The best person to treat your diabetic ulcers is your local podiatrist. They specialize like no one else in the care of the lower leg and foot ulcers. They can also provide you with preventive tips and treatment.

Published on Jul 11, 2012

Have you ever had a venous reflux study done to see if the leg ulcers are due to venous insufficiency? That is the first step if not already done.

Published on Jul 11, 2012

You need a formal consultation with a vein specialist.

Published on Jul 11, 2012

See a board certified vascular surgeon. The vascular surgeon will be able to assess your arterial and venous circulation, and advise as to whether you're a candidate for surgical procedure. Not all ulcers heal by just closing the veins.

Published on Jul 11, 2012

I would recommend an evaluation by a vascular surgeon – an ultrasound examination.

Published on Jul 11, 2012

Diabetic ulcers are managed with a team approach by consulting a podiatrist and vascular surgeon. Compression is reserved more for venous stasis ulcers or swelling.

Published on Jul 11, 2012

What you do depends on whether your ulcers are diabetic-related or vein-related. If they are venous ulcers, then we can address the vein disease issue and fix the ulcer permanently. If the ulcer is diabetic-induced, then you need to work with your pcp to control your dm and address your arterial insufficiency issue, which would be the driving force behind the ulcer.

Published on Jul 11, 2012

Diabetic patients sometimes have ulcers related to the arteries, and sometimes due to problematic veins. It's important to sort this out. After a good history and physical exam, it there is suspicion of a venous problem, the next step would be to get a high quality duplex ultrasound of your leg veins at a dedicated (hopefully well reputed) vein center. Then your doctor should explain to you the findings and discuss with you your treatment options.

Published on Jul 11, 2012

You need to be seen by a vascular specialist soon. It is important to get further testing.

Published on Jul 11, 2012

Pure diabetic ulcer and diabetes with venous ulcer require different management. You have underlying problem of diabetic neuropathy, microarterial blood supply problem or vein problem. You need a clinical exam and arterial as well as venous duplex ultrasound and other investigations for a diagnosis and treatment plan.

Published on Jul 11, 2012

You need to seek consultation with a vascular surgeon. Leg ulcers in diabetics are dangerous and need aggressive diagnosis and management. They can be from a variety of etiologies that will need to be addressed by the proper physician.

Published on Jul 11, 2012

A diabetic with leg ulcers is prone to infection and severe leg complications. You need to find the reason for the ulcers and then treat them appropriately. There are many causes of diabetic ulcers including arterial, venous and local wound problems. See s vascular surgeon for a full vascular evaluation.

Published on Jul 11, 2012

It all depends on the cause of these ulcers. Ulcers can be caused by venous stasis which typically is treated with compression therapy as well as evaluation with ultrasound to determine etiology of the venous insufficiency and possible ablation of these veins.

Ulcers related to diabetes can be from underlying arterial causes which may need to be evaluated by an arteriogram and possible angioplasty or stenting. If they're diabetic pressure ulcers, then would need medical and conservative management.

Published on Jul 11, 2012