Conditions and procedures
- Diabetic and ischaemic foot ulcers
- Infected ulcers and osteomyelitis
- Gangrene and tissue loss
- Offloading and wound debridement
- Revascularisation and limb preservation
Conditions
Neuropathic/ischaemic/infected ulcers; osteomyelitis; gangrene; Charcot foot; recurrent ulcers.
Assessment
Both feet, sensation, pressure, circulation/infection; toe pressures/duplex; bone/arterial imaging as indicated.
Treatment options
Offloading; dressings/debridement; infection treatment; angioplasty/stenting or bypass; tissue-preserving surgery/reconstruction when appropriate.
Follow-up
Daily inspection, suitable footwear; avoid barefoot walking, heat and self-treating callus; glucose/wound reviews.
Common questions
Painless wounds can be serious. Antibiotics treat infection, not every ulcer. Limb preservation is not guaranteed; amputation may be necessary.
When to seek help
New wounds need assessment. Spreading redness, fever, confusion, black tissue or sudden coldness: urgent care.
This is general information. Investigations and treatment require individual assessment. Do not wait for a routine booking if symptoms are sudden or severe.