Do not force your feet to prevent pain and relieve stress from ulcers. This is called “offloading” and is helpful for all types of diabetic foot ulcers.
The pressure of walking or standing can make the infection worse and more damaging and can cause ulcers to spread. Doctors can remove foot ulcers by removing damaged tissue, dead skin or foreign objects that can cause ulcers.
Your doctor or health professional may recommend wearing specific items to protect your feet:
- Diabetic shoes
- Diabetic socks
- Leg brace
- Compression wraps
- Corn and shoe inserts to prevent calluses
Infection is a serious complication of foot ulcers, and it requires immediate treatment and not all infections are treated the same way, so it is best to seek professional help in the early stages and if you experience symptoms of diabetes. Tissue surrounding the ulcer may be sent to a lab to determine which antibiotic should be recommended and used. They will test that the best antibiotic will help your infection. For a really serious infection, your doctor or health professional may order an X-ray so they can check if the infection has reached your bones.
Foot ulcer infections can be prevented in the following ways:
- Disinfecting the skin around ulcers, keeping your skin clean and free from unwanted bacteria that can do more harm.
- Footbath, cleaning your feet thoroughly can help prevent it from getting dirty.
- Keep the ulcer dry with frequent dressing changes.
- For enzyme treatment, you should ask your doctor what is the best treatment that can be used for your infection.
- Dressing with calcium alginates inhibits the growth of bacteria.
Your doctor may prescribe medications such as antibiotics, antiplatelets or anti-clotting drugs to treat your foot sores, sores, or any open skin damage if the infection persists even after preventive or anti-pressure treatment. It will depend on your infection. Many of these antibiotics attack Staphylococcus aureus, a bacterium that causes Staphylococcus aureus or B-hemolytic Streptococcus commonly found in your gut. Talk to your doctor and healthcare professional about other health conditions that may increase your risk of infection due to these harmful bacteria, including HIV and liver problems.
In some cases, your doctor may ask you for surgical help for your ulcer. A surgeon can help reduce the pressure around your ulcers by shaving bones or removing foot abnormalities such as bunions or hammers. If you have an ulcer, you probably won’t have surgery, but if you don’t have any other treatment options that can help heal the ulcer, surgery can prevent your ulcer from getting worse or lead to amputation.
Here are some tips on how you can prevent foot problems.
- Wash and keep your feet clean every day
- Keep toenails properly trimmed but not too short
- Keep your feet dry and moisturized
- Change your socks frequently
- See a pediatrician to remove corns and calluses
- Wearing proper fitting shoes
Manage your blood sugar properly and always check your blood sugar level because if your blood sugar is stable you are less likely to get complications of diabetes.