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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.

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Best Doctors For Diabetic Foot Ulcers in Visakhapatnam

Overview

know-more-about-Diabetic Foot Ulcers-treatment-in-Visakhapatnam
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
Doctor-performing-Diabetic Foot Ulcers-surgery-in-Visakhapatnam

Treatment

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 Visakhapatnam 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 Visakhapatnam 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.

In Our Doctor's Word

What-Dr Maunil Bhutta-Say-About-Diabetic Foot Ulcers-Treatment

Dr Maunil Bhutta

MBBS, MS

8 Years Experience

"A Diabetic Foot Ulcer is extremely common and happens in at least 1 of every 10 diabetic patients. The reason is the slowed healing in diabetic patients. However, if the ulcer persists, I suggest you seek immediate medical help because delay in the treatment can lead to unwanted abscess, infections, foot deformities and may demand amputation in cases of gangrene. Therefore, if you are a diabetic patient and your wound refuses to heal/ appears ulcer, please do not wait until it severes or crosses your pain limit. This will serve no benefit and only complicate the treatment and risk amputation. "

Why Pristyn Care?

Delivering Seamless Surgical Experience in India

01.

Pristyn Care is COVID-19 safe

Your safety is taken care of by thermal screening, social distancing, sanitized clinics and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.

02.

Assisted Surgery Experience

A dedicated Care Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.

03.

Medical Expertise With Technology

Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.

04.

Post Surgery Care

We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.

Frequently Asked Questions

Is diabetic foot ulcer life-threatening?

Diabetic foot ulcers are quite serious and can easily turn fatal. They are the leading cause of amputation post-diabetes. They are incredibly common as well. According to researchers 1 in 4 people who have diabetes develop an ulcer eventually. If not properly managed in time, in addition to amputation, foot ulcers can cause infection all over the body, causing the patient to go into shock.

What is the difference between a phlebologist and a vascular surgeon?

A vascular surgeon is an expert in treating conditions related to the entire vascular system throughout the body. On the other hand, a phlebologist is a specialist for the treatment of venous disorders such as varicose veins, spider veins, DVT, and some types of wound care. At Pristyn Care, we have a team of the best phlebologists and vascular surgeons in Visakhapatnam.

What is the cost of diabetic foot ulcer treatment in Visakhapatnam?

A diabetic foot ulcer is a very serious condition that should be treated as soon as it is noticed. The treatment cost is very dynamic and depends on a variety of factors such as:

Pristyn Care provides very affordable treatment for diabetic foot ulcers in Visakhapatnam, without compromising the quality of the treatment. The average cost for diabetic foot ulcer treatment ranges from INR 35,000- INR 45,000 at Pristyn Care facilities. For more information, consult the best vascular surgeons in Visakhapatnam immediately.

  • The extent of the condition
  • Patient’s health condition, along with other pre-existing conditions they have
    Technology used
  • Doctor’s experience
  • Hospitalization fees
  • Medications prescribed
  • Treatment needed
  • Insurance coverage, etc.
Does diabetic foot ulcer treatment come under insurance?

Since diabetic foot ulcers are serious medical conditions that can turn fatal, they are covered under most insurance policies. However, the extent of the claim and coverage depends on your particular insurance policy. If you have trouble understanding the terms of your policy, you can connect with our care coordinators who will help you understand your policy and file for your claim.

How to consult the best vascular surgeons in Visakhapatnam?

Pristyn Care has a dedicated team of the best vascular surgeons in Visakhapatnam who can provide advanced and effective treatment for a variety of vascular disorders. To book an appointment, you can either call on the number mentioned on top of the page or fill in your details in the book an appointment form on the website. Our care coordinators will immediately get in touch with you and book an appointment for you with the nearest vascular surgeon at your convenience.

Who are at risk of diabetic foot ulcer?

Although anyone with diabetes can get an ulcer, certain patients are more likely to develop them.

  • Older men develop diabetic ulcers more commonly.
  • Patients who regularly use insulin are also at a higher risk of developing diabetes-related neuropathies in their kidneys, eyes, and heart.
  • Obese and overweight people with uncontrolled diabetes can develop diabetic ulcers.
  • Diabetic people who regularly partake in alcohol and smoking can also develop diabetic foot ulcers.
Why is immediate treatment of diabetic foot ulcers necessary?

Diabetic foot ulcers should be immediately treated as prolonging the treatment can result in the condition becoming fatal. Delaying the treatment can lead to the ulcer becoming infected, ultimately leading to amputation of the limb. Getting treatment early helps improve the limb function and the patient’s quality of life. Early treatment is also much easier and more affordable.

What steps are followed in diabetic foot ulcer treatment?

The primary goal of treating diabetic foot ulcers is to improve healing and decrease the chance of the patient developing an infection. The treatment process is carried out as:

  • Prevent infection
  • Off-load the limb, i.e. take pressure off the affected area
  • Debridement, i.e. clean and disinfect the ulcerated region
  • Manage blood glucose and other pre-existing conditions to increase the pace of healing.
  • Keep the wound clean and dressed. Change the bandage daily.
How long does it take for a diabetic foot ulcer to heal?

The recovery for a diabetic foot ulcer depends on a lot of different factors, most prominently the severity of the condition and the patient’s innate ability to heal. In most cases, if properly managed, the wound will heal within three to six weeks. To increase the rate of healing, the patient should follow the doctor’s instructions, keep the foot supported and wear a brace if needed.

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 Visakhapatnam.

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 Visakhapatnam for of Diabetic Foot Ulcer Treatment

Pristyn Care houses a team of best vascular surgeons in Visakhapatnam 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 Visakhapatnam. 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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