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Ulcer Care

What is a Diabetic Foot Ulcer?

A diabetic foot ulcer is an open sore or wound that occurs in approximately 15 percent of patients with diabetes and is commonly located on the bottom of the foot. Of those who develop a foot ulcer, 6 percent will be hospitalized due to infection or other
ulcer-related complication.

Diabetes is the leading cause of non-traumatic lower extremity amputations in the United States, and approximately 14-24 percent of patients with diabetes who develop a foot ulcer will require an amputation. Foot ulceration precedes 85 percent of diabetes-related
amputations. Research has shown, however, that development of a foot ulcer is preventable.

Symptoms

Because many people who develop foot ulcers have lost the ability to feel pain, pain is not a common symptom. Many times, the first thing you may notice is some drainage on your socks. Redness and swelling may also be associated with the ulceration and,
if it has progressed significantly, odor may be present.

Treatment

Once an ulcer is noticed, seek Cincinnati podiatrist medical care immediately. Foot ulcers in patients with diabetes should be treated to reduce the risk of infection and amputation, improve function and quality of life, and reduce health-care costs.

The primary goal in the treatment of foot ulcers is to obtain healing as soon as possible. The faster the healing, the less chance for an infection.

There are several key factors in the appropriate treatment of a diabetic foot ulcer:

  • Prevention of infection
  • Taking the pressure off the area, called “off-loading”
  • Removing dead skin and tissue, called “debridement”
  • Applying medication or dressings to the ulcer
  • Managing blood glucose and other health problems

on 24, Jul 2017
I first met Dr. Kristin Titko at a diabetes focus group at UC. Her presentation on various options to treat diabetes complications of the legs and feet sounded hopeful, as I had visited another foot care specialist who advised me he could do nothing to help me. In speaking with Dr. Kris after the meeting concerning my issues, she told me to come see her. Thankfully I made an appointment and will remain ever grateful to her for her professional care. Dr. Titko is friendly and caring, and listened to the problems I was experiencing (toe fungus and planter’s fibromas on both feet.) I was treated with laser therapy which completely healed my toe fungus and referred to a specific physical therapist who completely cleared up the fibromas in both feet. Additionally, she took biopsies which confirmed that my legs and feet were free of neuropathy (which is music to the ears of a Type 1 diabetic.) I continue to see her periodically for checkups. All things being said, Dr. Titko’s professional expertise allowed me take my life back by bringing me to a level of physical activity that I hadn’t experienced in several years. Without hesitation, I highly recommend Dr. Titko to anyone who is looking for a foot care specialist, especially diabetics. She treats you like family and you can place your trust in her.
Linda

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