Diabetic Foot Ulcers

Diabetes can also affect blood flow to your legs and feet. Arteries of people with diabetes can become narrowed or blocked (Peripheral Artery Disease). Poor circulation reduces the delivery of oxygen, nutrients and immune cells to the foot making it difficult for a diabetes-related foot ulcer or infection to heal. If not treated quickly, a foot ulcer or blister on a person with diabetes can get infected and may need amputation (surgically cutting) of a toe, foot or part of the leg to prevent the spread of infection.

Interventional radiology plays a crucial role in finding the obstructions that can be treated, with an intravascular procedure that expands the blood vessel narrowing and improves blood flow to the foot.

What are the warning signs of Peripheral Artery Disease (PAD)?

  • Many people with peripheral artery disease have mild or no symptoms.
  • Painful calves when walking and pain between the toes when resting.
  • No pulse or a weak pulse in the legs or feet
  • Ingrown toenails
  • Blisters
  • Warmth in one area of the foot 
  • Pain in foot (though you may not feel anything if you have nerve damage)
  • Discoloured skin
  • Toe and foot sores that don’t heal.

Risk factors

All people with diabetes are at risk for PAD, which can have multiple causes. Some factors can increase the risk, including
  • Alcohol or tobacco
  • consumption
  • Heart disease
  • Kidney disease
  • Obesity
  • Blood pressure
  • High cholesterol

When to see a doctor

If you have diabetes, tell your doctor if you experience
  • Any changes in foot shape.
  • Hair loss on your toes, feet or legs.
  • Loss of feeling in the toes, feet or legs.
  • Pain, tingling, burning or cramping in the feet or legs.
  • Thick, yellow toenails.
  • Any wound, redness or darkness, warmth or a funny smell around the foot

1. How is Diabetic foot ulcer diagnosed?

A doctor will perform a physical examination and review your medical history and risk factors. They may order non-invasive tests to help diagnose PAD and determine its severity. If you have a blockage in a blood vessel, these tests can help find it.

 

2. What are the treatments for Diabetic foot ulcers?

Treatments include medicines, surgery and other procedures. The right option depends on things such as

  • Your symptoms.
  • The size of your prostate.
  • Your age.
  • Other health problems you might have.

 

Nonsurgical Treatment for Diabetic Foot Ulcers

An examination by our experts will determine whether or not you are a suitable candidate for the procedure.

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An alumnus of the Harvard-MIT Program in Health Sciences and Technology (HST) with deep expertise in Molecular Oncology, Dr. Mama has worked at premier global oncology medical institutions. With a career marked by remarkable dedication, Dr. Mama has a legacy of compassion and accessibility in cancer care. 

Seeing the acute lack of awareness amongst patients in navigating cancer treatment and access to affordable medical services, he returned to India with a commitment to give back to the community by sharing his expertise and addressing the challenges faced by cancer patients in India. He began this journey by pro bono helping over 35,000 patients diagnosed with Cancer navigate the challenges of Cancer treatment.

Identifying critical gaps in cancer care and examining solutions across India’s cancer care ecosystem through multi-stakeholder collaboration, Dr. Mama develops practical solutions for reshaping how cancer patients are treated and improving efficiencies in cancer care. 

An investor in several healthcare companies in the USA and Europe, he is also a mentor for start-ups at Oxford University.

He founded C3 Medicare, a medical daycare centre to build capacities in Cancer Navigation and Cancer Care services and leverage the power of  Interventional Radiology to provide affordable minimally invasive image-guided diagnosis and treatment using the least invasive techniques available.

Dr. Mary Mandapathil is the Director of Clinical Services and Consultant Anaesthesiologist at C3 Medicare. She completed her M.D. (Anaesthesiology) from Tata Memorial Hospital, Mumbai, in 2010 and PG Diploma in Hospital and Healthcare Management from Symbiosis Institute.

