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Diabetic Foot Ulcer Symptoms, Stages, Pain Management

Diabetic foot disease includes a variety of conditions, primarily involving neuropathy and decreased blood flow, which often leads to foot ulcers. According to Dr. Girish Parmar, senior consultant in diabetology and endocrinology at Nanavati Max Super Specialty Hospital, Mumbai, “As the condition progresses, the stages unfold: Neuropathy manifests as loss of sensation, leading to Bruising and ulcers are likely to occur; reduced blood flow hinders wound healing, leading to ulcers that can worsen without proper care.”

Symptoms of diabetic foot disease:

“Early symptoms include tingling, numbness or pain in the feet. Patients may also experience skin changes, such as dryness,” says Dr Abhijeet Bhograj, consultant – endocrinologist, diabetes and thyroid, Manipal Hospital, Hebbal, Bangalore. and breakage, and minor cuts or wounds may go unnoticed which may develop into ulcers due to reduced sensitivity.”

Stages of Diabetic Foot Ulcer:

Dr G Sandeep Reddy, a senior endocrinologist at Kamineni Hospital, LB Nagar, Hyderabad, said, “The progression of diabetic foot disease occurs in different stages. The first stage involves the formation of calluses or corns due to increased pressure on specific areas. Foot. Without proper care, these calluses can develop into open wounds or foot ulcers in the second stage. These ulcers can be painful and prone to infection, and if not treated “, they can reach deeper tissues and even bones in the third stage, the most severe stage, which can lead to amputation.”

Pain Management and Diabetic Neuropathy:

Dr N Bhavani, a consultant diabetologist and senior endocrinologist at Kamineni Hospital, LB Nagar, Hyderabad, said, “Effective pain management is important for individuals suffering from diabetic neuropathy, a common complication of diabetic neuropathic pain. The pain often manifests as a burning, pricking, or tingling sensation in the legs, which can significantly impact a person’s quality of life. To manage this pain, anticonvulsants (gabapentin) and antidepressants (amitriptyline) may be used. Medications like these are commonly prescribed. These medications can help control the abnormal nerve signaling responsible for pain.”

“In addition to medication, physical therapy and exercise designed to improve circulation and reduce nerve discomfort may be beneficial. Keeping blood sugar levels well controlled through diet and medication may also help slow the progression of neuropathy. is important in slowing and reducing pain. Patients should engage in open and regular communication with their healthcare providers to ensure a tailored and effective approach to pain management and overall management of diabetic foot disease,” Dr. Bhavani said.

(Disclaimer: The information provided in the article, including treatment suggestions shared by doctors, is for general informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified person regarding any medical condition. healthcare provider for any questions you may have regarding.)

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