Cures for Foot Ulcers

Foot ulcers are open sores or wounds on the feet that do not completely heal, or return after initial healing. They come in two basic forms: neurotrophic ulcers and arterial ulcers. Treatment or cure for foot ulcers varies with the type of the disorder present and the severity of its effects.

Understanding and Treating Neurotrophic Ulcers

• According to the Cleveland Clinic, neurotrophic ulcers typically form as a complication of advancing diabetes, but can also occur in any individual with sensory impairment in the feet. They usually occur at weight-bearing points on the bottom of the foot, but if they can appear at any point on the foot that is affected by direct trauma. If you are diabetic, your neurotrophic ulcers may result from any rupture in the skin surface, no matter how small. Depending on the current level of blood circulation in your feet, an ulcer may appear pinkish, reddish, brown or black at its base, with a surrounding margin of callused skin.

  Treatment for neurotrophic ulcers will vary according to your condition. If an active infection is present, you will be treated with antibiotics. Any infected tissue will be removed from your foot. While your ulcer heals, you will need to keep weight off your foot as much as possible, as well as any pressure from footwear or other sources. You may also be fitted with specialized shoes or orthotics (custom shoe inserts) to minimize friction and lower your chances of future injury.

  Typically, if you are diabetic, you will also need to redouble your efforts to monitor your foot health. This includes daily inspection of your feet, regular gentle washing and drying, and regular maintenance of your toenails. If you experience changes in your feet, report them to your doctor immediately. Do not try to treat injuries, corns or calluses on your own.

Understanding and Treating Arterial Ulcers

• Arterial ulcers are usually quite painful, and most commonly occur at the heels, between the toes, at the tips of the toes, and at any other point where the bones of your feet habitually rub against shoes or socks. If a toenail cuts into your nail bed, an ulcer may also develop there. Frequently, arterial ulcers occur as part of an ongoing process of arterial disease and poor circulation, and you may be aware in advance that their development is a possibility.

  Typically, the overall aim of treatment is healing of the existing ulcers while preventing new ones from arising. This will also involve protecting your vulnerable skin and checking for the presence of infection in your bone or soft tissue. Depending on the severity of your underlying arterial condition, your doctor may choose a number of treatment options. The first step is frequently an examination of your blood vessels that is meant to gauge their potential for proper healing. The results of this exam will determine whether your doctor attempts to restore your circulation with a catheter-based procedure or bypass surgery. In extreme cases, control of ulcers may require amputation of the affected foot.