Surat Diabetic Foot and Ulcers Clinic

  Introduction Foot ulcers are one of the most challenging complications of diabetes and peripheral vascular disease. While many minor wounds heal with standard care, some progress to chronic, non-healing ulcers that pose a risk of infection, limb loss, and significant morbidity. Modern medicine now offers specialised advanced wound care for foot ulcers that targets the underlying causes and accelerates healing. This article explains why some foot wounds fail to heal, when advanced care is necessary, and the latest treatment options available. Why Some Foot Ulcers Do Not Heal A wound on the foot not healing within weeks often signals deeper systemic or local issues. Factors contributing to poor healing include: Peripheral neuropathy: Nerve damage leads to loss of protective sensation; injuries remain unnoticed and untreated. Peripheral arterial disease: Reduced blood supply limits oxygen delivery and tissue repair. Uncontrolled diabetes: Elevated blood sugar impairs immune func...

  Introduction Diabetes can lead to several complications, among which diabetic foot ulcers are among the most serious. These ulcers are often caused by underlying nerve damage and poor circulation. Once ulcers develop, they are difficult to heal and may progress to infections or even amputation if left untreated. Advancements in microsurgical techniques have made it possible to address one of the root causes, nerve compression, at an early stage. This article explores how decompression of nerve structures through surgery can help prevent ulcers and preserve limb health in patients with diabetes. Understanding Diabetic Neuropathy Diabetic neuropathy refers to nerve damage caused by long-standing high blood glucose levels. Elevated glucose injures small blood vessels supplying nerves, impairing their ability to transmit signals effectively. This leads to symptoms such as numbness, burning, tingling, and loss of protective sensation in the feet. When patients cannot feel pain or pres...

  Introduction Varicose veins are a common vascular disorder characterised by dilated, tortuous superficial veins, most frequently affecting the lower limbs. While many people associate the condition with visibly enlarged veins, subtle early signs often precede obvious physical changes.  Timely recognition of these indicators allows for earlier diagnosis and management, reducing the risk of progression to chronic venous insufficiency and other complications. This article outlines the definition of varicose veins, early-stage symptoms, diagnostic approaches, treatment modalities, and preventive strategies. What Are Varicose Veins? Varicose veins develop when the valves within superficial veins become incompetent, impairing the one-way flow of blood toward the heart. As a result, blood pools in the affected veins, leading to venous hypertension and dilatation. The condition is most common in the legs and feet , where gravitational forces increase venous pressure. Risk factors in...