Diabetic and Neuropathic Ulcers

Diabetic and Neuropathic Ulcers

See how you can benefit from advanced, comprehensive treatment for diabetic and neuropathic ulcers at Innovative Wound Care Specialists.

Diabetic and neuropathic ulcers occur when a person cannot feel an injury to the area. High blood sugar levels and nerve damage can cause this loss of feeling.

Diabetic and neuropathic ulcers are chronic wounds that occur when a person cannot feel the injury. Oftentimes, those with severe diabetes may form these ulcers on their feet. The ulcers stem from a combination of peripheral neuropathy (nerve damage), poor circulation, and repetitive pressure overtime, such as shoes rubbing against the feet.

Left untreated, these ulcers often lead to serious complications.

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For those living with diabetes and neuropathy, the risk of developing foot ulcers is a constant concern. Neuropathy can dull sensations in the feet, so minor injuries may go unnoticed and untreated for an extended period of time, often becoming worse. Poor blood circulation further complicates the healing process, as it increases the likelihood of infection and more severe outcomes, including amputation.

When an individual loses sensation on a part of their body due to neuropathy, spinal cord injury, or diabetes, detecting a wound or an ulcer can be difficult. Those at risk of ulcers should have their feet checked regularly for cracks, cuts, blisters, or other wounds.

Symptoms of ulcers include:

  • Visible Wounds: The most obvious sign is an open sore or wound on the foot, typically on the bottom of the feet, toes, or heels. These wounds may excrete fluid or pus, which can show up as stains on socks or shoes.

  • Redness, Swelling: The area around the ulcer may become red and inflamed. If the skin is swollen and warm to the touch, the ulcer is likely infected.

  • Pain and Changes in Sensation: Ulcers may be painful, especially when infected. However, due to neuropathy, some individuals may not feel any pain despite having serious ulcers. Furthermore, neuropathy can cause numbness or tingling in the feet, which can mask any pain from ulcers.

  • Unpleasant Odor: A persistent, foul odor from the ulcer often indicates infection or necrotic tissue.

  • Fever and Chills: Systemic signs of infection can include fever, chills, and malaise.

  • Calluses: There may be hard, thickened skin around the ulcer caused by repeated pressure and friction.

  • Red Streaks: Red streaks extending from the ulcer suggest a more serious infection, such as cellulitis.

  • Non-Healing Wound: A wound that does not show signs of healing over several weeks, despite wound care, may indicate an underlying diabetic ulcer.

Diabetic and neuropathic ulcers are significant complications of diabetes, affecting millions of people worldwide. Understanding the causes of diabetic and neuropathic foot ulcers is crucial for several reasons. It aids in early detection, effective prevention, targeted treatment, patient education, and ultimately improves patient outcomes.

Here are several causes:

  • Nerve Damage
    Diabetes can cause peripheral neuropathy, leading to loss of sensation in the feet. This makes it difficult for individuals to notice injuries, cuts, or blisters, which can develop into ulcers.
  • Muscle Weakness
    Nerve damage can also lead to muscle weakness and imbalance, altering the foot’s shape and increasing pressure points, which can cause ulcers.
  • Peripheral Artery Disease (PAD)
    Diabetes often leads to PAD, which reduces blood flow to the extremities. This poor circulation impairs wound healing, making ulcers more likely to form and difficult to heal.
  • Microvascular Complications
    Damage to the small blood vessels (microangiopathy) also contributes to poor circulation and delayed wound healing.
  • Bunions, Hammertoes, and Charcot Foot
    These foot deformities can cause abnormal pressure points on the foot, leading to skin breakdown and ulcer formation.
  • High Blood Sugar Levels
    Elevated blood sugar levels can impair the immune response, increase infection risk, and reduce the body’s ability to heal wounds.
  • Minor Injuries
    Cuts, scrapes, and burns can go unnoticed due to neuropathy and develop into ulcers.
  • Pressure and Friction
    Repetitive stress from ill-fitting shoes or constant pressure on certain foot areas can lead to skin breakdown and ulcer formation.
  • Inadequate Foot Care
    Lack of regular foot inspections and proper foot hygiene can contribute to ulcer development and progression.

