Diabetic Foot Ulcer 101

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– Hello I am Doctor Torrence

A Podiatry Fellow at the University of Michigan Two of the goals at Michigan Podiatry are to prevent diabetic foot ulcers and diabetic foot amputations I am going to discuss diabetic foot ulcers and what to do if you develop one Remember everything I share is only for your information Before making any medical decisions you should talk to a healthcare professional first

An ulcer or wound is a break in the skin as seen here The main reasons people with diabetics develop foot ulcers are lost of feeling in the foot, poor blood flow to the foot, increase pressure, or direct injury to the foot Diabetic foot ulcers have a high risk of infection Especially if you have had one for a long period of time The infection can spread from the wound to the bone

There are antibiotics that can treat bone infection however if the infection destroys to much bone, the bone will need too be removed or amputated to promote better healing and provide a better functioning foot If you develop a diabetic foot ulcer contact your podiatrist or healthcare provider right away so that they can develop a treatment plan for you Your treatment plan will include blood work, x-ray or MRI Your provider will also show you how to dress or cover your wound and how to offload your wound for better healing Offloading means reducing pressure and friction to the wound for better healing

Offloading can be done through a total contact cast as seen here Or though a wound healing shoe like the one I am holding The wound healing shoe has a special insert that reduces friction and can be modified to reduce pressure on your wound Remember a cast and a wound healing shoe is only temporary Once your wound is healed your provider will need to order diabetic shoes and custom inserts to prevent another ulcer

Some important things to remember if your foot is painful, red, hot, swollen, has pus and a foul smell like the wound you see here you should report to an emergency room immediately as you may have a diabetic foot infection This is very serious as you may need IV antibiotics to treat your infection Also remember to only clean your diabetic foot wound with soap and water Do not soak your foot Do not use bleach or hydrogen peroxide to clean your ulcer

As it can worsen the ulcer and the surrounding skin Thank you for watching this video I hope you learned about diabetic foot ulcers and how to treat them Remember Michigan Podiatry is here to help you with all your diabetic foot concerns