Diabetic Foot
A diabetic foot wound can involve infection, pressure injury, neuropathy and reduced blood flow—often at the same time. Early assessment is important because treatment depends on identifying which of these problems is limiting healing.
When a diabetic foot problem is urgent
Seek emergency care immediately for a wound with fever or severe illness, spreading infection, black tissue, suspected deep infection, severe rest pain or a suddenly colder foot. Do not wait for a routine appointment or a phone/WhatsApp response.
A new ulcer, blister or other active foot problem needs prompt assessment even without pain or fever. Contact a foot-care service promptly, ideally the same day or within one working day. Reduced sensation can hide the severity of a problem.
What is assessed?
Assessment typically includes the wound, surrounding skin, infection severity, pulses, foot perfusion, sensation and pressure points. Depending on the clinical situation, ABI, toe pressure/TBI, arterial Doppler or vascular imaging may be used to assess circulation.
Treatment pathway
Treatment may involve infection control, wound debridement when required, pressure offloading, dressings, glycaemic optimisation and revascularisation when inadequate blood flow is contributing to tissue loss or poor healing. Revascularisation may be endovascular, surgical or a combination depending on anatomy and the patient’s overall condition.
Diabetic foot and limb preservation
The aim is to control infection, restore adequate perfusion where possible, protect viable tissue and support wound healing. Outcomes depend on the severity of infection, tissue loss, circulation, comorbidities and response to treatment.
This page is for patient education and does not replace individual medical assessment.
Protecting your feet
Check both feet daily, including the soles and between the toes. Use well-fitting footwear, avoid walking barefoot and seek advice for a new wound or change in the foot. Pressure relief, footwear and follow-up should be tailored to sensation, circulation and the wound.
Book a routine consultation
Consult Dr Siddharth Matad at Siddharth Vascular Clinic, United Hospital, Jayanagar, Bengaluru.
For routine appointments: call +91 97465 53250 or WhatsApp. Contact and location information.
For emergency symptoms, go to the nearest emergency department. Do not wait for a routine appointment or a phone/WhatsApp reply.
General patient information; individual assessment is needed to decide diagnosis and treatment.