Doctor insights on:
Home Remedies For Foot Ulcers
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
The best way is visual inspection. If you have any concerns for ulceration, check your own feet.
This is of particular importance in patients with peripheral neuropathy as is seen in diabetics. Regaular inspection is important.
Look for skin cracking, thinning, hot or warm areas, redness and swelling, blood, and toe nail problems.
Any questions, see your pcp or specialist. ...Read more
You may not: Have any symptoms. Some people with ulcers are neuropathic or don't feel anything......An ulcer is a hole...If you have one see a doctor.. ...Read more
Depends on the cause: There are various causes for foot ulcers including: poor circulation, venous stasis, diabetic neuropathy. Ulcers caused by poor circulation may need the help of a vascular surgeon. Ulcers caused by edema/leg swelling require compression. Diabetic ulcers required eliminating the pressure on the wounds. ...Read more
Assuming the ulcers: Are on the bottom of the foot, part of the treatment needs to be removing pressure from the ulcer (s), also known as offloading. Under some circumstances, something can be put into regular shoes with an accommodation, but if the ulcer (s) are big and bad enough, a more aggressive form of offloading is needed. This can range from a special surgical shoe to a total contact cast. ...Read more
Multiple remedies: Wound care requires multi-discipline input for proper wound healing. There are multiple modalities and multiple strategies to get a wound closed but it takes a knowledgeable well trained specialist to know when to implement the appropriate treatment during the course of wound healing similar to a conductor leading an orchestra. ...Read more
Sometimes: Poor circulation or clots can certainly cause an ulcer. However people with neuropathy, who have little or no sensation on the feet are also very prone to ulcers: especially is any part of the foot is under a learge amount of pressure. Trauma and infection as well as pressure sores can also cause ulcers. ...Read more
Diabetic ulcers: Diabetes causes a condition known as microangiopathy. This is the clogging of microscopic blood vessels that feed skin and sub-cutaneous tissues. Therefore, if there is any pressure point on the foot, the blood flow is essentially cut off and the skin breaks down as the skin cells die from lack of blood flow. ...Read more
They are not...:
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
They sure can: It is more than whether you take Insulin or oral medications that makes the difference. It is more a consequence of having had diabetes for a prolonged period of time. While it can happen even with good control, it is more likely to happen with poor control of the blood sugar over time. The effects of diabetes on the circulation along with neuropathy and other changes makes one more prone. ...Read more
Several reasons: Diabetics may develop neuropathy, decreased sensation to the skin, which means they are unaware if they step on a thorn or if their shoes are creating a blister on their foot. Nerve damage can lead to bony changes that create abnormal pressure points on the foot. Diabetics also tend to develop small vessel arterial disease, which results in decreased perfusion to the skin and slower wound healing. ...Read more
Multiple factors: Wound care requires multi-discipline input for proper wound healing. There are multiple modalities and multiple strategies to get a wound closed but it takes a knowledgeable well trained specialist to know when to implement the appropriate treatment during the course of wound healing. ...Read more
Need to see it: There are too many products to suggest any without seeing your wound and knowing your health history, and the response to previous treatments. You would be best served going to a wound center that has a podiatrist. They have all the latest and best technology to treat you. Good luck! ...Read more
Hello to all the doctors? I am diabetic and have foot ulcers. Should I remove the skin from the ulcer?
See the doctor today:
Foot ulcers in diabetics can be a serious problem and should be examinaed and treated by your physician right away. The only thing worse than not seeing your doctor today is fiddling with it yourself.
You might make the problem much worse. Please see the doctor today! ...Read more
Yes they do: With proper care most can be healed. ...Read more
They start: Off as callouses often, but under the callous a hole is present. ...Read more
It depends.: Foot ulcers do not usually happen spontaneously. They usually begin at the site of an injury. Avoiding poor-fitting footwear that causes reddening of the skin, or blisters; closely monitoring minor injuries, and seeking prompt care for major injuries or minor ones that do not improve quickly can help prevent ulcers from forming. ...Read more
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
There isn't really..: ...A best method. The reason I love treating diabetic foot ulcers is that they are all different. Because of that there are a large number of dressing choices. Most importantly, however, is to get the pressure off of the ulcer. This is done with a cast, fracture boot, or specialized shoes. Be sure to visit your podiatrist and get the wound evaluated asap! ...Read more
See a physician: Diabetic wounds should always be followed by a medical professional who will ensure that you do not have an infection of the soft tissue or worse, the bone (s) beneath the wound. Left untreated, a diabetic wound can rapidly become a more serious problem. Schedule an appointment with a foot and ankle specialist with training and interest in wound management. ...Read more
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