How to Treat a Diabetic Foot Ulcer [Early Signs, Causes & Treatment]

[@Cper2000]

Doc, thanks for this. The saddest thing is unfortunately that there's so many other doctors that don't even begin to explain the basics you mentioned. I'm struggling with a family member at the moment and it's so frustrating that a great deal was avoidable with their injury. Here is my gripe, doctors know all about these case studies but they just can't be bothered to mention it to patients. that's the difference between having passion for your vocation and not.

[@susanroot1117]

I am 58 years old and have been a Type 2 diabetic for about 10 years. I have had a long, ongoing struggle with chronic ulcers(one on each foot). I have a great, well informed Podiatrist. To be truthful I have been my worst enemy by not keeping my blood sugars and A1C controlled. Surprisingly, my weight while not skinny is in the healthy BMI zone but I certainly wouldn’t be sad if I could lose another 20lbs(9.07kg). I also am a smoker 😞. I do have moderately good circulation to both feet. Coming across your video is so timely. I saw my PCP today and had a serious discussion about getting my blood sugar in control thru behavioral therapy and then to address my “smoking issue”. She doesn’t want me too cranky all at once I guess 🤷🏻‍♀️. I am going to call my wound Doctor tomorrow and schedule an appointment to discuss getting MUCH more proactive about offloading pressure from these wounds whether it be with a boot 🤞 or casting. It is time to get this situation under control after having one of these wounds in various stages of healing/decompensation for almost 5 YEARS!!! It is time to improve my overall state of health. You have pointed me in the correct direction to have a good discussion with my MD and what some of the important questions are to ask. Sorry this was so long but I am feeling a sense of hope that we can get these wounds healed. Thank You so much Doctor for your informational video. I look forward to watching others.

[@tigermeow99]

Thank you for uploading this video! This really helped my mom’s diabetic ulcer to heal. Her foot doctor did not even suggest offloading by using a boot. Wishing anyone who has a diabetic ulcer a quick recovery.

[@jungwooyaah108]

I hope my mom too🙏🥺

[@anthonyweaver4448]

It's TRUE. I recently lost my right big toe due to a diabetic ulcer. PAY ATTENTION.....

[@Vivian-Da-Artist]

This is one of the best videos about diabetic foot ulcers. I am diabetic. I'm sending your video to my new PCP and hope it will help her treat my foot. I have neuropathy in my feet but I also have tiny bug-like things, dust mites or carpet mites that are feeding on my feet because my skin is so sweet. Why can't the doctors see that and also treat the tiny microscopic bugs that are causing us so much pain? We need protection from that too. I can only hope and pray that you doctors will realize this and come up with an ointment that will kill the little critters and a medicine that will make our blood not taste so sweet to them. Thanks for your video and for caring. Let me know if what I'm writing about makes sense.

[@DrTomBiernacki]

Thank you so much vivian, check back soon, we will have a comprehensive ulcer audiobook out in a few weeks!

[@addiewilliams4644]

Thanks so very much. My Mom is a type II Diabetic. She has toe fungus on her large right toe. I took her to the Pediatrist for treatment. As a treatment for the fungus he began doing monthly toe nails clippings. The large to developed pressure point, the toe is not ulcerated. I am working hard to reduce any pressure on her foot in addition to foot massages. The boot would be an excellent help.

[@DrTomBiernacki]

You are a great fan, and we appreciate you! kzbin.info/www/bejne/qYHMmambiZiimZI This video might help as well. If possible, we would appreciate a quick review from you, and these make a HUGE difference for us! g.page/r/CSzlpzp7G82TEBM/review Thanks again for watching!

[@icu3869]

Your mom is really lucky to have such good care. Bless you

[@subzeromidnight5388]

I've suspected that I'm diabetic. I haven't being diagnosed but Now I've got a foot ulcer and I think my suspicion is true

[@jimhanson2860]

This is great information and will help alot of people. My only concern is that all this advice in this video will cost thousands and thousands of dollars and there are alot of people who don't have insurance, what are they supposed to do? The marvels of modern medicine can not be had without lots of money or really good insurance.

[@Deba7777]

This was very helpful, Doc, thank you!

[@DrTomBiernacki]

You are a great fan, and we appreciate you! If possible, we would appreciate a quick review from you, and these make a HUGE difference for us! g.page/r/CaxJ9b-O6o27EAg/review Thanks again for watching!

