Reasons for developing Diabetic Foot Ulcers:
- Weakening Immune System
- Loss of Sensation in the foot and Nerve Damage as aresult of Diabetes
- Circulation compromise and hardening of arteries
- Further damage to the bone and joint structure of foot and ankle, it is called "Charcot joint". That would further put patient at higher risk for wounds
There are different causes for leg ulcers but the most common causes are due to stasis changes in leg skin.
Patients may not realize that they have Varicose veins and a procees which is called "Venous Insufficiency".
Venous Insufficiency: when veins can not function well and blood returns back to legs when standing.
Over time, the skin becomes darker, brownish and further ends off having wounds.
When there is a wound then it is stage VI (6) of CEAP. the Most advanced stage.
- Pressure sores usually happen to patients with decrease in mobility, and constant pressure over the skin. It may not take long for pressure to cause severe damage and a wound.
- It could sometimes ONLY take an hour or so for the damage happen.
- Initial stage you may see only some redness on the pressure point. If not taken care of it right away then further damage occurs and a deep wound can develop over time.
Our general recommendations:
Follow Foot Care protocols presented by American Diabetic Assisiations or other organizations.
Protect foot from getting hurt.
Do the best to control your Diabetes. If our Blood sugar is high then your diabetes is not well controlled yet.
If you have a wound then you need to have evaluation by a Wound Healing Experts, with background and expertise in Diabetes and wound care.
Prevention is the easier and better than cure.
We advise our patients to prevent this destructive process which makes the legs ugly and troublesome. When the skin has become disolored and wound has come on then we need to work for a while to be able to heal that wound and it may take years for the discoloration of skin go away if ever goes away.
The first and foremost recommendations would be, prevent pressure sore.
In hospitals and other healthcare facilities, despite so much emphesis still there are some patients may develop pressure sores.
Therefore when ou are sitting on a chair, or staying in one position, then the chance of developing a pressure sore is high, in case of lack of mobility.
The Elderly, paraplegics, and post operative stage are the most common situations we would see higher risks for pressure sores.
If the redness doesnt go away and getting worse then you need to have evaluation by a wound healing Experts.
If you have one the wounds described above or If your wound is not healing within expected timeline then consult one of our Wound Healing Experts.
Obtain one consultation or a 2nd opinion may potentially prevent a serious outcome, infections, or even amputations.
Other types of wounds: Although the Diabetic foot ulcers, Venous ulcers and pressure sores are the more prevalent wounds but there are other kinds of wounds which similarly could be disabling.
If circulation in legs impaired, any small wound can get worse and coause trouble.
Post Surgical Wounds: After surgery, some number of surgical wounds dont heal sd well sd expected. If a surgical wound after two weeks not healed yet, having drainage, painful, all could be signs of trouble. This kind of wound should be evaluated.