diabetic foot ulcer stages pictures
Diabetic Ulcer (Neogenic Ulcer)Images of Neutrogenic Ulcer (Diebetic Ulcer)Overview Neurogenic ulcers, also known as diabetic ulcers, are ulcers that occur more commonly in the bottom of the foot. People with diabetes are predisposed to peripheral neuropathy, which implies a decrease or total lack of feeling in the feet. The feet are naturally stressed by walking, and someone who has decreased the feeling will not necessarily feel that they have an area of skin decomposition that occurs. Along with this lack or absence of sensation is a decrease in circulation at your feet too. The injured who do not get the right blood flow are not only slower to heal, but also at a higher risk of infection. A small cut, scraped or irritated area in a diabetic can become an ulcer for these reasons. It is common for these types of ulcers to continue to return on diabetic. Who's at risk? Approximately 15% of diabetics will be affected by neurogenic ulcers. The more serious or serious is a person's diabetes and the more out of control or higher your blood sugar, the more likely you develop ulcers. Other risk factors include obesity, heart disease and tobacco use. While neurogenic ulcers occur more often in diabetics, any condition that results in peripheral neuropathy predisposes a person to get them. Signs and Symptoms An ulcer is an open wound that can be deep enough that can be seen to the bone. The diabetic foot ulcers are commonly presented at the foot pressure points: the ball, heel and the foot side if a person's shoes are too tight. However, an ulcer can form anywhere that is cut or scratched if it is not cured properly. Self-care Guidelines The key is to prevent ulcer formation: When to Find Medical CarePeople can develop peripheral neuropathy without even being aware of it, so it is important that diabetics be examined by their doctor every 6 months. The doctor will use a special test, called a monofilament test, to evaluate the feeling on the feet. All ulcers should be treated. Also consult your health care provider if you feel a lack of feeling at your feet, there is some discoloration, pain, swelling, redness, wavy or fever. Neurogenic ulcers can lead to amputation if the care is delayed, so it is important that your doctor see it as soon as possible. Treatments Your doctor may prescribe In the case of a new ulcer, your doctor may want to take an X-ray of the area to make sure there is no infection (osteomyelitis), bone fracture or foreign objects that occur in the ulcer, as you do not feel them. Then the doctor will probably remove any dead tissue with a scalpel (debrid) from the area, revealing healthy skin. Although this will make the ulcer bigger in size and cause bleeding, it is important to have healthy tissue exposed for faster and cleaner healing. This will probably be done in the O.R. under anesthesia. After the surgery, make sure you follow the correct instructions on the care of the wounds, making sure you apply any medication and dressings as indicated. Your doctor may send a sample of skin or fluid for bacterial culture and start with oral antibiotics. It is very important to follow with your doctor as scheduled: neurogenic ulcers can get worse very quickly and need to be monitored closely. Be sure to call your doctor if you experience any of the following: redness of the area, red leg stretching, drainage of the area, pain, smell of fault, increased blood glucose, or swelling or redness of the upper part of the foot. Your doctor may make you use a special plaster that will allow you to remain mobile but take pressure outside the area. There are also medicines that use growth factors to stimulate wound healing that your doctor may prescribe. Trust linksReferences Levin ME: Pathogenesis and general handling of standing lesions in the diabetic patient. Levin and O'Neal's The Diabetic Foot. Bowker JH, Pfeifer MA (eds). St. Louis, CV Mosby, 6th Ed, 2001, pp 219-260© 2006 - 2021 Visual Dx. All rights reserved. The use of this site constitutes the acceptance of Skinsight's privacy policy and service conditions. The material on this site is for information purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.
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