Diabetic Foot Ulcers

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What are diabetic foot ulcers?

Diabetic foot ulcers occur on the foot or below the ankle. Diabetic foot ulcers are non-healable wounds & these ulcers is a major cause of organ amputation due to diabetes.

This is why if you’re living with diabetes and have a sore, or an open area, on your foot that:

If a wound doesn’t appear to be healing

• is red
• is hot to the touch
• is draining pus
• or just keeps coming back

You may have a non-healing diabetic foot ulcer, and should make an appointment with your doctor as soon as possible.

Non-Healing Foot Ulcers and Peripheral Artery Disease (PAD)

Foot Ulcers are the indicators of peripheral artery disease (PAD). Peripheral artery disease happens due to plaque built-up in the limb arteries, typically the legs as decreases the amount of blood and oxygen to your legs and feet. It’s estimated that 50% of people living with diabetes and non-healing foot ulcers also have PAD.

Peripheral Artery Disease (PAD) is nothing but disease of the arteries affecting your limbs.

Blood supplying arteries towards the legs become narrow over time due to fatty plaque buildup that blocks or restricts blood flow, and walking becomes a tedious task for the diabetic foot ulcer patient.

How Foot Ulcers Develop?

Ulcers begin with an injury or an irritation to the foot. A splinter in the foot or shoe blister, can be the cause of foot ulcer if you suffer from diabetes or Peripheral Artery Disease PAD.

The following conditions make the development of an ulcer more likely:

Diabetic neuropathy is most common complications of diabetes, that contribute towards development of diabetic foot ulcers. When arms and leg’s nerves get damage, diabetic neuropathy occurs. Diabetic neuropathy symptoms may be either tingling feeling or the loss of feeling in your feet.

Neuropathy usually starts from the both side of toes and progresses up to the legs.

Even your walking style may change due to diabetic neuropathy and eventually your feet shape get change. These changes further increase the risk of ulceration.

Up to 60% of ulcerations in people living with diabetes are thought to be related to diabetic neuropathy alone.

Reason of Non-Healing Foot Ulcer

Peripheral Artery Disease(PAD) occurs due to blockage of blood supply towards the legs. To heal even a small injury or wound proper oxygen and blood is needed and that is unavailable due to Peripheral Artery Disease so that small injury or wound may take the form of non-healing ulcer. About 45% of ulcers are due to the presence of both PAD and neuropathy.

Symptoms of PAD include

Symptoms of PAD include, but are not limited to:

  • Painful cramping in your buttocks, thighs, or legs after walking or climbing steps that stops when resting (also called intermittent claudication)
  • Non-healing ulcers or sores on your feet or legs
  • Leg numbness or weakness
  • Cold lower legs or feet
  • Toes, feet or legs that are pale or blue in color
  • One leg is cooler to the touch than the other
  • Decreased leg hair growth
  • Decreased toe nail growth

Many may not show any outward signs or symptoms of PAD, or they assume that their leg pain and symptoms are simply a normal part of the aging process.

Reporting symptoms to your doctor or a PAD Diabetic foot vascular specialist like Dr. Sheorain is very important because having PAD increases your risk of non-healing foot ulcer, heart disease, heart attack, and stroke.

Peripheral Artery Disease(PAD) is a serious condition but if diagnosed timely and with proper treatment and lifestyle changes, PAD may slow down or stop the progression of the disease reducing further complications. Exercise and smoking cessation are recommended in treating PAD.

In case of chronic wounds or sores on your feet, consult your diabetic foot ulcer specialist immediately. Sometimes if this is not treated timely, your diabetic foot ulcer expert is left with amputation as the only option.

The Consequences of Waiting – Possible Outcomes

If you think you have a diabetic foot ulcer, you need to see your doctor right away to determine if you have PAD. The infection increases the demand for oxygen in that area, but, if you have PAD, the blood vessels may not be able to deliver the oxygen needed and the infection will probably worsen.

Dr. Sheorain being an Endo Vascular specialist deals with diabetic non-healing wounds everyday in his practice. He really feels sad when patients come to his clinic with non-healing wound in their feet for months. India is diabetes capital of the world. If you’ve been diagnosed with diabetes, you probably already know you need to take care of your feet.

Treatment Options for Diabetic foot or Peripheral Artery Disease:

How Can Dr. Sheorain Help You With Non healing Diabetic foot or Peripheral Artery Disease?

Dr. Sheorain’s team of interventional radiologists and vascular Specialists have the expertise and resources for the diagnosis, treatment and management of peripheral arterial disease. With his unique depth of training, diagnostic expertise and state-of-the-art imaging, he specialize in offering treatment plans for each individual PAD patient to ensure the best possible outcome.

He is dedicated to providing an exceptional patient experience with a focus on superior patient care. This philosophy exists in him and has strengthened since he has returned from United States. He offers several minimally invasive, outpatient procedures for those patients who have been diagnosed with peripheral arterial disease (PAD).

He delivers far more than what patients expect. He brings full range of medical capabilities and service excellence to every patient. When you visit his vascular clinic for peripheral arterial procedures you will be ensured an easy scheduling process and meet with a team of medical professionals dedicated to providing you with excellent outcomes and a quick recovery.

Dr. Sheorain can conduct testing to determine if the ulcer is resulting from PAD and treatment options can then be determined. If Peripheral Artery Disease(PAD) is diagnosed early, then angioplasty a minimally invasive procedure can be performed to improve the blood flow towards the ulcer for quick healing. If PAD is not treated timely, the ulcer could lead to amputation as the only treatment option.

If you’re concerned that you have a non-healing diabetic foot ulcer, you need to see your doctor. Dr. Sheorain can examine your foot and determine the next step in treatment with the goal of avoiding amputation.

If you suspect you have PAD, discuss the need for further evaluation with your doctor to determine if poor blood flow is preventing the healing of your diabetic foot ulcer.

A stich in time saves nine…It is better to be lucky then smart!

It is a sincere request from Dr. Sheorain to all patient suffering from diabetes & PAD to please consult a vascular specialist like him specially if you are suffering from diabetes since many years with loss of sensation is your feet and pain in during walking.

Treatment Photos

Before treatment

After treatment


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