Dr Prashant Vas, Consultant Endocrinologist and Diabetologist talk about various treatment which may be needed. He explains that treatments are very much dependant on your particular problem. He talks about reasons for ulcers occurring and treatments being targeted towards these reasons. He mentions off-loading techniques as well as angioplasty and bypass. He also mentions full plater of Paris casts which are used in conditions like Charcot Foot.
Transcript (auto-generated)
This transcript was generated automatically and may contain errors.
Treatments for diabetic foot condition depend on the condition itself. So if you have an ulcer, it depends on what is driving the ulcer. For example, if the ulcer is related to nerve damage and there is no circulation problems, Often we can improve this by using methods that relieve the pressure over the ulcer area. For example, a total contact cast is often applied here in the United Kingdom, but in many other countries, especially the warmer ones, you may just be offered a special boot with the pressure reducing insole. But if the ulcer is because of a circulation problem, you need to address the circulation problem. And for this, there are various different methods. You can have an angioplasty, which is similar to what is done for the heart, but this time in the leg vessels, or if the circulation problem is quite extensive, you may be offered a bypass. If you have been told that you have a condition called diabetic foot charcot, then often the immediate treatment is offering a full cast. In this condition, you often don't have an ulcer, but you have changes to the bones inside, and you almost treat it like a fracture of the foot and apply a cast on and make sure any pressure, like walking, is reduced as much as possible, allowing the bones to settle.
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