stop smoking (affects circulation to nerves) limit alcohol use which destroys nerves. Vit. B may levels should be checked and supplemented as required. ...Read more

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How are diabetic foot infections diagnosed?

How are diabetic foot infections diagnosed?

Signs of Infection: Redness extending around the wound and either going up in a streaking pattern or circumferential around the wound, hot in the same area of the redness, swollen foot/limb, loss of function, severe pain (when normally you shouldn't feel pain b/c of the neuropathy) malodor and water or pus type of drainage. Seek attention immediately. ...Read more

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Is there any type of medical management for a stage 2 diabetic foot ulcer?

Diabetic foot ulcer: You need to see a specialist as soon as possible. Some suggestions include wound specialists, podiatrists, primary care physicians, etc. An ulceration in a diabetic in the foot requires attention. I am puzzled by your description of a 'stage 2' as this is not the way to classify these types of ulcerations -- that descriptor is reserved for pressure ulcer classification. ...Read more

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Is diabetic foot numbness reversible?

Is diabetic foot numbness reversible?

Numb Diabetic Feet: We have found in our podiatry clinic that there is a lot of variability in levels of severity of diabetic neuropathy and symptoms also vary but mostly early symptoms of numbness, stabbing, burning, tingling and electric shocks that are recurrent when resting seem to be correlating with fasting blood sugar levels. Symptoms are less when patients have good sugar control; you should strive for this. ...Read more

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Could medical leech therapy help someone with infected leg ulcers (necrobiosis lapoidica)?

Could medical leech therapy help someone with infected leg ulcers (necrobiosis lapoidica)?

Leeches leg ulcers: Leeches can be effective when an area has venous congestion; the leeches withdraw the blood from the congested area. Medicinal leeches are different than those obtained elsewhere. There are no studies of value showing that they help with infection. ...Read more

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My dad is being given compression dressing for a leg ulcer it's not working at all... What other treatment could be explored. He is diabetic?

My dad is being given compression dressing for a leg ulcer it's not working at all... What other treatment could be explored. He is diabetic?

Wound care clinic: Hi. Take your Dad to a wound care clinic for specialized attention to the wound. They have a number of options. Also, it is of course critically important to make sure his diabetes control is excellent. Poor diabetes control impairs wound healing. ...Read more

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What are good treatment options for a gross leg ulcer?

What are good treatment options for a gross leg ulcer?

Various treatments: There are different types and causes of leg ulcers. It is best to se your doctor to discuss what is best for your particular problem. You need to be proactive and get aggressive with treatment. Dr l. ...Read more

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What is the treatment of a single leg ulcer in an much older man?

What is the treatment of a single leg ulcer in an much older man?

Depends: Leg ulcer can be a tip of the iceberg. The causes are many so the treatment varies greatly. In the elderly population, vascular disease (artery, vein, and lymphatics), infection, accident/pressure induced soft tissue injury, metabolic issues including diabetes makes healing difficult. Do not delay medical attention, some ulcer can get aggressive and cause big problem. ...Read more

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Is there an alternative treatment for venous leg ulcer?

Is there an alternative treatment for venous leg ulcer?

Not really: As drs. Schwartz and marquart said, the mainstay of treatment for venous leg ulcers is compression and treatment of the underlying venous insufficiency. Some medicines, especially trental, (pentoxifylline) or antibiotics, if there is an infection, have been shown to improve the effectiveness of compression but infections are actually rare and medication is not commonly needed. ...Read more

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Mom have venous leg ulcer for past 5 yrs,not cured. Treatment changed from English medicine to Ayurveda.can she take English medicine immediately?

Mom have venous leg ulcer for past 5 yrs,not cured. Treatment changed from English medicine to Ayurveda.can she take English medicine immediately?

Treatment not Meds : Venous leg ulcers usually require external compression with special wraps (jobst stockings) , and leg elevation, possibly with water pills. The mechanical elevation and support is the mainstay of treatment. ...Read more

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How should you dress a diabetic leg ulcer?

