Top
30
Doctor insights on: Wagner Scale For Diabetic Foot Ulcers

Share
1

1
Can diabetic foot ulcers heal?

Can diabetic foot ulcers heal?

Yes: If cause of ulcer is properly addressed and there is adequate circulation, absence of infection, adequate health/nutrition as well as proper offloading /eliminating excessive pressure on area. ...Read more

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


2

2
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

3

3
How are diabetic foot ulcers treated?

How are diabetic foot ulcers treated?

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

4

4
How can I address my diabetic foot ulcers?

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

5

5
Which products work best on diabetic foot ulcers?

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

7

7
What does the initial stage of a diabetic foot ulcers look like?

What does the initial stage of a diabetic foot ulcers look like?

They start: Off as callouses often, but under the callous a hole is present. ...Read more

8

8
What does the start of a diabetic foot ulcers actually look like?

What does the start of a diabetic foot ulcers actually look like?

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

9

9
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

10

10
Is salt a good solution for diabetic foot ulcers?

Is salt a good solution for diabetic foot ulcers?

No: Salt solutions such as saline is physiologic to the human body, but pure salt water solution in high concentrations is detrimental to wound healing. ...Read more

11

11
What is the best method of healing diabetic foot ulcers?

What is the best method of healing diabetic foot ulcers?

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

12

12
Can there be some method of healing diabetic foot ulcers.?

Can there be some method of healing diabetic foot ulcers.?

Multifactorial: Offloading of diabetic foot ulcers, good nutrition, gycemic control, regular wound debridement by your physician, and local wound care are essential factors in improving the healing rate. ...Read more

13

13
Can derma wound cream help treat diabetic foot ulcers?

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

14

14
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

15

15
Can you tell me how hyperbaric oxygen therapy (hbot) treat diabetic foot ulcers?

Can you tell me how hyperbaric oxygen therapy (hbot) treat diabetic foot ulcers?

All wounds are: Ischemic and HBOT super-saturates the tissue with oxygen improving wound healing. ...Read more

16

16
Can somebody tell me how can hyperbaric oxygen therapy (hbot) treat diabetic foot ulcers?

Can somebody tell me how can hyperbaric oxygen therapy (hbot) treat diabetic foot ulcers?

By definition: All wounds are ischemic. Meaning they don't have enough oxygen for healing. HBOT super-saturates the wound increasing the chance for healing. ...Read more

17

17
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

18

18
Diabetic foot ulcer --\ is this a bad sign?

Unfortunately yes: If you have a diabetic ulcer your risk of more goes up it indicates multiple problems that will need to be addressed to decrease the risk of more as well as protecting your circulation eyes and kidneys. ...Read more

19

19
What does the start of a diabetic foot ulcer look like?

What does the start of a diabetic foot ulcer look like?

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

20

20
How do you correctly clean & debride a diabetic foot ulcer?

How do you correctly clean & debride a diabetic foot ulcer?

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

21

21
What is the the most recent treatement of diabetic foot ulcer?

What is the the most recent treatement of diabetic foot ulcer?

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

22

22
How long does it usually take for a diabetic foot ulcer to develop?

How long does it usually take for a diabetic foot ulcer to develop?

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

23

23
How bad is it to wet diabetic foot ulcer bandage in the tub or shower?

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

24

24
What should I do if I wet my diabetic foot ulcer bandage in the tub or shower?

What should I do if I wet my diabetic foot ulcer bandage in the tub or shower?

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

25

25
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

26

26
Can docs explain what does the start of a diabetic foot ulcer look like?

Can docs explain what does the start of a diabetic foot ulcer look like?

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

27

27
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

28

28
What is the best wound care for a necrotic diabetic foot ulcer?

What is the best wound care for a necrotic diabetic foot ulcer?

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

29

29
Is it okay to take a shower/bath with a diabetic foot ulcer bandage on?

Is it okay to take a shower/bath with a diabetic foot ulcer bandage on?

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

30

30
I have pad and a diabetic foot ulcer, I have been taking percocet 10mg/325. What else can I do to help?

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

Dr. Scott Bolhack
2,091 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


Dr. Scott Bolhack
658 Doctors shared insights

Diabetic Foot (Definition)

A diabetic foot is a simply the foot of a person with diabetes. Because of the nature of diabetes, a diabetic foot has certain risk factors that make observing and practicing good ...Read more