Clinical Assessment PracticesPatient Management Strategiescirculatory ulcersnerve damageneuropathic ulcersdamage to the skinscreen for vascular problemsole of the foottoestop of the foot
Where do Ischaemic (Circulation) ulcers happen?
Dr Mushtaqur Rahman, Consultant Endocrinologist and Diabetologist talks about the usual locations of ulcers which are caused by lack of blood supply (Ischamic Ulcers). He talks about ulcers on the tips of the toes as well as the soles of the feet. He also and how different causes can occur together so we can't rely on location alone.
Transcript (auto-generated)
This transcript was generated automatically and may contain errors.
Typically, circulatory ulcers happen at the tips of our toes, they tend to less often occur on the sole of the foot, that's the realm of the neuropathic or the nerve damage related ulcers. Nonetheless you can have a nerve damage ulcer with an element of circulatory impairment so just because the ulcer is on the sole of the foot don't discount a vascular problem. But if the ulcer or damage to the skin is on the tips of the toes or on the top of the foot which which we call the DOSM, think about the possibility of vascular problems. Indeed, in most specialist clinics these days, we screen for a vascular problem every time a new patient is referred to us or every time someone comes to us with a new ulcer.
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