We get diabetic foot ulcers from pressure and shear forces. It will heal if we remove the pressure and shear forces. This is called offloading. Since foot ulcers are created by basically being squished between the ground/shoe and the bone, we can offload ulcers by removing the ground or removing the bone. Removing the ground means … Continue reading Offloading Diabetic Foot Ulcers
Grass grows where there is water. Without water, it will dry up. The same thing happens to our body if deprived of blood, and our toes start developing dry gangrene. However, there are lots of things that has to happen before gangrene develops. There are also warning signs to look for that we will discuss. Let's start … Continue reading Blood Flow in Diabetic Feet
A Zebra in a Stampede of Horses The overwhelming majority of bone infections in diabetic feet are called contiguous spread osteomyelitis, meaning the bone infection began by spread from an area close by. There exists something called hematogenous spread osteomyelitis, meaning the bone infection began by spread from the bloodstream. Let me explain. When you get a cut, … Continue reading Why Bone Infections and Foot Ulcers Go Hand in Hand
This is something that can happen, where you have a deep foot ulcer, and rightly so, your doctor is concerned and suspicious for a bone infection because of how deep the ulcer is. An x-ray is ordered, which is negative. Well, x-rays are not very sensitive for bone infection, so next, a MRI (magnetic resonance … Continue reading Doc! Do I Have A Bone Infection?
When we walk, there is always a little bit of shear with every step. Think of how we rub our hands together to create warmth. If we rub the hands enough, calluses will develop, like on the hands of a carpenter or weight lifter. They can wear gloves to prevent some of this callus buildup. … Continue reading Why Shear Forces Wreck Diabetic Feet