Diabetic Foot diagnosis, and treatment of illnesses of the foot, ankle and lower extremity in patients suffering from diabetic conditions. Dr. Sanjeev Bhatia Laproscopic & G.I Surgeon M.B.B.S, M.S.(Surgery),FMAS, FAIS, MIMSA, Specialization in Diabetic Foot Surgery. He is Best Diabetic Foot Surgeon of North India. Global Health Care Clinic is a super specialty academic medical institute that integrates clinical and hospital care with research and education in Minimal Access Surgery & Podiatric Surgery.
Diabetic foot ulcers occur in around 15% of persons with diabetes. Out of those who develop a foot ulcer, 6% will be hospitalized due to infection or other ulcer-related complication. The risk of foot ulceration and limb exclusion increases with age and the duration of diabetes.
The good update is that a foot ulcer is avoidable if the underlying conditions causing it, diabetic outlying neuropathy and/or peripheral arterial disease, are properly diagnosed and treated.
There are several types of diabetic foot ulcers
- Neuropathic ulcers happen where there is outlying diabetic neuropathy, but no ischemia caused by peripheral artery disease.
- Ischemic ulcers happen where there is peripheral artery disease exist without the participation of diabetic peripheral neuropathy.
- Neuroischemic ulcers exist where the patient has both peripheral neuropathy and ischemia ensuing from peripheral artery disease.
Diabetic peripheral neuropathy and peripheral artery disease (PAD) are strong risk factors related with the expansion of diabetic foot ulcers. Other risk issues include cigarette smoking, poor glycemic (sugar) control, and previous foot ulcerations. In certain groups have a larger risk of developing foot ulcers including older men, insulin-dependent diabetics, and patients with diabetes-related kidney, eye, and heart disease.
Signs and Symptoms
Signs and symptoms of a diabetic foot ulcer include:
- Appearance of drainage on the person’s socks
- Redness and swelling in the area
- Odour if the ulcer has progressed significantly
The goal of action is to quicken the healing process and decrease the chance for infection (or prevent a reappearance of infection). Treatment usually consists of:
- Ideal glucose control.
- Debridement – removal of all hyperkeratotic (thickened) skin, infected and nonviable, including necrotic (dead), tissue, slough, foreign debris, and residual material from dressings.
- Systemic antibiotics for deep infection, drainage, and cellulitis.
- Off-loading – Relieving the pressure from the ulcerated areas by having the patient wear special foot gear, a brace, specialized castings, or using a wheelchair or crutches.
- Generating a moist wound environment.
- Treatment with growth factors and/or cellular therapy if the wound is not healing.
- Injuries and ulcers reconcile faster and have a lower risk of infection if they are kept enclosed and moist, using dressings and topically-applied medications.
- Stuffs including saline, development factors, ulcer dressings, and skin alternates are highly active in healing foot ulcers.
- There should be satisfactory circulation to the ulcerated area.
- Constricted control of blood glucose is critical during to the effect treatment of a diabetic foot ulcer. This will enhance healing and reduce the risk of problems.
Many non-infected foot ulcers are treatable without surgery. Surgery may be required to:
- Eliminate pressure on the affected area, with shaving or excision of bone(s).
- Correct malformations, such as hammertoes, bunions, or bony “bumps.”
- Treat infections such as osteomyelitis, an infection of the bone, by surgically eliminating the infected bone.
Recovery time may range from weeks to numerous months, depending on:
- Wound size and location
- Heaviness on the wound from walking or standing
- Amount of swelling
- Matters with proper flow
- Blood glucose levels
- What treatments are being applied to the wound
- Stop Smoking
- Stop Drinking alcohol
- Dropping high cholesterol
- Regulatory blood glucose levels
- Wearing the suitable shoes and socks
- Examining feet every day—particularly the sole and between the toes—for cuts, bruises, cracks, blisters, redness, ulcers, and other signs of anomaly
Dr. Sanjeev Bhatia is the best Diabetic Foot Surgeon. The vision of Dr. Sanjeev Bhatia is to be the world leader in patient experience, clinical outcomes, research and education. Global health care clinic maintains the highest standards. It offers one of the advanced facilities for Minimal Access Surgery, Diabetic Foot Surgery, Anorectal/Piles, and Breast Diseases & Cancer Surgery. Not only this, it also provides regular training in most advanced Minimal Access Surgical Procedure, like, Laparoscopic, Gynaecology, Endoscopy, Infertility & much more.
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