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Our Diabetic-foot-ulcers Doctors in Chandigarh

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About Diabetic foot ulcer

A diabetic foot ulcer is an open wound or sore that occurs as a result of poorly controlled diabetes. Diabetic foot ulcers are quite common. 1 in every 10 people with diabetes end up having foot ulcers. Even mundane things like a new pair of shoes or minor injuries to the foot can lead to the development of foot ulcers.

Overview

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Diabetic foot ulcer in different languages:

Diabetic foot ulcer in Hindi: डायबिटिक फुट अल्सर

Diabetic foot ulcer in Marathi: मधुमेही पायाचे व्रण

Diabetic foot ulcer in Telugu: డయాబెటిక్ ఫుట్ అల్సర్

Diabetic foot ulcer in Tamil: நீரிழிவு கால் புண்

Diabetic foot ulcer in Malayalam: പ്രമേഹ കാലിലെ അൾസർ

Diabetic foot ulcer stages:

Grade 0- Intact Skin

Grade 1- Superficial skin ulcer or Subcutaneous tissue

Grade 2- Extension of the ulcers into the tendon, bone, and capsule

Grade 3- Deep ulcer with osteomyelitis or abscess

Grade 4- Partial foot gangrene

Grade 5- Whole foot gangrene

ICD-10 code for diabetic foot ulcer:

ICD-10 for type 2 diabetes mellitus - E11

ICD-10 for diabetes mellitus - E08-E13

Foods to avoid with diabetic foot ulcers:

Cauliflower

Tomatoes

Peppers

Carrots Broccoli

Complications of untreated diabetic foot ulcer:

Amputation

Charcot's foot

Nail disorders

Dry, cracked skin

Corns and calluses

Bone and joint deformity

Hammertoes and bunions

Why Pristyn Care for diabetic foot ulcer treatment?

Highly experienced vascular surgeons

Flexible payment options

Assistance in insurance claim

USFDA-approved treatments

Free-follow up consultation

Free transportation on the day of the surgery

Diabetic foot ulcer early signs:

Skin discoloration around the toenails

Minor cuts, blisters, calluses, or sores

Fluid or pus discharge

Swelling and redness

Causes

  • Poor Circulation
  • High Blood Sugar (hyperglycemia)
  • Nerve damage
  • Hypertension
  • Venous insufficiency

Symptoms

  • Swelling, discoloration, and warmth around the wound
  • Foul-smelling discharge seeping from the wound
  • Pain and firmness when the wound is touched
  • Callused or thickened skin surrounding the ulcer
  • Fever and chills in advanced stages of foot ulcers

Treatment

Checking the ankle with infection for confirming Diabetic Foot Ulcers

How is diabetic foot ulcer diagnosed?

How is diabetic foot ulcer diagnosed?
The diagnosis of a diabetic foot ulcer is done by a vascular specialist. Normally, the condition can be identified with a physical examination. The doctor will ask if you have other conditions like arterial disease or peripheral neuropathy (both conditions are common amongst diabetic patients).

The doctor will further inspect the foot, toes, toenails, and your leg for more cuts, blisters, scratches, etc. that can also develop into ulcers. After gathering your medical history and physical exam, the surgeon will suggest the following tests to obtain more information about the condition and its plausible treatment. The tests include:

  • X-Ray to check the alignment and density of the bones.
  • MRI scan to create a 3-D image of the soft tissues and determine the extent of damage to the nerves and bones.’
    Blood test to look for signs of infections within the ulcer.
  • The results of these tests will help the surgeon to narrow down the treatment options and determine the right course of action to resolve the problem.

Diabetic Foot Ulcer Treatment

How is diabetic foot ulcer diagnosed?
The diagnosis of a diabetic foot ulcer is done by a vascular specialist. Normally, the condition can be identified with a physical examination. The doctor will ask if you have other conditions like arterial disease or peripheral neuropathy (both conditions are common amongst diabetic patients).

The doctor will further inspect the foot, toes, toenails, and your leg for more cuts, blisters, scratches, etc. that can also develop into ulcers. After gathering your medical history and physical exam, the surgeon will suggest the following tests to obtain more information about the condition and its plausible treatment. The tests include:

  • X-Ray to check the alignment and density of the bones.
  • MRI scan to create a 3-D image of the soft tissues and determine the extent of damage to the nerves and bones.’
    Blood test to look for signs of infections within the ulcer.
  • The results of these tests will help the surgeon to narrow down the treatment options and determine the right course of action to resolve the problem.

At Pristyn Care, we make sure that every person who needs advanced diabetic foot ulcer treatment in Chandigarh gets optimal care. We leverage modern technology and treat patients with compassion to understand and resolve their problems.

Under the care of our vascular doctors, you can get all kinds of treatment as suited in your particular case. The various treatment methods for diabetic foot ulcers involve the following:

  • Off-loading or Total Contact Casting (TCC)- It is a non-surgical treatment that relieves the pressure in the ulcerated area with the help of specially designed shoes, casts, foot braces, compression wraps, or shoe inserts.
  • Debridement– It is the removal of hyperkeratotic tissue, fibrin, biofilm, and even necrotic tissues from the ulcer to aid the healing process. Debridement allows fresh blood to reach the damaged vessels and promotes healing.
  • Reconstructive Foot & Ankle Surgery- If the damage to the nerves and bone is extensive, the doctor may recommend reconstruction of the foot and ankle through a combination of procedures, such as arthroplasty, resection, tendon transfer, tendon lengthening, etc. This surgery helps to rebalance the foot and works through internal surgical offloading.
  • Vascular Reconstruction- In chronic cases, the doctor may have to perform a vascular reconstruction surgery for the treatment of diabetic foot ulcers. Synthetic grafts (blood vessels) are taken from the other parts of the body and they are used to recreate the blood vessels that were damaged due to the ulceration. Once the blood flow is restored, the nerves and wound can start to heal.