[@DrTomBiernacki]

If you are in Michigan, let us come see you for wound care: geni.us/WoundCareMichigan 🦶Thanks for subscribing!🦶 Also let us know what topics you want to hear about! For the shoes and orthotics recommended in the video: wp.me/p9imRX-54n

[@DrTomBiernacki]

If you are in Michigan and have diabetic foot problems, come see us! www.michiganfootdoctors.com/

[@7hilladelphia]

My son had it so bad. 6 months with doctor treatments no joy. He couldn't walk much to work off blood sugars. He had some one give him super strength Manuka honey, 1,300 strength. $65 for a small jar. He ate some but he plastered it on his foot which in 4 days started healing. He's walking an hour or more daily,eating more properly and has lost a little bit of weight. Quite the wake up call

[@DrTomBiernacki]

If you are in Michigan, let us come see you for wound care: geni.us/WoundCareMichigan

[@rajdihal6051]

Thank U for ur Help.. . I was getting very depressed with this situation. Going on almost 2 months with a foot Ulcer not healing. I'm a smoker and over weight ontop of being diabetic ! Ur video showed a clear message of dealing with this problem head on ! Following thru with all ur instructions, I'm gonna really try kicking this smoking ! Hope to see more of ur video that I'm a subscriber. Thank U again for what U do.

[@fatemakhatun4827]

Please make a video for how to dressing a diabetic foot and best medicine to use

[@DrTomBiernacki]

Absolutely! coming up soon! If reasonable, we would appreciate a quick rating from you, and a good rating makes a MASSIVE difference for us! g.page/r/CSudMUZfg68sEAI/review Thank you for being such a great fan; we appreciate you watching!

[@ogechiarase7011]

Thank you very much for this wonderful video

[@DrTomBiernacki]

Thanks for the great response Ogechi! We hope you have amazing results. kzbin.info/www/bejne/kHqTpHSEjql5bK8 This ankle strengthening video may help further. If possible, we would appreciate a quick & easy rating from you, and a good rating makes a BIG difference for us! g.page/r/CaxJ9b-O6o27EAg/review Thanks again for watching!

[@ateequrrahman6847]

Thanks for sharing good information 👍

[@DrTomBiernacki]

You are a great fan, and we appreciate you! If possible, we would appreciate a quick review from you, and these make a HUGE difference for us! g.page/r/CaxJ9b-O6o27EAg/review Thanks again for watching!

[@a-onedynamicengineeringent751]

Thanks you for uploading this video! very useful to me.

[@DrTomBiernacki]

Thank you for watching. If reasonable, we would appreciate a quick rating from you, and a good rating makes a MASSIVE difference for us! g.page/r/CSudMUZfg68sEAI/review Thank you for being such a great fan; we appreciate you watching!

[@bennyhansen5541]

Thank you for the video, it’s really helpful

[@hariharan6689]

Thanks for posting this video. How to prevent & what is the medicines dear Dr.

[@angielastermckelley2897]

My love one had surgery on both his feet at the same time. He is diabetic and a slow healer. It has been 8 months since he has been home, and I am not sure I can take care of them properly. I am scared for us. What exercise is good for him during this time of healing?

[@Vivian-Da-Artist]

I've asked podiatrists for some kind of boot and they argue with me. They do not listen and they don't believe us. They won't even cut my toe nails! I can't cut toenails myself, properly. This podiatrist is light-years ahead of most other podiatrists and should be teaching the others.

[@josephcarl3164]

And methods are used when I prevented wound to spread or growing easy can l use gauze, iodine, hydrogen, and bandage, thanks for you making videos about ulcer diabetes and others. Make the second video about how to clean ulcer diabetes. Thanks a lot

[@ahm7944]

Joseph, the wound can be prevent it from spreading by keeping it aseptic or sterilze. There is an antimicrobial insole called Podophylus that slowly releases iodine and keep s the wound sterile so it can heal. No infection, no extension, no amputation.

[@speaksoftlylove7988]

thank you alot !!!!!! these are really helpful information

[@DrTomBiernacki]

Glad it was helpful! You are a great fan, and we appreciate you! 😊❤🙏 If possible, we would appreciate a quick review from you; these make a HUGE difference to us! g.page/r/CaxJ9b-O6o27EBM/review Thanks again for watching! All the best to you!

[@marekgiedyk512]

Do you have anybody who treated this entirely ? I wasnt even a diabetic only pre. Now my glucose levels on empty stomach are good my weight is good i have my hair on feet but they are painful walking And dry.

[@clanier10]

Thank you for the information

[@DrTomBiernacki]

You are a great fan and we really appreciate you! Thank you so much for you amazing feedback and help growing our channel. Great fans like you are really what keeps us working hard and motivated to make better videos! If possible we would really appreciated a review from a great fan like you! g.page/r/CaxJ9b-O6o27EAg/review Thanks again for watching!

