Ulcers in patients with diabetes are one of the most devastating complications and an estimated one in six diabetics are likely to develop ulcers. The cause of diabetic foot ulcers is the combination of several factors: peripheral neuropathy (loss of foot sensitivity / dryness), bone deformities (due to poor foot support) and peripheral arteriopathy (lack of blood circulation in the lower limbs).
Ulcers infections in the limbs are the main cause of hospitalization in diabetic patients and of the most of amputations of legs performed in hospitals, 7 out of 10 are in diabetic patients.
Available Treatments
DIABETIC FOOT ULCERS HEALING
Any foot ulcer in a diabetic patient should be diagnosed and treated by specialized units, diabetic foot units composed of specialized physician (angiologist and vascular surgeon), skilled nursing and podiatrist.
It has to be considered than diabetic foot ulcer can lead to amputation of the limb, so it should be treated from the beginning as something important as minimal as the injury. All actions must be carried out in accordance with the performance of a multidisciplinary team that also provides complementary treatments such as diabetes control (insulin therapy if necessary), treatment of infection with broad spectrum antibiotic therapy and antibiotic performance.
DIABETIC FOOT PODOLOGY
Nail treatment. Treatment of diabetic foot onychomycosis. Ingrown nails. Interdigital lesions. Bone deformities like claw toes. Localized hyperkeratosis. Redness, localized heat.
BIOMECHANICS AND DISCHARGE
Study of the footstep. Realization of sole pads adapted to the biomechanical needs of the foot.
DIABETIC FOOT REVASCULARIZATION
Treatments for revascularization of the diabetic foot, in each of its variations: neuropathic diabetic foot, ischemic diabetic foot and diabetic neuroischemic foot.