Diabetic foot ulcers and pressure ulcers are supposed to be quite chronic and lingering in nature. Various reasons lead to this condition such ass neuropathy, trauma and deformity. Neuropathy leads to protective sensation and coordination of muscle groups. Study suggests that in the United States almost 5 percent of diabetic individuals acquire foot ulcers and pressure ulcers and nearly 1 percent of those have to go through amputation. The therapy for such severe condition need saline dressing, therapeutic footwear, and sugar levels must be in control and in a few cases intervention of antibiotics might be required for cellulitis.
Diabetic foot ulcer are usually divided into two segments – neuroischaemic ulcers – the foot is cold along with the skin becoming shiny, thin and hairless; and Neuropathic ulcers – foot is warm and is layered with intense cracks and there is almost no sweating.
Treatment Options for Diabetic Ulcers
- Neuroischaemic ulcers usually develop on the foot margins. They develop beneath the toe nails and at the tip of the toes. If not taken care of in time, these ulcers get worse and severe. These ulcers are smoothed off at the beginning, otherwise they are bound to get stuck in the clothing and can result in complications to the soft tissues beneath. In case of subungual cancer is caused, the individual’s nail has to be pared and cut away, in order to expose and then the ulcer is drained surgically
- Neuropathic ulcers generally occur on the plantar area of the toes or foot. In such cases, a callus is formed which additionally adds pressure on the tissue which are particularly soft and results in cancer. In case of neuropathic foot, initially the callus which surrounds the ulcer is predisposed with the help of a scalpel. It is generally recommended to first check the ulcer in case it is protruding and extending the bone that can lead to osteomyelitis.
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In order to conclude –
Diabetic foot ulcers and pressure ulcers will cause extreme pain, there is a loss in productivity and lead to treatments which are not very cost-efficient in nature. These pressure ulcers may happen with no cause in the geriatric population or for that matter in patients who are bedridden for a prolonged time. Such patients must be informed and given knowledge pertaining to the care of ulcers by resting, looking for any signs of infection and wearing a comfortable and correct footwear. The prime telltale signs for such ulcers are swelling, pain, fissures and change of colour in the individual’s skin.