7 doctors weighed in:

What to do if I have a foot ulcer that is close to healing, but the last little bit will not close.?

7 doctors weighed in
Dr. Scott Bolhack
Wound care
3 doctors agree

In brief: Foot ulcer

Work with your team at the wound center or clinicians.
You have not given enough information to assist us in helping you, as different ulcerations are due to different causes. For example, vein ulcers are best treated with compression; diabetic ulcers ultimately need offloading with casts or boots.

In brief: Foot ulcer

Work with your team at the wound center or clinicians.
You have not given enough information to assist us in helping you, as different ulcerations are due to different causes. For example, vein ulcers are best treated with compression; diabetic ulcers ultimately need offloading with casts or boots.
Dr. Scott Bolhack
Dr. Scott Bolhack
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1 comment
Dr. David Wishnew
It seems the wound has stalled. There are numerous reasons why that happened. Often, it is due to a failure to fully treat any underlying condition. Also, the wound may stall if the epithelium of the inner edges of the wound have grown into the wound and have touched the base of the wound (Hyperbole) and is treated by removing the "healed" skin down to bleeding tissue.
Dr. Vasu Brown
Wound care
1 doctor agrees

In brief: Change current Rx

Change the current treatment - on the final part of healing avoid alginates or foam dressing these prevent skin closure.
Orally take Niacin 500mg daily and vitamin k2 100mg daily. Niacin stabilizes vasculature in that area and accelerates healing and vit k2 helps with mmp a major factor in tissue destruction - with the above I have seen would heal within a week.

In brief: Change current Rx

Change the current treatment - on the final part of healing avoid alginates or foam dressing these prevent skin closure.
Orally take Niacin 500mg daily and vitamin k2 100mg daily. Niacin stabilizes vasculature in that area and accelerates healing and vit k2 helps with mmp a major factor in tissue destruction - with the above I have seen would heal within a week.
Dr. Vasu Brown
Dr. Vasu Brown
Thank
Dr. Reza Bayati
Wound care
1 doctor agrees

In brief: Barrier to healing

It is not uncommon to reach the stage where you are.
When the cause for the wound and the barriers havent dealt with we would have troubles down the road and even when it closes it may come back.

In brief: Barrier to healing

It is not uncommon to reach the stage where you are.
When the cause for the wound and the barriers havent dealt with we would have troubles down the road and even when it closes it may come back.
Dr. Reza Bayati
Dr. Reza Bayati
Thank
1 comment
Dr. David Wishnew
Recalcitrant ulcers are definitely a problem. The underlying cause of the ulcer needs to be under control (diabetes, etc), and there needs to be good care of the ulcer. Quite often, the skin edges of the ulcer have touched the base of the wound (hyperbole) and the skin edge at the wound margin needs to be trimed back to bleeding tissue to allow the wound to heal. See a wound specialist about this
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