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Diabetic Foot Problems

Ulcers

Ulcers are chronic wounds that do not heal.  There are many reasons for an ulcer to develop including poor circulation or neuropathy, but often there is an underlying foot problem such as a bunion or metatarsal prominence that causes local concentration of pressures.  Minor repetitive stress, often from ill-fitting shoes, may be responsible.

Today, there are many expensive products to put on ulcers, but probably the most important treatment is to relieve the pressures or stress that caused to ulceration to begin with.  This is the concept of off-loading and this may be performed with a healing sandal, leg brace, or cast.  The use of a cast or total contact casting is the “gold standard” in the treatment of diabetic foot ulcers on the sole of the foot.

Diabetic Ulcers