Diabetic Ulcers
A diabetic ulcer is a skin sore on a person’s foot or leg, and it’s caused by either neuropathy, nerve damage, or vascular disease and poor blood circulation due to the person’s status as a diabetic. High blood sugar levels, poor circulation, nerve damage, and foot deformities are risk factors for a diabetic ulcer occurring.
A person with diabetes should strive to control their blood sugar to avoid being in a high-risk category for diabetic ulcers. These ulcers come with risks, especially if they aren’t treated promptly. They can lead to infection or gangrene. In extreme cases, the person may face the possibility of amputation of the foot or other affected area. Prompt treatment can lead to a better outcome.
Comprehensive Assessment
Treatment for a diabetic ulcer always begins with a comprehensive assessment of the patient and the ulcer. The visit starts with a detailed medical history of the patient. The person should provide any requested information and mention any details that occur to them. It’s time to be completely honest to get the best care possible. The doctor also examines the ulcer and determines the causes.
The doctor documents the characteristics of the ulcer. This includes:
- Size
- Depth
- Location
- Signs of infection
To determine the exact characteristics of the ulcer, the doctor might order testing. This can include imaging studies and laboratory tests. These tests show the blood flow around the ulcer as well as any potential infection.
Advanced Treatment Modalities
With the assessment completed, the doctor turns their attention to treating the diabetic ulcers. Some common treatments include:
- Debridement: To promote healthy tissue growth, the doctor removes the dead or infected tissue. If the tissue is infected, the doctor uses a local anesthetic so the patient doesn’t feel pain.
- Off-Loading Techniques: To keep as much pressure off the ulcer and to promote healing, the doctor might use specialized footwear or devices.
- Specialized Wound Dressings: Tissue regeneration requires a moist environment. The doctor may use a specialized dressing to create this environment.
- Infection Management: Antibiotics may be prescribed if there’s already an infection or as a preventative. The patient should continue to monitor the area for any signs of infection.
- Blood Glucose Control: Controlled blood sugar levels are one of the best ways to promote the body’s natural healing processes and avoid future ulcers.
The doctor outlines the treatment plan and answers any questions before starting.
Innovative Therapies
Along with advanced treatment of a patient’s ulcers, there are new innovative therapies that can assist in the treatment of those ulcers. These therapies can include:
- Skin Substitutes: To replace or repair damaged tissue, a doctor can use advanced skin substitute treatments. The skin substitutes can promote healing and speed the recovery process.
- Cold Laser Therapy: This type of therapy uses low-level laser therapy. The goal is to reduce inflammation and stimulate tissue repair as part of the healing process.
- Hyperbaric Oxygen Therapy (HBOT): The wound needs oxygen to assist in the healing process. HBOT is done in a pressurized environment to make the delivery of oxygen to the patient more streamlined and effective.
A patient should discuss these therapies with their doctor and make an informed decision.
Personalized Care Plans
To ensure optimal recovery, patients receive a personalized care plan that includes not only treatment for the ulcer but also guidance on nutrition, foot care, and lifestyle modifications. Regular evaluations are crucial to monitor progress and make any necessary adjustments to the treatment plan.
If you or someone you know is struggling with a diabetic ulcer, don’t wait; take action today. Our expert team is here to help you achieve a healthier, faster recovery. Contact us today to schedule a consultation and start your healing journey.