Doctor insights on:
Wagner Scale For Diabetic 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
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
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
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
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
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
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
Many possibilities: A diabetic foot ulcer is best diagnosed with a physical exam. Your physician will ask you to remove your shoes in order to inspect your feet. They will look for redness, calluses, bruising, blistering, swelling, and for open sores. Sometimes the ulcer may be hidden and will be discovered following the debridement of calluses or the deroofing of blisters. ...Read more
Rx Diabetic Ulcer: There are two main causes of diabetic foot ulcers: neuropathy and arterial. These have different forms of treatment. Unfortunately, both can be involved in the same ulceration so attention by a trained health professional is vital. Contact your primary care physician, wound center, or podiatrist for further workup and attention. They will be the ones to debride the wound and instruct on cleaning. ...Read more
It's changing daily: It’s changing every day. 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. Better question is what's proven to work. ...Read more
Multiple factors: It can hours to days - multiple risk factors lead to ulcers and amputation, pressure, neuropathy and trauma are the major risk factors. The amount of each of those determines time frame. Poor circulation and foot deformities among other things which have a role in time frame. ...Read more
Not bad: If you have an ulcer it is quite alright and recommended to let the ulcer get wet in the shower as long as it is dried and properly dressed after the shower. This will help keep the wound clean. ...Read more
Change Dressing: Most foot ulcer dressings can be taken off before a shower / bath and the wound can be exposed to water / soap. After the shower / bath, the wound should be re-dressed per the original directions. ...Read more
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
The start can vary: A diabetic foot ulcer is best diagnosed with a physical exam. Your physician will ask you to remove your shoes in order to inspect your feet. They will look for redness, calluses, bruising, blistering, swelling, and for open sores. Sometimes the ulcer may be hidden and will be discovered following the debridement of calluses or the deroofing of blisters. ...Read more
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
Team approach: Depends on what is meant by necrotic. Is there blood flow to the extremity or wound? If not, a vascular or interventional cardiologist need to increase the blood flow to the extremity. A podiatrist is needed to get any bony prominence resected and to offlaod the wound. An endocrinologist is needed to get the diabetes under control if out of control. ...Read more
Don't wet dressings: It is not okay to take a bath/shower with a bandage covering a wound. Tap water is not sterile. If it comes in contact with the wound, an infection could occur. Also, the dressing would stay wet, causing maceration of the skin. Maceration is thickening, softening, and whitening of the skin. As a result, more skin could break down. Ask your doctor to clean your foot during dressing changes. ...Read more
I have pad and a diabetic foot ulcer, I have been taking percocet 10mg/325. What else can I do to help?
Wound care.: Diabetic ulcers will generally heal if you offload the area (decrease direct pressure with an insert, or a wheelchair), have your doctor trim the callus and dead tissue away on a regular basis, and if the ulcer is infected, you may need oral or IV antibiotics, depending on the severity of the infection. The Percocet is only for pain, it will not help to heal the ulcer. ...Read more
I have pad and a diabetic foot ulcer, I have been taking percocet 10mg/325 but it does not relieve the pain very long, what type of pain medication and how many mg will help me stay pain free through the day?
Serious problem: You have a serious problem my friend. It is bad enough to have diabetes with a foot ulcer. And now you have pad. That pain you feel is from the pad. There may be no amount of pain medication that will relieve your pain. The pain is from a lack of oxygen to your foot. This needs to be evaluated and perhaps corrected asap by a vascular surgeon. It will help the pain and help you heal. ...Read more
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