[@josephcarl3164]

Hi Michigan Foot Docter 🏥 l would like to know how cleaning the wounds ulcer of diabetes and

[@Dhspat]

Great video as usual ☘️☘️☘️☘️☘️

[@DrTomBiernacki]

Thank you! Cheers!

[@michaelb3138]

People. Please understand that this is a GLUCOSE RESISTANCE problem!!! Healthy Keto diet, for all those people in the early stages of diabetes, troduce Moringa into your diet. All of this is preventable!

[@clavo3352]

Thanks especially for the shoe advice!

[@DrTomBiernacki]

Thank you for supporting us! 😊❤🙏 If reasonable, we would appreciate a quick rating from you, and a good rating makes a MASSIVE difference for us! g.page/r/CZWo3fJqJrVpEBM/review Thank you for being such a great fan; we appreciate you watching!

[@kambingamilla986]

Thank you

[@DrTomBiernacki]

Thanks for the great response Kambinga Milla! If possible, we would appreciate a quick & easy rating from you, and a good rating makes a BIG difference for us! g.page/r/CaxJ9b-O6o27EAg/review Thanks again for watching!

[@Puppy_Puppington]

I ignored my health and I’m freaking because it’s finally at the point where I have to go into the hospital. I’m really scared. I can’t even get blood withdrawn without fainting and puking... now I’m risking foot amputations !? Goddamnit. Why didn’t I listen. Not only that but the us medical system/doctors are really dumb when it comes to opioids and people who are physically dependent on them. Since 2012 I been on them & methadone raises my tolerance a lot a few years ago because I was forced into it. And then I switched to street oxycodone or any street illicit opioids. But I kept my tolerance as low as I can and have a regimented schedule... I’m worried if I have to be hospitalized if they’re not going to let me take my daily meds... or not give me what I literally need to be okay... and if I get surgery too... I already know they’re gonna be assholes and I’ll be in such horrid pain with not enough medicine for it. It’s bad enough as it is. But they just have to add salt in the wound. My feet hurt and tingle and are so inflamed it is scary so I have no damn choice. Wish me luck I guess, internet

[@ahm7944]

There is an inexpensive shoe insole called PodoPhylus that worked very well in sterilizing the shoe/foot to prevent diabetic foot infections. No infection, no amputation. E..t..s..y has it.

[@richardking9445]

Thank's vary helpful

[@teresamcnulty8471]

Yeah, but treatment? My little ulcer is between my little toe and the next one. It's closed right now but I'm watching it.

[@DrTomBiernacki]

We appreciate you watching and contributing Althea! kzbin.info/www/bejne/kHqTpHSEjql5bK8 This video might help further! If possible, we would appreciate a quick rating (hopefully good), and it makes a HUGE difference for us! g.page/r/CaxJ9b-O6o27EAg/review We are working hard every day to make better and more meaningful content! This is what keeps us going for sure.

[@teresamcnulty8471]

@@DrTomBiernacki it just gives me stuff about sprains. But thanks.

[@minniedass8054]

Great info

[@DrTomBiernacki]

Thanks for the compliment, we appreciate you!

[@MohitKumar-nq9ul]

I am of 15 year I play football for my state I am one of best player in my state under 17 but I am overpronated and fell pain in inside of knee and soleus pain vary badly during running and now I am not able to play matches I want to ask that my football career is stopped and which treatment is best for me other than surgery

[@DrTomBiernacki]

We would love to help you with your foot and ankle problem, but a complex problem like this really does require in depth evaluation and imaging to make a proper diagnosis. We wish we could do more for you! We would be doing you a disservice with general advice for such an important issue. Your podiatrist or primary care doctor can likely help much more than we can in this instance. Thank you for watching and being a fan! We are working every day to help people with better education and information. If in the Michigan area consider coming to see us! www.michiganfootdoctors.com/

[@keatonspitzer1665]

Helpful,thank you

[@DrTomBiernacki]

Thank you for supporting us! If reasonable, we would appreciate a quick rating from you, and a good rating makes a MASSIVE difference for us! g.page/r/CZWo3fJqJrVpEBM/review Thank you for being such a great fan; we appreciate you watching!

[@leomawalker4354]

Yeah my husband is diabetic his foot look like that plus he is heart failure spread upper leg due not enough blood flow left arm he suffer gangrane lost right leg lot issue in body suffer stroke past away two year ago

[@DonnaRiggs-tt3hn]

Had one I cleaned it put raw honey on it lightly wraped it up changed this every other day let it air after every cleaning cleaning and changing it will take awhile but it will dry up and scab over like a dead skin don't wear any socks wear light weight loose shoes I prefer house shoes that are soft and wide.

