Diabetic patients who are use insulin are at higher risk of developing foot ulcerations. Smoking and being overweight are also factors that effect wound healing. Vascular disease can also complicate wound healing. In the diabetic population, blood flow to the feet and ankles can become compromised. Good blood flow is essential to wound healing. If vascular disease is a component of a patient’s disease process, a referral to a vascular physician will be recommended. Your podiatrist and vascular physicians will work closely to determine the best course of treatment to heal your wound as quickly as possibly.
Healing wounds as quickly as possible is the goal, as this will reduce your chances of developing an infection. There are several key factors in healing diabetic foot ulcers which include, offloading the wound, periodically removing dead skin and tissue, applying medication or dressings to the ulcer and managing blood sugar levels. Most often wounds can be managed and healed when patients work closely with their doctors and remain consistent in their care.
If conservative measures prove to be unsuccessful surgical options may be necessary. Examples of surgical procedures wound s include removal of bad tissue and excision of bone to decrease pressure in the wound area. Healing time depends on several factors such as size and location of the wound, what is being applied to the wound and the patients blood flow. Healing a wound can take anywhere from several weeks to several months. It is important to be consistent in care for best possible outcomes.