29 doctors weighed in:

What happens if diabetic ulcers don't heal? Is it a permanent open wound?

29 doctors weighed in
Dr. Otto Placik
Surgery - Plastics
10 doctors agree

In brief: Bone infection

If wounds do not heal there is an increased risk of serious wound infection of soft tissues, gangrene, and bone, osteomyelitis.

In brief: Bone infection

If wounds do not heal there is an increased risk of serious wound infection of soft tissues, gangrene, and bone, osteomyelitis.
Dr. Otto Placik
Dr. Otto Placik
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Dr. Steven Harris
Surgery - Plastics
7 doctors agree

In brief: Serious consequences

Most people call neuropathic ulcers on the soles of the feet / toes "diabetic ulcers.
" here, a permanent open wound can result. Much worse / more likely, bacteria will eventually get in through the ulcer and set up a deep infection. This can lead rapidly to amputation or even death. The keys are changing weight-bearing, wound care, avoiding nicotine, checking the circulation, and glucose control.

In brief: Serious consequences

Most people call neuropathic ulcers on the soles of the feet / toes "diabetic ulcers.
" here, a permanent open wound can result. Much worse / more likely, bacteria will eventually get in through the ulcer and set up a deep infection. This can lead rapidly to amputation or even death. The keys are changing weight-bearing, wound care, avoiding nicotine, checking the circulation, and glucose control.
Dr. Steven Harris
Dr. Steven Harris
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Dr. Martin Tyson
Addiction Medicine
5 doctors agree

In brief: Should heal

A thorough workup, coupled with appropriate treatment and a knowledgable doc as well as a compliant patient should enable some form of closure for any wound eventually whether with standard therapies, or more advanced products with living cells, grafts, flaps, hyperbaric oxygen etc.

In brief: Should heal

A thorough workup, coupled with appropriate treatment and a knowledgable doc as well as a compliant patient should enable some form of closure for any wound eventually whether with standard therapies, or more advanced products with living cells, grafts, flaps, hyperbaric oxygen etc.
Dr. Martin Tyson
Dr. Martin Tyson
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Dr. David Wishnew
Wound care
5 doctors agree

In brief: Diabetic ulcers

Good question. In my experience, weither the ulcers heal or they go on to require extensive surgery(amputation).
Because the diabetic patient has a higher glycemia level, the serum is an excellent medium for bacteria to grow. This leads to infection and quite often, a disastrous outcome, requiring amputation of a digit, foot, or leg.

In brief: Diabetic ulcers

Good question. In my experience, weither the ulcers heal or they go on to require extensive surgery(amputation).
Because the diabetic patient has a higher glycemia level, the serum is an excellent medium for bacteria to grow. This leads to infection and quite often, a disastrous outcome, requiring amputation of a digit, foot, or leg.
Dr. David Wishnew
Dr. David Wishnew
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Dr. Robert Alexander
Surgery - Plastics
5 doctors agree

In brief: NO, needs care

Diabetic ulcers are usually from poor circulation and swelling in the lower extremities.
Treatment is leg elevation, compression stockings to decrease swelling, and removal of the dead materials from the ulcer area. Typically this, plus use of platelet concentrates are effective in getting the skin to resurface the ulcer area, or grafted. Important to have it cared for regularly.

In brief: NO, needs care

Diabetic ulcers are usually from poor circulation and swelling in the lower extremities.
Treatment is leg elevation, compression stockings to decrease swelling, and removal of the dead materials from the ulcer area. Typically this, plus use of platelet concentrates are effective in getting the skin to resurface the ulcer area, or grafted. Important to have it cared for regularly.
Dr. Robert Alexander
Dr. Robert Alexander
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Dr. Libby Putnam
Podiatry
4 doctors agree

In brief: 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.
If it continues to progress, a conservative amputation may be necessary.

In brief: 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.
If it continues to progress, a conservative amputation may be necessary.
Dr. Libby Putnam
Dr. Libby Putnam
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Dr. Michael Korona
Radiology - Interventional
4 doctors agree

In brief: Amputation

See podiatrist. Get checked for pad and treated if needed.
Control blood sugar. If not treated the ulcer can get infected and can lead to amputation.

In brief: Amputation

See podiatrist. Get checked for pad and treated if needed.
Control blood sugar. If not treated the ulcer can get infected and can lead to amputation.
Dr. Michael Korona
Dr. Michael Korona
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3 doctors agree

In brief: They can heal

Diabetic wounds can heal, just need to find the underlying factors that are causing the wound not to close.
Need to make sure that the pressure is relieved from the area. Eliminate any infection and make sure that proper nutrition is present to help with wound healing. Make sure that you are being seen by a podiatrist or a wound care center for your care.

In brief: They can heal

Diabetic wounds can heal, just need to find the underlying factors that are causing the wound not to close.
Need to make sure that the pressure is relieved from the area. Eliminate any infection and make sure that proper nutrition is present to help with wound healing. Make sure that you are being seen by a podiatrist or a wound care center for your care.
Dr. Tharesh Udupa
Dr. Tharesh Udupa
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Dr. Todd Sisto
Breast Surgery
3 doctors agree

In brief: Yes

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In brief: Yes

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Dr. Todd Sisto
Dr. Todd Sisto
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1 comment
Dr. Krishna Narayanan
Need to check for underlying bone infection. Sugar level control is of utmost importance
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