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Diabetes mellitus causes many diseases where high blood glucose of sugar levels may do damage to the kidney, eyes, nerves as well as blood vessels. Because of constriction of blood vessels and the harm to the immune system from the diabetes, the wounds have problems healing. There are several risk factors which can increase the individual with diabetes chances for developing foot problems as well as diabetic infections of the feet and legs. Those diabetics with diabetes that is poorly controlled or have had the disease for a long time have the risk of developing peripheral neuropathy which is nerve damage. Athletea€™s foot which is a fungal infection of the toenails or skin can lead to more serious bacterial infections.
Smoking – Smoking causes damage to the smallest blood vessels in the legs as well as feet.
Pain, swelling or redness surrounding a toenail a€“ could be an ingrown toenail which is the main cause of foot infections as well as amputation for diabetics.
Relentless pain in the legs or feet is sometimes a sign of sharp circulation loss, severe infection or can be due to nerve damage which is severe. Cuts to the legs or feet that significantly bleed and goes all the way thru the skin needs cleansing properly as well as repair to aid healing. Ulcers or wounds which are more than 1 inch across on the feet or legs can be associated with limb-threatening infection. Red streaks or redness spreading away from a wound or ulcer on the legs or feet are a sign of infection. Fever more than 101.5 F when connected with swelling, redness, warmth or any ulcer or wound on the legs. Alteration in mental status a€“ confusion a€“ can be a sign of life-threatening infection which can lead to loss of a leg or foot especially if associated with a foot ulcer or a leg wound. Exercise a€“ Regular exercise improves bone and joint health, improves circulation to the legs and stabilizes your blood sugar levels. Diabetes control a€“ A diabetic needs to follow a regimen prescribed by a physician of diet, medications, and exercising.
Antibiotics a€“ You doctor will decide if a wound or ulcer on the feet or legs is infected or there is a high risk of becoming infected. Referral to wound care center a€“ Some community hospitals have wound care centers specializing in treatment of diabetic wounds in lower extremity as well as ulcers along with other difficult to treat wounds.


Referral to podiatrist or orthopedic surgeon a€“ You might be referred to a foot specialist if there is bone-related problems, toenail problems, calluses or corns, hammertoes, bunions, flat feet, heel spurs, arthritis or difficulty with finding shoes which fit well. Home health care a€“ A home health nurse or aide may need to help with wound care and dressing, monitor blood sugar as well as help the diabetic with antibiotics as well as other medications. This website is for informational purposes only and Is not a substitute for medical advice, diagnosis or treatment. Pressures (bedsores), insect bites, immobility or trauma can also cause non-healing wounds. Typically, a wound that does not respond to normal medical care within 30 days is considered a chronic wound. Medically advanced treatments at the Wound Care Program include debridement, dressing selection, special shoes, and patient education. The Wound Care Program is designed to complement the physician’s services and is committed to the treatment of chronic or non-healing wounds. Patients must make an appointment and are typically referred by their primary care physician. A customized treatment plan is developed for the therapies best suited to address the patient’s needs. After a treatment plan has been initiated, you will visit the hospital on a regular basis for specialized treatments and documentation of the progress of your healing. Please contact a member of our staff with any other questions you may have regarding your therapy.
Wound CareLibrary For more information about wounds, including care and treatment, download the brochures (PDF) below.
When you need to find a doctor for yourself or your family, our FREE Direct Doctors Plus physician referral service can help. Manatee Memorial Hospital is a Joint Commission-accredited hospital that is committed to providing high quality and safe care to our patients.
Manatee Memorial Hospital is owned and operated by a subsidiary of Universal Health Services, Inc. Note:The information on this website is provided as general health guidelines and may not be applicable to your particular health condition.
The information, content and artwork provided by this Web site is intended for non-commercial use by the reader.


Manatee Memorial Hospital offers a wide range of high quality services to residents of Manatee County and surrounding area. Whether you are getting ready for a procedure at Manatee Memorial Hospital or planning to visit a patient, get the information you'll need to make your trip more pleasant. Stay up to date with the latest news and events at Manatee Memorial Hospital, including health fairs, classes and seminars. This individual used a 3x5 ePad hotpad on top of the foot for the amount of time indicated in the image. The Wound Care Program at Manatee Memorial Hospital uses advanced approaches to aid the healing process of chronic wounds that don’t heal through conventional methods.
Some non-healing wounds are associated with complications from diabetes or other vascular-related disorders such as inadequate blood circulation and poorly functioning veins. At the appointment, physicians identify the wound and the health status of the patient to determine what treatment is necessary to heal the chronic wound.
Wound size and depth are documented at the initial visit, and again at each subsequent visit. You will also be fully instructed on how to manage your wounds at home between visits, as well as how to protect your wound from further injury.
Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice. Up to 15 percent of the estimated 17 million Americans with diabetes may suffer from chronic wounds, most commonly non-healing foot sores, which can lead to amputation. Remember: There is no adequate substitution for a personal consultation with your physician.
Keeping appointments and following directions are critical to attaining a positive healing outcome. Note the decrease in inflammation and improvments in skin tone, as well as healthy tissue emerging at the base of the big toenail.



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