Wounds & Ulcers

Many diabetic patients eventually develop foot ulcers. These wounds are the principal portal of entry for infection in patients with diabetes. The ulcers are usually covered by callus or fibrotic tissue. This makes the trimming of hyperkeratotic tissue important for comprehensive wound evaluation.

These ulcers are typically painless.

Adequate debridement is the first step in the evaluation of a foot ulcer.

After debridement, the ulcer should be probed with a sterile blunt instrument to determine the involvement of underlying structures, such as tendon, joint capsule or bone.

X-ray should be obtained to look for soft tissue gas and foreign bodies and to evaluate the ulcer for bone involvement.

The involvement of underlying structures and the presence or absence of ischemia and/or infection must be determined before an appropriate wound classification can be made and a subsequent treatment plan can be implemented.

Recognition of risk factors, preventive foot maintenance and regular foot examinations are essential in preventing foot ulcers in patients with diabetes.

MedihoneyMedihoney
Wound Care Products Wound Care Products
Wound GelWound Gel

Prevention

Meticulous attention to foot care and proper management of minor foot injuries are key.

Daily foot inspection by the patient or caretaker.

Gentle cleansing with soap and water, followed by the application of topical moisturizers. Avoid application of moisturizers in between the toes

Custom shoes and insoles to offload and pad the foot.

Medicare covers the cost of custom shoes and insoles for patients that qualify.

Avoid hot soaks, heating pads and harsh topical agents.

If arterial disease is present than a consult to a Vascular Surgeon is very important.

A great way to prevent Venous Ulcers is via compression therapy (compression stockings).

If you have an open wound or ulceration, please call Dr. Kolodenker. We can help you heal your wounds. (949)615-1202

Our clinic is in Irvine and Huntington Beach – Orange County – Southern California

Dr kolodenker in minimally invasive surgeryResults after 18 days
Ankle Ulcer ClosedAnkle Ulcer Closed
Diabetic Foot UlcerDiabetic Foot Ulcer
Diabetic Foot Wound/Ulcer healed within 3 weeks after surgeryOpen Diabetic Foot UlcerOpen Diabetic Foot Ulcer
Ulceration open for 8 months before coming to my office.Closed Diabetic Foot UlcerClosed Diabetic Foot Ulcer
Ulceration Closed after 4 weeks with minor surgery and my wound careOpen Toe UlcerOpen Toe Ulcer
Closed Toe UlcerClosed Toe Ulcer
Closed foot diabetic ulcer after a simple surgeryClosed foot diabetic ulcer after a simple surgery
Healed Diabetic Foot Ulcer/Wound after surgeryHealed Diabetic Foot Ulcer/Wound after surgery
Diabetes Charcot Foot Ulcer Surgery Healed and ClosedDiabetes Charcot Foot Ulcer Surgery Healed and Closed
Healed Diabetic Heel Ulcer/Wound after surgery in Southern California with the help of Wound VACHealed Diabetic Heel Ulcer/Wound
after surgery in Southern California with the help of Wound VAC

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