Many diabetic foot ulcers develop because nerve damage reduces feeling in the feet. This condition, known as neuropathy, makes it harder to notice pain, irritation, or injury. As a result, a person may continue putting pressure on an ulcer without realizing it. Offloading is an important part of treating diabetic foot ulcers. Offloading means reducing pressure on the area of the foot where an ulcer has developed. When too much pressure continues to affect a wound while walking, healing becomes much more difficult. A podiatrist can evaluate the location and severity of the wound and determine the most effective offloading approach to improve healing.
Several offloading methods are available depending on the ulcer's location and the patient's needs. A knee-high walking device is often used because it helps spread weight more evenly across the foot. Some devices are designed so they cannot be removed by the patient, which helps ensure consistent protection of the ulcer. Removable devices are another option for patients who cannot tolerate a non-removable device. Certain ulcers on the toes, heel, or other parts of the foot require different forms of pressure relief. A podiatrist carefully selects the most appropriate device based on the wound, foot structure, and overall health of the patient.
Successful treatment of diabetic foot ulcers involves more than covering the wound. Reducing pressure helps improve blood flow to the area and creates a better environment for healing. A podiatrist monitors the ulcer regularly and adjusts treatment as healing progresses. In some cases, surgery becomes necessary when non-surgical offloading methods do not provide enough relief from pressure. Early treatment is important because untreated ulcers can become infected and lead to serious complications. Proper offloading remains one of the most effective ways to promote healing and reduce the risk of additional tissue damage. If you have developed diabetic foot ulcers, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.
Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Dr. Robert Hope from Riverside Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Limb Salvage?
Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our office located in Tuscaloosa, AL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
