A diabetic ulcer requires treatment by your podiatrist or physician because an untreated ulcer can lead to amputation. Diabetes has an impact on your circulation and nervous system, especially if your blood sugar levels aren’t well-controlled. Diabetes often causes reduced blood flow to your extremities, especially your feet, and sensory damage to your nerves. A combination of reduced sensation, poor blood flow and a minor trauma can result in tissue breakdown at the site of the injury and the formation of an open wound, called an ulcer. A diabetic ulcer is typically slow to heal and at risk of infection if not treated properly. Silver Sulfadiazine Cream
The American Diabetes Association estimates that one in five people with diabetes who seek hospital care do so for foot problems. As a person with diabetes, you are more vulnerable to foot problems because diabetes can damage your nerves and reduce blood flow to your feet making it harder to heal an injury or resist infection. Because of these problems, you may not notice a pebble in your shoe, so that you could develop a blister, then a sore, then a stubborn infection that might cause you to lose a foot or leg to amputation.
The medical term used to describe burning feet sensation is Grierson-Gopalan syndrome. When the burning sensation turns severe, it starts stinging on the feet. It gives rise to reddening and excessive swelling of the feet, and also painful feet. These symptoms are felt on the sole area of the feet, but in some rare cases it may get extended to the ankles and the calves as well. Though it occurs commonly in people who are above the age of 50, it may also be found in many women in the age group of 25 to 45.
Excessive sugars in the bloodstreamcause destructive metabolically changes, these changes impair thenerves’ ability to transmit signals. High blood glucose damages bloodvessels that carry oxygen and nutrients to the nerves, as we can seehigh blood sugar is a very destructive illness which when leftuntreated can lead to irreversible damage. The lower limbs are oftenwhere so much of the more serious complications occur, pain in thefeet from diabetes signals that nerve ending are being effected; itmust be stated that high blood sugar also causes artery damageleading possible loss of limbs. If you are a diabetic the mostimportant thing is getting the excessive amounts of poison sugars outof your body.
Potential complications associated with the use of external fixation include pin or wire tract infections, hardware failure requiring premature discontinuation of the external fixator, stress fractures, osteomyelitis, and psychological difficulties acclimating to the device. Pin and wire complications are widely known as the most frequent complications in the application of external fixation devices in any patient population. In a retrospective study evaluating circular ring external fixation, Wukich et al related a seven-fold increase in wire complications in diabetic patients versus non-diabetic subjects 27 When comparing the existing data with the AST, none of our patients had any serious surgical site infections post-operatively.