SUTHAS HORSIRIMANONT, M.D.
Vascular surgery, Endovascular intervention, Transplantation
Diabetes remains a silent yet formidable disease. A single diagnosis can trigger a cascade of related health conditions, much like ripples expanding across water when a stone is cast. Among the complications, diabetic foot ulcers often raise questions—why do they occur specifically at the feet, why do they heal slowly, and why do they often begin with numbness and a loss of sensation? What are the underlying causes of these symptoms?
Diabetic foot ulcers are complications that result from arterial occlusion. In some cases, infection may also be present, further impeding blood circulation to various parts of the body. This condition frequently manifests in the legs and is typically characterized by three main symptoms:
Bacterial infections slow the healing process and can result in severe inflammation. If wounds are not properly cared for, the infection may enter the bloodstream, leading to serious systemic complications.
The affected foot or area around the wound often becomes red and swollen before darkening to a deep green hue, accompanied by intense pain. In most cases, the wound is also infected and fails to heal within four weeks.
When blood vessels are obstructed, the lack of oxygenated blood can result in chronic wounds. In severe cases, the infection and inflammation may spread, ultimately leading to the loss of the affected limb.
Diabetic wounds often develop in areas with poor blood circulation and nerve damage. The feet are particularly vulnerable, as they are subject to constant pressure and friction.
The feet are the farthest from the heart and bear vertical pressure from the body's weight. As wounds develop, the feet are often the first affected due to their constant use in standing, walking, running, and jumping. Diabetic patients often experience numbness and reduced sensation in the feet, leading them to unknowingly aggravate wounds. Some may have foot deformities, abnormal sweating, or other associated conditions.
Diabetic neuropathy can result in diminished sensation. As patients walk, the repeated pressure and friction cause the skin to dry and crack, creating entry points for pathogens.
Bacterial infections slow the healing process and may cause progressive inflammation, leading to swelling, tissue necrosis, and unpleasant odors. Improper wound care can increase the risk of further complications.
Standard shoe sizes may not suit diabetic patients, as ill-fitting shoes—especially those made of hard leather—can compress and rub against the feet, creating wounds. Swelling during walking can further restrict footwear, worsening the issue.
Physicians begin by assessing the condition and interviewing the patient. Diagnostic tests follow, leading to a treatment plan that may include pus drainage, antibiotic therapy, or surgery.
Read more: Treating Diabetic Foot Ulcers Without Amputation
Diabetic wounds can be treated with peace of mind at the Ramkhamhaeng Hospital Diabetic Foot Wound Center, under the concept of “The Complete Expert, for Your Desired Health” By integrating advanced and effective treatment technologies, patients experience minimal pain, receive rapid results, and feel reassured throughout the healing process.
Our team of medical specialists is dedicated to providing compassionate, expert care, offering a renewed chance at a healthier life and peace of mind every step of the way.
Vascular surgery, Endovascular intervention, Transplantation
