Diabetic Foot Ulcers

Step toward recovery with proven, patient-centered care

About

For individuals affected by diabetes, taking diligent care of their feet is absolutely paramount, as they face a higher risk of injury, infection, and long-term complications. One common issue, early stage diabetic foot ulcers, can lead to painful wounds that severely impact comfort and mobility.

Whether you’re focused on preventing ulcers or seeking effective treatment for an active wound, the knowledgeable team at Horizon Foot & Ankle Institute is here to help. Our experienced specialists work closely with each patient to relieve immediate discomfort while developing a long-term care plan aimed at reducing recurrence and ensuring your condition is managed safely and effectively for years to come.

What it is

Diabetic foot ulcers are open sores or wounds that develop on the feet of individuals with diabetes, typically as a result of poor circulation and nerve damage (neuropathy) that reduce the body’s ability to sense pain or heal properly.

These ulcers most commonly appear on the bottom of the foot, particularly under the big toe, the ball of the foot, or along pressure points where friction from shoes or walking occurs. It’s estimated that up to 15–25% of people with diabetes will develop a foot ulcer at some point in their lives, making it one of the most common and serious complications of the disease.

Early signs of a diabetic foot ulcer may include redness, swelling, drainage, or an unusual odor, along with areas of thickened or callused skin that may mask the wound beneath. Because nerve damage often diminishes sensation, many people do not feel pain even when an ulcer is present — making regular foot inspections essential.

Common causes include poor blood flow, high blood sugar levels, ill-fitting footwear, and prolonged pressure on specific parts of the foot. Left untreated, these ulcers can become infected and, in severe cases, lead to tissue damage or even amputation.

Treatment Options

While any foot or ankle issue should be addressed promptly, doing so is especially critical when it comes to diabetic foot ulcers, as delays in treatment can lead to severe infections or amputation. Because diabetes can impair circulation and nerve function, even small wounds can worsen quickly without proper medical care.

At Horizon Foot & Ankle Institute, our expert team will work with you to develop a personalized course of action, typically involving a combination of some of the following treatments:

Offloading

Reducing pressure on the affected area using specialized footwear, casts, or inserts allows the wound to heal more effectively.

Debridement

Removing dead or infected tissue helps promote healthy cell growth and reduces the risk of infection.

Applying Medication

Topical treatments and protective dressings are used to keep the wound clean, moist, and free from bacteria.

Blood Glucose Management

Controlling blood sugar levels is essential to improve circulation, speed up healing, and prevent future ulcers.

Using Skin Substitute Grafts

These biologically active grafts, made with living cells, help stimulate faster tissue regeneration and wound closure.