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BEDSORES - Diabetic Foot Clinic What are bedsores? Know about them and how to treat them at the Save Legs Diabetic Foot Clinic & Wound Care Centre

This is a case of diabetic charcot foot with fractured calcaneum. Patient had been to multiple hospitals before coming to us. Patient was asked to walk on the fractured calcaneum. No one bothered to take an x ray and only after we did an X ray we realised the patient had a fracture of the calcaneum. Patient came with a through and through wound on the plantar aspect of the foot, involving the heel. Calcaneum was evident on probing. We did advanced wound management and as the x ray show, the fractured calcaneum healed and patient was mobilised in customised footwear.

Treatment of the Diabetic foot : Different conditions but same modalities
Multiple modalities are there for the treatment of diabetic foot problems. Here I present three different conditions but wound care modalities used were the same. However the overall management differed in all three. Thing to remember is that the treatment has to be individualised to every wound. No single or combination of wound care modalities can treat a wound on their own. No therapy is an end unto itself and any therapy needs to be used as per stage of the wound. Regular follow up of the patient by the treating doctor rather than leaving it to paramedics and wound care company reps, is in the best interest of the patient. Wound care is about getting down and in and be willing to get your hands dirty, rather than just scanning the wound from afar using pics.

What is an ULCER?
An "Ulcer" means a break in the layer of cells on a surface. Ulcers can form anywhere on the skin or inside the body like stomach ulcers. However we are talking here about Leg Ulcers.
A leg ulcer forms when the skin breaks down or erodes allowing infection to get into the underlying tissue. Such ulcers can be there for years and may not heal. Much research has shown that the cause of such long standing ulcers is due to the blood supply of the leg. It can be due to venous, arterial or mixed causes. Various creams, antibiotics and dressings may not help the ulcer to heal unless the underlying cause is treated, which is the blood supply to the skin. Therefore successful treatment & prevention of leg ulcers lies in correcting the underlying cause & not the ulcer itself.

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65 Years male patient. Known diabetic and chronic to***co chewer. Presented with a necrotic foot, sepsis, central plantar space abscess. Patient was debrided, central space opened and drained. Supportive therapy and silver dressings were started. Wound healed completely in 5 months and patient mobilised in customized footwear.











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