10 doctors weighed in:

Can constant pressure help a diabetic ulcer heal?

10 doctors weighed in
Dr. Scott Bolhack
Wound care
4 doctors agree

In brief: Diabetic foot ulcer

Do not use constant pressure on a diabetic foot ulcer. Your podiatrist or wound care professional needs to evaluate the ulcer and make recommendations.
The standard of care for diabetic foot ulcers due to neuropathy is to offload the pressure from the wound, not to increase it!

In brief: Diabetic foot ulcer

Do not use constant pressure on a diabetic foot ulcer. Your podiatrist or wound care professional needs to evaluate the ulcer and make recommendations.
The standard of care for diabetic foot ulcers due to neuropathy is to offload the pressure from the wound, not to increase it!
Dr. Scott Bolhack
Dr. Scott Bolhack
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Dr. Payam Rafat
Podiatry
1 doctor agrees

In brief: Offloading

Diabetic foot ulcers require offloading to minimize the pressure and friction to the area.
Offloading is usually accomplished via use of casts, braces, crutches, walkers, and special off loading wound care shoes. Consult with your physician to get the treatment that is best for you.

In brief: Offloading

Diabetic foot ulcers require offloading to minimize the pressure and friction to the area.
Offloading is usually accomplished via use of casts, braces, crutches, walkers, and special off loading wound care shoes. Consult with your physician to get the treatment that is best for you.
Dr. Payam Rafat
Dr. Payam Rafat
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Dr. Adam Ringler
Podiatry

In brief: Diabetic ulcer

Most diabetic ulcers are actually caused by pressure.
Treatment of such ulcers is primarily reducing the pressure at this area thus allowing the body to heal the ulcer.

In brief: Diabetic ulcer

Most diabetic ulcers are actually caused by pressure.
Treatment of such ulcers is primarily reducing the pressure at this area thus allowing the body to heal the ulcer.
Dr. Adam Ringler
Dr. Adam Ringler
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Dr. Libby Putnam
Podiatry

In brief: No direct pressure!

Diabetic ulcers will generally heal if you offload the area (decrease direct pressure with an insert, or a wheelchair--no direct pressure!), 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.

In brief: No direct pressure!

Diabetic ulcers will generally heal if you offload the area (decrease direct pressure with an insert, or a wheelchair--no direct pressure!), 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.
Dr. Libby Putnam
Dr. Libby Putnam
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Dr. Jonathan Ellichman
Surgery - Vascular

In brief: No

Diabetic ulcers need wound care and a vascular evaluation to rule out arterial insufficiency.
Also, many diabetic ulcers harbor multiple bacteria forms that may have invaded the soft tissues and require antibiotics. You need to see a vascular surgeon.

In brief: No

Diabetic ulcers need wound care and a vascular evaluation to rule out arterial insufficiency.
Also, many diabetic ulcers harbor multiple bacteria forms that may have invaded the soft tissues and require antibiotics. You need to see a vascular surgeon.
Dr. Jonathan Ellichman
Dr. Jonathan Ellichman
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