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Doctor insights on: What Is The Best Wound Care For A Necrotic Diabetic Foot Ulcer

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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

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Dr. Heidi Fowler
442 doctors shared insights

Wound Care (Definition)

Wound care is steps taken to ensure that a wound heals correctly. Steps may include dressing changes, application of topical antibiotics or ointments, proper offloading, infection control, and professional wound debridement when indicated. See your physician and have them advise you on treatment ...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 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

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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

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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

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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?

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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Can a silver sulphadiazine topical be used for a diabetic foot ulcer?

Silver dressings: Yes, this medication is a safe prescription medication used as one of an armamentarium in treating a diabetic foot ulcer. All foot ulcers should be seen by a health care professional as the consequences of a self-treatment failure can be muscle, tendon or bone infection; amputation; hospitalization; or sepsis and death. Do treat this condition by yourself! ...Read more

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Are there any sprays or creams i can use to cure a diabetic foot ulcer?

No: There is no spray or cream that will cure an ulcer. The cause of ulcer must be determined, whether it is circulatory, excessive pressure, infection etc. ...Read more

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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

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Dr. Scott Bolhack
2,049 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
802 doctors shared insights

Wounds (Definition)

A wound is a condition in which a person has some trauma to part of his body in which the surface of the skin or some other organ has been broken open. Wounds include clean cuts, jagged cuts, avulsions (ripping away) of ...Read more