Diabetes is a chronic condition that affects millions of people worldwide. While most are familiar with its impact on blood sugar levels, fewer realize the serious complications it can cause—especially to the feet. One of the most concerning of these complications is the development of diabetic foot ulcers. If not treated promptly and effectively, these ulcers can lead to severe infections, hospitalization, and even amputation.

At the clinic of Dr. (Col) Pranati Swain, a leading Vascular and Endovascular Surgeon, we believe in early detection, comprehensive treatment, and patient education to prevent such outcomes.

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What Are Diabetic Foot Ulcers?

Diabetic foot ulcers are open sores or wounds that usually occur on the bottom of the foot in people with diabetes. They are a result of a combination of nerve damage (neuropathy) and poor circulation, both common complications of long-standing diabetes. Due to nerve damage, many patients don’t feel pain, making it easier for small injuries to go unnoticed and worsen over time.

These ulcers can quickly become infected and may involve deeper tissues, including bones and joints, if not addressed early.

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What Causes Diabetic Foot Ulcers?

There are several factors that contribute to the development of foot ulcers in diabetic patients:

• Peripheral Neuropathy: This leads to a loss of sensation in the feet, causing patients to miss signs of cuts, blisters, or pressure sores.
• Peripheral Arterial Disease (PAD): This condition results in poor blood flow to the lower extremities, reducing the body’s ability to heal wounds.
• Foot Deformities: Abnormalities in foot structure can create pressure points that lead to ulcers.
• Poor Footwear: Ill-fitting shoes can cause constant friction and pressure, damaging the skin and underlying tissues.
• High Blood Sugar Levels: Poorly controlled diabetes slows down the healing process and increases the risk of infection.

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Signs & Symptoms to Watch For

While ulcers can sometimes go unnoticed due to a lack of sensation, common signs include:

• An open sore or wound on the foot
• Swelling, redness, or warmth around the ulcer
• Drainage or pus from the wound
• Foul smell
• Discoloration or blackening of skin (a sign of tissue death)

If you notice any of these symptoms, especially if you have diabetes, it’s crucial to seek medical attention immediately.

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How Are Diabetic Foot Ulcers Treated?

At Dr. Pranati Swain’s clinic, we take a multidisciplinary approach to treating diabetic foot ulcers, which may include:

1. Wound Debridement

Removing dead or infected tissue from the ulcer to promote healthy healing.

2. Infection Control

Antibiotics are prescribed when infection is present. In severe cases, hospitalization may be required for intravenous antibiotics.

3. Offloading

Special footwear, casts, or braces are used to reduce pressure on the ulcer, allowing it to heal properly.

4. Blood Flow Restoration

If poor circulation is a contributing factor, procedures such as angioplasty or bypass surgery may be needed to improve blood supply to the area.

5. Regular Dressing and Wound Care

The wound must be kept clean and moist with regular dressing changes and monitoring.

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When Is Surgery Required?

In some cases, when the infection has spread or the ulcer doesn’t heal despite conservative treatment, surgical intervention may be necessary. This can range from minor procedures to remove infected tissue, to more serious surgeries involving amputation to prevent the spread of infection.

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Preventing Diabetic Foot Ulcers

The best treatment is prevention. Here are a few tips to reduce your risk:

• Check your feet daily for cuts, blisters, or changes in color or temperature.
• Keep your feet clean and moisturized.
• Wear comfortable, well-fitting shoes.
• Avoid walking barefoot.
• Control your blood sugar levels.
• Visit a healthcare provider regularly for foot exams.

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Why Choose Dr. (Col) Pranati Swain?

With over two decades of experience and a deep focus on vascular health, Dr. Pranati Swain is uniquely positioned to manage diabetic foot complications. Her expertise in advanced vascular techniques, combined with personalized patient care, ensures that each patient receives the best possible outcomes.

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Book an Appointment Today

If you or a loved one is living with diabetes and experiencing foot problems, don’t wait. Early intervention can save your foot—and your life. Book your consultation with Dr. Pranati Swain and take the first step toward healing.