Diabetic foot ulcer treatment can be a complex procedure. Therefore, it is crucial that you find a reliable diabetic foot ulcer doctor in Chandigarh and undergo surgery after learning everything about the treatment procedures. You can either get treatment under Pristyn Care vascular doctors or also seek their help to get a second opinion for the treatment of the diabetic foot ulcer.

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Frequently Asked Questions

What are the different types of diabetic foot ulcers?

There are primarily three types of diabetic foot ulcers-

  • Neuropathic Ulcers- In patients that have peripheral diabetic neuropathy which can severely damage their peripheral nerves and lead to ulcer formation. It causes loss of sensation in the nerves, especially in the legs which further makes it harder to notice the ulcer in the foot.
    Ischemic Ulcers- These ulcers start to form in the legs where the blood flow is poor. When the cells don’t get enough blood, they start to die and damage the tissues leading to ischemic ulcers on the feet and legs.
  • Neuroischemic Ulcers- It is a type of ulcer that forms when neuropathy and ischemic ulcers co-exist. It forms on the margins of the foot and over time becomes so serious that eventually amputation is needed if they are not treated in time.

Out of all the cases of diabetic foot ulcers, more than 50% of cases are neuroischemic ulcers, 36% are neuropathic, and 11% are purely ischemic. Regardless of the type of ulcer you have, it is important that you get it treated as soon as possible. For optimal care and advanced treatment, you can get in touch with Pristyn Care and consult the best doctors in Chandigarh.

What are the different grades of diabetic foot ulcers?

Diabetic foot ulcers are divided into different grades depending on its effect on the leg.

  • Grade 0- Intact Skin- The foot ulcers are not present and there are no signs of any kind of scrape or injury on the leg as well.
  • Grade 1- Superficial ulcer of skin- In this grade, an ulcer starts to appear over the subcutaneous tissues only.
  • Grade 2- Ulcers extension into tendon, bone, and capsule- The ulcer becomes deep and starts penetrating the surface of the muscles, ligaments, joint capsule, and deep fascia.
  • Grade 3- Deep ulcer with osteomyelitis or abscess- At this grade, the ulcer reaches down to the connective tissue layer and an abscess may also start to form that may reach to the tendon, muscle, joint, or bone.
  • Grade 4- Partial foot gangrene- At this grade, the tissues around the ulcer start to die slowly in a localized portion of the foot.
  • Grade 5- Whole foot gangrene- It is the most severe stage where a significant amount of tissues die and extensive gangrene is present around the ulcer.
    In patients whose conditions reach Grade 5, the diabetic foot ulcer becomes so severe that amputation is required to prevent the infection from spreading to the other body parts. Therefore, it is important that you see a specialist as soon as possible to prevent the ulcer from advancing.

Consult with Pristyn Care’s Expert Vascular Doctors in Chandigarh for of Diabetic Foot Ulcer Treatment

Pristyn Care houses a team of best vascular surgeons in Chandigarh who are well-experienced and have ample experience in treating all kinds of vascular problems. The doctor will diagnose the condition and determine the most appropriate treatment method for the patient. Our doctors have helped hundreds of patients to resolve the problem effectively with the help of non-surgical techniques, such as hyperbaric oxygen therapy, total off casting, etc. They also specialize in surgical treatments, such as debridement, reconstructive foot and ankle surgery, and vascular reconstruction. You can rely on our doctors to suggest the most suitable treatment method that will successfully treat the diabetic foot ulcer.

How can I prevent diabetic foot ulcers from forming?

  • Take care of your health if you have diabetes and follow the doctor’s advice strictly to keep your blood sugar in check.
  • Wash your legs with warm water and always check the temperature as extremely hot water may burn the skin.
  • Check the leg and feet for sores, blisters, calluses, or any other kind of injuries.
  • Make sure that your feet don’t become too dry. Use moisturizer to avoid dry skin problems.
  • If there are calluses forming the feet, use a pumice stone or emery board to remove them right after a bath.
  • Wear stockings or socks that fit you well instead of walking barefoot.
  • Protect your feet from extreme cold and heat.
  • Ensure that the blood flow in the legs is maintained properly.
  • Keep your feet up while sitting for prolonged hours, move your ankles, wiggle the toes, and don’t sit cross-legged for long duration.
  • If you smoke or drink alcohol on a regular basis, stop right away as these habits will make the foot ulcer worse.
  • Visit a doctor regularly to keep diabetes in control and to get your feet checked.

If an ulcer has started to form, contact a vascular specialist right away for timely treatment. By seeking treatment on time, the surgeon may be able to resolve the problem without performing any surgical procedure. If the ulcer reaches the bone and tissues start to die, then surgery will be needed for effective treatment.

Book An Appointment with Pristyn Care Today

You can book a free consultation with Pristyn Care doctors by using our dedicated mobile application. The app can be downloaded on iOS and Android devices as well. You can download the app to browse the list of doctors available in Chandigarh. Pick a doctor of your choice and confirm the appointment directly.

You can also give us a call or fill the “Book Appointment” form and submit your details. Our medical coordinators will talk to you and discuss the appointment details.

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