Diabetic ulcer: What you dress a wound with has to do with the location of the wound, the amount of fluid coming off of a wound, where in the timeline of the healing, cost of the products (there are always choices), ease of placing those products, availability of home health, etc... ...Read more

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What should or should not be eaten to hasten the healing of a diabetic leg ulcer?

Blood sugar: The most important nutritional factor in a patient with a diabetic ulcer is to maintain adequate protein intake as well as making certain to keep the blood sugars under control. ...Read more

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What dietary changed with help the healing of a diabetic's leg ulcer?

Diabetic diet: Following a good diabetic diet that allows you to keep your blood sugar nice and low and level will give you your best chance at healing an ulcer. See a doctor for additional wound care, debridement, or antibiotics if there are any signs of infection. ...Read more

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What can I do to dress a leg ulcer in a diabetic patient?

Cause?: Many ulcers are caused by venous disease even in diabetic patients. These are most often found on the inside of the ankle. If this is the case see a venous doctor. ...Read more

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Can a leg ulcer cause diabetic retinopathy?

No: A leg ulcer will not cause diabetic retinopathy. The two are related though. A person's whose diabetic disease has progressed to the point of having a leg ulcer will also often have diabetic retinopathy. Both happen with poorly controlled diabetes. ...Read more

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How do physicians dress a leg ulcer in a diabetic patient?

Ulcer in a Diabetic: This is too general of a question to answer accurately. A diabetic can develop diabetic foot ulcers but they are also at risk for other types of ulcers too like venous stasis ulcers. A diabetic ulcer that is considered neuropathic requires offloading; an infectious process needs to be treated with antibioitics; and if there is a blood supply issue then that needs to be corrected. ...Read more

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My dad is diabetic, angioplasty and overweight. He has developed a leg ulcer about size of fist doctors only dressing it help it's getting big/worse ?

Needs more treatment: If a diabetic ulcer is not getting better with dressing changes as they are being done then more treatment is needed. See a vascular surgeon. ...Read more

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What would happen to a leg ulcer if it was left untreated?

Infections: The outcomes for an untreated ulcer can be severe. You can develop a local infection. This can spread to the bone as well as into the blood which can cause you to become septic with high fevers and illness which can be life threatening. Also the cause is important. If it is due to PAD this can result in an amputation. It is very important to see your physician as soon as possible. ...Read more

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Is manuka honey commonly used to treat leg ulcer?

Is manuka honey commonly used to treat leg ulcer?

Not commonly: Manuka honey has been used as an adjunct to leg ulcer wound dressings. Its use has been studied and has not always been shown to be beneficial. ...Read more

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Will a leg ulcer heal if im on my feet for 10 hours a day?

Will a leg ulcer heal if im on my feet for 10 hours a day?

See vein specialist: Leg ulcers are often caused by chronic venous insufficiency which is a problem that causes to much pressure to be in the veins near the skin. A venous specialist can diagnose and treat this condition. Wear compression stockings to minimize the standing effect. ...Read more

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How can I remove the dressing round ankle leg ulcer without causing bleeding?

How can I remove the dressing round ankle leg ulcer without causing bleeding?

Dressing: Sometimes if you add Normal Saline to the dressing where it is sticking to the wound, it won't pull and tear the skin. ...Read more

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How can I remove hypa tape from around ankle leg ulcer without tearing my skin?

How can I remove hypa tape from around ankle leg ulcer without tearing my skin?

Warm water...time: I am assuming you are talking about hypafix tape which sticks to the skin. The easiest way is to soak the entire dressing with warm water or saline until it loosens up. More importantly, it is never a good idea to use tape directly on the skin if it can be avoided. Ankle ulcers are typically a result of varicose veins. A compression dressing avoids the use of tape and provides compression therapy. ...Read more

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Dr. Scott Bolhack
2,092 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more