[@marthagomez7335]

Use manuka honey

[@Avital4414]

Terrific video.

[@DrTomBiernacki]

Wow we really appreciate the kind words. great feedback like this is what really keeps us working hard to make better and more meaningful content. If possible we would really appreciated a review from a great fan like you! g.page/r/CaxJ9b-O6o27EAg/review Thank you for being such a great fan and we really appreciate you watching!

[@Avital4414]

@@DrTomBiernacki I’ve been watching all of your videos (catching up as I’m a new subscriber), and not only am I learning a great deal but I am finding you extremely motivating.

[@gopalsamykannan2964]

We want medicines name, video if dressing, not hour long, day long advice. Advice is vein.

[@patsybarretto5530]

Dear dr do u have any office or shoe shop in Goa because my brother have infection n wound for the toe finger

[@user-rv1hf9oi5e]

Hi Doc what shoes will you recommend for diabetic patients

[@DrTomBiernacki]

Ann, thanks for the great response! You may take a look at reviewed products: best shoes: www.michiganfootdoctors.com/podiatrist-recommended-shoes/ and other best products (including shoes and sandals): www.michiganfootdoctors.com/recommended-products/ If possible, we would appreciate a quick and easy rating from you, and a good rating makes a BIG difference for us! g.page/r/CZWo3fJqJrVpEBM/review Thanks again for watching! All the best to you Ann!

[@vhik_arsh]

Helpful

[@smokeysmith1282]

Needs to be a public service video commercial to fight obesity due to sugar and overeating. 😬😬😬

[@JailGuide]

This is all great info if you can afford it...

[@DrTomBiernacki]

Info is free 😁, but sometimes individualized care is not. Good luck and we wish you to find a great doctor!

[@hadifelegpsaf6952]

I am watching this video from South Africa, Johannesburg. My big toe is itchy underwear, and its daily. Can you please assist if i should e worried?

[@DrTomBiernacki]

Thank you for supporting us! If reasonable, we would appreciate a quick rating from you, and a good rating makes a MASSIVE difference for us! g.page/r/CZWo3fJqJrVpEBM/review Thank you for being such a great fan; we appreciate you watching!

[@susansimpson3395]

Can you comment on leg ulcers in diabetic?

[@DrTomBiernacki]

Absolutely, check out this video: kzbin.info/www/bejne/epTbg2l3ia-Fias If possible, we would appreciate a quick rating (hopefully good), as it makes a HUGE difference! g.page/r/CSzlpzp7G82TEBM/review We are working hard every day to make better and more meaningful content! This is what keeps us going, for sure.

[@FolakeBamigboye]

Times used to be very Challenging, I had the worst days of my life living with type 2 diabetes, I appreciate you so much Dr Igudia, You have restored me my life that was lost already . Thank you so much for curing me of my diabetes with your natural Herbs

[@Darealdopegirl]

Please use the information, its awful to hear all around the world that every 15 minutes that someone loses their feet to diabetes. Be in control of your life , control your blood sugars. Monitor your feet. Do not self treat yourself please. Keep your foot well moisture, dry between your toes. Visit your podiatrists often to help take care of your ankle and foot disorders. Callouses, hard nails, inner foot soles. This is just to name a few. Eat healthy, stop smoking, stop walking around with no shoes.

[@DrTomBiernacki]

Wow thank you for saying that. But absolutely, I have PTSD from all the limb loss and carnage. I estimate atleast 1,000+ of these surgeries personally unfortunately.

[@drd6893]

I had a cast on my foot and ankle from a nasty muscle tear in my ankle. The cast was causing pain in my toe, ortho doc said well it’s going to hurt But it got worse He finally took the cast off I now have a HOLE in my toe And it’s to my bone He’s not helping me. Its so bad, and no matter what i do, it is just lasting and won’t heal The ointment keeps the hole in my toe wet. So wet toe and the hole remains I’ve prevented infection But it won’t Close up!!

