For individuals with diabetes, the development of gangrene poses serious health risks and requires prompt treatment to prevent further complications. Gangrene results from necrosis, or death of body tissue in the lower legs and feet. Treatment for gangrene in diabetic patients involves a multifaceted approach aimed at halting tissue necrosis, controlling infection, and promoting wound healing. Surgical debridement is essential to remove any dead tissue and prevent further spread. Antibiotic therapy is used for managing bacterial infections associated with gangrene, often administered intravenously for severe cases. Restoring blood flow to the affected area through bypass surgery or angioplasty can help prevent tissue necrosis and reduce the need for amputation. Hyperbaric oxygen therapy delivers high-pressure oxygen to promote healing and control infection. Reconstructive surgery with skin grafts may be necessary to restore tissue integrity in extensively damaged areas. In severe cases, amputation may be required to prevent the spread of gangrene and facilitate prosthetic limb fitting. Throughout this treatment journey, podiatrists play a vital role in wound care, offering specialized expertise in diabetic foot care and wound management. If gangrene is a threat, it is suggested that you schedule an immediate appointment with a podiatrist for wound care and a prognosis.
Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with the foot specialists from Academy Foot and Ankle Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
What Is Wound Care?
Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.
What Is the Importance of Wound Care?
While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
How to Care for Wounds
The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.
Neuropathy is a condition that can lead to numbness or loss of sensation in the feet, but it can also cause pain. This condition is more likely to develop for those who are diabetic, obese, or with high blood pressure.
Peripheral artery disease, or PAD, is a common condition characterized by a buildup of fatty deposits in the arteries, resulting in restricted blood flow to the muscles in the lower legs and feet. A particular symptom of PAD is called intermittent claudication, which is a pain, cramp, or sense of fatigue in the leg muscles when you walk or exercise. Other symptoms are hair loss on the legs and feet, numbness or weakness, and slow-growing toenails. Leg ulcers, skin color changes, and shiny skin are other signs. PAD is primarily caused by atherosclerosis, where fatty deposits accumulate within arterial walls, narrowing the vessels. Contributing factors to peripheral artery disease include smoking, diabetes, high blood pressure, high cholesterol, and aging. Seeking help from a podiatrist is essential for an accurate diagnosis through physical examination and tests like the ankle brachial pressure index, or ABPI. Treatment involves lifestyle modifications, such as regular exercise, smoking cessation, and maintaining a healthy diet. In severe cases, surgical intervention may be needed to improve blood flow and alleviate symptoms. For help in determining whether you have peripheral artery disease that is affecting your foot health, it is suggested that you schedule an appointment with a podiatrist.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with the foot specialists from Academy Foot and Ankle Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
Claudication (leg pain from walking)
Numbness in legs
Decrease in growth of leg hair and toenails
Paleness of the skin
Erectile dysfunction
Sores and wounds on legs and feet that won’t heal
Coldness in one leg
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
Heel pain affects many people due to the daily strain placed on their feet. While often attributed to heel spurs, the primary culprit is usually plantar fasciitis. Neglecting the intricate network of muscles in the feet can negatively affect any existing issues or cause new ones. Engaging in foot exercises to restore muscle length and enhance overall body balance can significantly alleviate heel pain. Also, the choice of footwear plays a pivotal role in foot health. Wearing worn out or unsupportive shoes can disrupt natural foot mechanics, leading to discomfort and potential injury. Regularly inspecting footwear, especially those used for physical activity, may help to decrease the risk of heel pain. Opt for shoes that provide adequate cushioning, support, and stability that helps maintain proper foot alignment. When heel pain persists despite these measures, seeking professional guidance from a podiatrist is imperative. This type of doctor can conduct a thorough evaluation to identify the root cause of the discomfort and develop a personalized treatment plan. Custom orthotics may be prescribed as a way to regain comfort and mobility. It is suggested that you schedule an appointment with a podiatrist to manage heel pain.
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
Wearing ill-fitting shoes
Wearing non-supportive shoes
Weight change
Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