She worked as a Specialist at Lakeshore Hospital, Kochi and subsequently as a Consultant in the Department of Anaesthesiology at Sir HN Reliance Foundation Hospital and later as a Consultant at Kokilaben Dhirubhai Ambani Hospital, Mumbai. She has been a speaker at numerous conferences and is AHA-certified in BLS, ACLS and PALS.

Dr Mukul Mutatkar has been a consultant in Interventional Radiology in Imaging and vascular for three decades.

A graduate of the Armed Forces Medical College (AFMC) and a  B.J Medical College(BJMC) postgraduate, he underwent training in MRI and CT in the USA, Germany, Japan, and Australia.  He has also trained in the UK and France with short sessions in Trivandrum and Japan for Interventional Radiology.

He is one of the founders, directors, and consultants of the successful OMEGA MRI Centre and the PDS CT Scan Centre in Pune.

Dr Sainani, a renowned medical oncologist who has been practising since 2002 at various hospitals in Mumbai, graduated from MBBS at Lady Harding Medical College Delhi and completed her MD at INHS Asvini Hospital Mumbai in 1997. nAfter a fellowship in Haematology at B J Wadia Children’s Hospital, she trained in oncology at the renowned Tata Memorial Hospital, Mumbai’s major cancer referral centre.

She trained at Royal Melbourne Hospital, Australia’s Bone Marrow Transplant Unit, and today provides stem cell transplant expertise to centres at Jaslok Hospital and Sir HN Reliance Foundation Hospital.

A member of the European Society for Medical Oncology(ESMO), Indian Society of Medical and Paediatric Oncology ( ISMPO), Indian Cooperative Oncology Network( ICON), ImmunoOncology Society of India (IOSI), Mumbai Haematology  Group( MHG).

She has been a part of many clinical research trials and has publications in national and international journals.

Dr Murarka, a highly experienced surgical oncologist with an impressive 40-year career, completed his post-graduation at the renowned Tata Memorial Hospital in Mumbai. He further honed his skills through training at the prestigious Memorial Sloan Kettering Cancer Centre in New York & St. Mark’s Academic Institute, U.K., solidifying his position as a leading expert.

Dr. Murarka is a specialist in Surgical Oncology and a Consultant at various hospitals, including Saifee Hospital, Raheja Hospital, Nanavati Hospital, Sushruta Hospital, and Ramakrishna Mission Hospital.

Dr Murarka has worked at the top hospitals in the city and country, including Lilavati Hospital, Hinduja, S.L. Raheja (Fortis), and Breach Candy.

Dr. Murarka has published several papers in India and abroad and is a member of several prestigious medical associations.

Dr Pant, an Interventional Radiologist specialising in vascular and non-vascular IR for the past two decades, is an alumnus of Armed Forces Medical College, Pune. He further trained in Interventional Radiology for both Peripheral and Neuro-Intervention at the Bombay Hospital and Institute of Medical Sciences, Mumbai.

He was the Director of Imaging and Radiology and Consultant in Interventional Radiology at the Department of Radiology & Imaging at Sir H. N. Reliance Foundation Hospital and Research Centre.

Dr Pant has expertise in various interventional procedures, such as Intracranial Aneurysm therapy, Stroke Intervention, Portal Hypertension, and Endovascular Repair of Abdominal and thoracic Aortic Aneurysms. He has experience in the interventional treatment of liver cancer by TACE and RFA.

He has been awarded the Vishisth Seva medal by the President of India and a commendation by the GOC-in- C southern Command.

An academician for over two decades, Dr. Pant has been a postgraduate teacher under MUHS, Nasik, and an examiner at the Interventional Radiology fellowship and DNB (radiology). He has been a professor (Radio diagnosis) at MUHS, Nasik, since 2010. He is also a member of the Executive Council and was the past Vice President of the Indian Society of Vascular and Interventional Radiology. He has published 18 papers and presented his work at many conferences.