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By Dr. Andrew Franklin, DPM, PH.D
Living with diabetes requires constant vigilance, and one of the most serious complications that can arise is the development of diabetic foot ulcers. At Ocala Podiatry, we understand the challenges patients face when dealing with these wounds and is committed to providing comprehensive treatment that promotes healing and prevents future complications.
What Are Diabetic Foot Ulcers?
Diabetic foot ulcers are open sores or wounds that commonly develop on the bottom of the feet in people with diabetes. These ulcers affect approximately 15% of patients with diabetes and can lead to serious complications if left untreated. The combination of nerve damage (neuropathy) and poor circulation that often accompanies diabetes creates the perfect storm for ulcer development. When you can’t feel pain in your feet due to neuropathy, minor injuries can go unnoticed and quickly develop into serious wounds.
Research shows that diabetic foot ulcers are responsible for more hospitalizations than any other diabetic complication. Understanding the risk factors and recognizing the early warning signs can make all the difference in preventing a minor issue from becoming a major health crisis.
Why Do They Occur?
Several factors contribute to diabetic foot ulcer formation. High blood sugar levels can damage nerves throughout the body, particularly in the extremities, reducing sensation in the feet. This means you might not feel a pebble in your shoe, a blister forming, or a small cut that needs attention. Additionally, diabetes can impair blood flow to the feet, making it difficult for wounds to heal properly.
Pressure points on the feet, poor-fitting shoes, and dry, cracked skin can all trigger ulcer development in vulnerable diabetic patients. Even seemingly minor trauma, such as rubbing from new shoes or stepping on a small object, can initiate ulcer formation when combined with neuropathy and poor circulation. Other contributing factors include foot deformities, previous ulcer history, and poorly controlled blood glucose levels.
The Importance of Early Treatment
When it comes to diabetic foot ulcers, time is of the essence. Early intervention is crucial for preventing complications such as infection, gangrene, and even amputation. Check your feet daily and if you notice any signs of an ulcer—including drainage on your socks, redness, swelling, unusual odors, or an open wound—seeking immediate podiatric care is essential. Even if the wound seems small or doesn’t hurt, it requires professional evaluation and treatment.
Comprehensive Treatment Approaches
At Ocala Podiatry, we employ a multi-faceted approach to treating diabetic foot ulcers. The treatment plan begins with a thorough assessment of the wound, including its size, depth, and whether infection is present. Debridement, the removal of dead tissue, is often necessary to promote healthy tissue growth and prevent infection from spreading.
Offloading pressure from the ulcer is critical for healing. This may involve specialized footwear, custom orthotics, or a total contact cast that redistributes weight away from the affected area. By eliminating pressure on the wound, the body can focus its healing resources where they’re needed most.
Infection control is paramount in ulcer treatment. If infection is present, appropriate antibiotics will be prescribed. (This may be in oral or IV form). Our team may also utilize advanced wound care techniques, including specialized dressings that maintain optimal moisture levels, growth factors that stimulate healing, and negative pressure wound therapy that promotes tissue regeneration.
For patients with significant circulation problems, we work closely with vascular specialists to improve blood flow to the affected area. Better circulation means more oxygen and nutrients reach the wound, accelerating the healing process.
Prevention: Your Best Defense
While treatment options have advanced significantly, prevention remains the most effective strategy. We recommend daily foot inspections, maintaining proper blood sugar control, wearing appropriate footwear, keeping feet clean and moisturized, and scheduling regular podiatric examinations. These simple steps can help you catch potential problems before they become serious ulcers.
Your Partner in Foot Health
At Ocala Podiatry, our comprehensive approach addresses not just the immediate wound but also the underlying factors contributing to ulcer formation. With proper treatment and ongoing care, most diabetic foot ulcers can heal successfully, allowing patients to return to their normal activities and maintain their quality of life.
If you’re concerned about diabetic foot ulcers or any aspect of diabetic foot care, contact Ocala Podiatry today to schedule a consultation.
About Dr. Andrew Franklin, DPM, Ph.D
Dr. Andrew Franklin, DPM, Ph.D., moved from Essex, UK to the US in 2007, completing his post-doctorate in Organic Chemistry at FSU. He studied Podiatric Medicine at Ohio College of Podiatric Medicine and completed surgical residency at Cleveland Clinic. Relocating to Ocala in 2018, he opened Ocala Podiatry in December 2023. This board-certified podiatrist emphasizes patient education and teamwork. Married with two boys, he enjoys pickleball, sports, traveling, and outdoor activities.
(352) 234-4124
ocalapodiatry.com
5481 Southwest 60th St Unit 502,
Ocala, FL 34474