Given the high prevalence and severe complications associated with diabetic and neuropathic ulcers, early intervention, regular monitoring, and comprehensive care are crucial. Please see a specialist if you are experiencing any of these symptoms and you have diabetes or neuropathy.

It’s crucial to seek medical attention if you notice any signs of a foot ulcer, especially if you have diabetes. Early intervention can prevent complications such as infection, gangrene, and amputation. Regular check-ups with a healthcare provider, proper foot care, and managing diabetes are essential for preventing and treating diabetic and neuropathic foot ulcers.

If you or a loved one are experiencing symptoms of a diabetic or neuropathic ulcer, contact Innovative Wound Care Specialists today to schedule a wound assessment and personalized treatment plan.

doctor examining patient's wounded foot

Patient and wound assessments are essential components of the wound care process, playing a crucial role in understanding the patient’s overall health, identifying factors that may impact wound healing, and tailoring an effective treatment plan.

Assessing the patient’s overall health, medical history, and lifestyle factors helps healthcare professionals at IWC understand potential underlying conditions that may affect wound healing. Factors that may affect wound healing include diabetes, vascular disease, nutritional status, and immune function.

At Innovative Wound Care Specialists, we provide a comprehensive range of advanced treatments to promote effective wound healing and enhance overall well-being. From Compression Dressings to Hyperbaric Oxygen Therapy (HBOT), our services address various wound types and underlying conditions.

Our goal is to deliver advanced treatments and compassionate care for every patient’s unique needs to promote long term healing and prevent recurrence.

Chronic wounds can cause patients to suffer and affect mobility. While most wounds heal quickly, chronic ulcers may not heal or fail to improve for weeks and can cause severe problems if left untreated.

Wound Care May Include . . .

  • Compression Dressings & Advanced Wound Dressings – We offer a variety of innovative wound dressings, including those with antimicrobial properties, moisture control, and pressure relief features.

  • Laboratory and Vascular Evaluation – Monitor patient’s peripheral artery disease (PAD) and its effect on supplying blood to wounded tissues.

  • Cellular or Tissue-Based Products – Utilizing bioengineered skin grafts and substitutes to promote faster healing and tissue regeneration.

  • Wound Measurement and Photographs – To monitor wound progression and wound healing.

  • Hyperbaric Oxygen Therapy (HBOT) – Enhancing oxygen supply to the affected area to accelerate wound healing and combat infection.

  • Surgical Procedures and Support – Assisting in wound closure, infection control, tissue removal or repair, promotion of granulation tissue, reducing tension on wounds, enhancing blood supply, and management of complications.

  • Negative Pressure Wound Therapy (NPWT) – Using controlled suction to remove exudate, reduce edema, and improve blood flow to the wound.

  • Prosthetic and Pressure Relief Assistance – To reduce pressure on the ulcer, we provide specialized footwear and custom orthotics, designed to redistribute weight and minimize friction.

  • Debridement – Removal of dead, damaged, or infected tissue by surgical or other means to improve the healing potential of the remaining healthy tissue.

At Innovative Wound Care Specialists, we are dedicated to transforming lives through expert care and advanced treatments for diabetic and neuropathic ulcers.

If you or a loved one is struggling with a diabetic or neuropathic ulcer, don’t wait for the condition to worsen. Contact Innovative Wound Care Specialists today to schedule a consultation and take the first step towards effective, comprehensive wound care. Your journey to healing starts here.

Contact us by phone (810) 600-2030 or email info@innovativewoundspecialists.com and our friendly staff will assist you every step of the way. Don’t wait any longer—get started today! We’re here to help.