Diabetic Foot Ulcer on the Big Toe, Stages of Healing

Another happy patient!

Don’t be afraid to come in because you think you might lose your foot. The earlier you come in, the better chance we have of actually saving your leg and you going on to full healing and resuming all your daily activities.  

This is one real life case study typical of patients we see every single day.

This patient has diabetic neuropathy and didn’t feel the diabetic ulcer until it was very deep. By then it was an infected ulcer and the redness had started to extend into his foot, that’s how he first noticed it. The ulcer was so deep, it went almost to bone.

Diabetic foot ulcer treatment today is different from your grandmas red solution she would paint on the toe! There are so many options based on how deep the ulcer is, if it’s an infected, what caused it:

  • sharp debridement
  • enzymatic debridement
  • collagen dressings
  • antimicrobial dressings
  • compression management

Diabetic foot ulcer stages

  • grade 0 (intact skin)
  • grade 1 (superficial ulcer)
  • grade 2 (deep ulcer to tendon, bone, or joint)
  • grade 3 (deep ulcer with abscess or osteomyelitis)
  • grade 4 (forefoot gangrene)
  • grade 5 (whole foot gangrene)

Diabetic foot ulcer pathophysiology

  • trauma- friction or rubbing
  • neuropathy- diabetic, B-12 deficiency
  • peripheral arterial disease (lack of blood supply)
  • poor glycemic control (high blood sugar)

Diabetic foot ulcer causes:

    • deformity, abnormal bones, arthritis
    • swelling and edema, venous disease
    • poor circulation
    • neuropathy

Healing Begins - Good Wound Care

First we started with the appropriate antibiotic. Wounds will not heal if they are infected.

Then X-rays were taken to check for bone infection.

Our choice of diabetic foot ulcer dressing was a collagen silver mix.

Regular examinations and debridement of dead tissue.

ALL HEALED!

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