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Dr. Spriro is a Participating Provider with the Beth Israel Lahey Physicians Organization

Diabetic Foot Ulcers

Tuesday, 03 May 2022 00:00

If one’s diabetes is not carefully managed through diet, exercise, and insulin treatment, an all-too-common complication can be a foot ulcer. Ulcers develop because skin tissue breaks down and layers of skin underneath are exposed due to poor circulation, high blood sugar, nerve damage, and irritated or hurt feet. Foot ulcers usually develop under big toes or the balls of the feet. Symptoms to watch for are unusual swelling, irritation, redness, discoloration, drainage from the foot, and odors emanating from the feet. The most visible sign of a foot ulcer is when black tissue (known as “eschar”) surrounds the ulcer because of poor blood flow to the area. However, signs of a foot ulcer are not always present or obvious. Good foot care, including wearing properly fitting, quality shoes, maintaining good foot hygiene, proper trimming of toenails, as well as attention paid to other aspects of physical health, such as heart and kidney disease and obesity, can help with the prevention of foot ulcers. Treatment depends on the cause and severity of the ulcer. It is highly suggested to consult with a podiatrist for proper diagnosis and to obtain a treatment plan.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Jordana Szpiro, DPM, FACFAS from Boston Common Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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