[@drd6893]

2 years later and they took my toe I have had a back fracture and have very severe spinal stenosis with nerve pain. Not diabetic but still painful nerve damage and tight muscles with atrophy Losing my great toe causes me to be off balance and causes uneven pressure. Other area of my foot are overcompensating for my right great toe loss And my L4-L5 were crushed and herniated discs. Range of motion is limited and painful tight from tailbone down to toes This can all happen to u as well if you are like me. I’m young too! Just severe spinal cord injury and spinal stenosis disease that is my spine getting very narrow and crushing my nerves. Leading to pain and its almost comical how neuropathy cause numbness but we still feel that horrific pain I like this pediatrist , hes being very helpful and very honest. Not judgmental. Pls don’t lose ur feet and legs. Take his advice bc you can lose so much more than a right great toe like me. My surgery has been postponed to start decompression of my spinal stenosis bc of too many complications Its everything and its ur life too. Check ur feet daily. If u can soak ur feet Thats so great! Definitely do that. Keep ur skin on ur feet soft and flexible and you’ll have much healthier skin and it wont crack open and start an ulcer ❤❤❤

[@Anoptimisticboynaveen]

I lost my mom due to this😢

[@user-qs5uk3gz2m]

Моему мужу никто такого лечения не предлогал,какие мази можно использовать при лечении язвы на пятке?

[@carolsuepope2837]

Use Manuka honey on wounds!

[@hirmaniemathura6988]

What is the cost of the diabetic boots

[@hirmaniemathura6988]

My husband has an diabetic sobre over 1 year that is not healing what treatment can be use

[@Therealgirlinthedesert]

This video scared me to death. How are we supposed to go see a pediatrist? Or doctor if we don’t have insurance. My husband was laid off and we have no money. I guess go to ER. I have infection in foot and I can tell there’s a puss filled pocket. Foot red and looks infected. Scary.

[@marienguessan8520]

How is it going now? Rush to the ER, they may help you with filing for some coverage. I am sorry

[@Therealgirlinthedesert]

@@marienguessan8520 I did. Thank you! Husband finally rushed me and I’m so relieved I did. Was abscessed and I could’ve lost my foot quickly. Found it just in time. Spent a week in the hospital. They sent me home Christmas Eve they goodness. I don’t ever wanna go through that again, I was so scared. And thankfully, they picked me up with insurance once I was there. ❤️❤️❤️Thank you so much for being concerned.

[@marienguessan8520]

@@Therealgirlinthedesert oh great! I am so happy for you. Take care and heal fast 🙏🏿❣

[@Therealgirlinthedesert]

@@marienguessan8520 Thank you so so much! 🙏🏼

[@ahm7944]

There is an inexpensive shoe insole called PodoPhylus that worked very well in sterilizing the shoe/foot to prevent diabetic foot infections. No infection, no amputation. E..t..s..y has it.

[@jesskennethatarle7540]

if its okey to cut the blood

[@chrisreed26]

I'm soo scared.. I woke up one day to a bunionette or tailor's bunion on my right foot pinky toe side..I was like what in the world? Bunions are for old ladies!! Then a few days later it looked dark/black and a sore was there!!! Now I have an ulcer I guess..a yellow callus looking area on my foot and I took a new razor blade and cleaned up any dead skin and it smelled DEAD!!! GROSS!! OMG this came off my body? Crap! I'm in trouble! I knew I had unmanaged diabetes type 2 high blood sugar but never a sore! No insurance either! I remember that as a kid my parents used Iodex or black salve for wounds and it worked wonders so I mixed my own as they dont sell it in stores now only online. I mixed Vaseline with iodine..It seemed to help some but last night I did it and woke up to a foul smelling wound that was more wet..Maybe I will try those Iodine bandages with iodine beads that open to release iodine when they come in contact with wetness such as puss...I can't just go to the ER and rack up a $$$ bill!!! It's not free care to just show up!!! ugh this really sucks!!

[@jon2849]

You lose your toe?

[@fredmonroe6042]

My insurance,which eats half my paycheck. Doesn’t pay squat. My crow boot will cost about 2500 bucks. I’m the injured working poor it sucks.

[@dayaodiana7089]

Sab po ng papa tingin ng may diabetic foot ulcer

[@ajuobasi548]

God bless now and always Dr Igudia. And I really wanted to say a very big thanks for helping me cure my Type 2 diabetes I thought it was the end until I meant you keep saving lives doctor.

[@DrTomBiernacki]

You are a great fan, and we appreciate you! If possible, we would appreciate a quick review from you, and these make a HUGE difference for us! g.page/r/CaxJ9b-O6o27EAg/review Thanks again for watching!

[@mariedemosthene8381]

Do you have a number. I can call the office for an appointment?

[@DrTomBiernacki]

Thanks for the great response! If possible, we would appreciate a quick & easy rating from you, and a good rating makes a BIG difference for us! g.page/r/CaxJ9b-O6o27EAg/review Thanks again for watching!

[@DrTomBiernacki]

We are called Prime Foot & Ankle Specialists in Berkley Michigan, feel free to look us up on google maps.

[@stephenokwori1882]

My heart just keeps thanking you and thanking you Dr Igudia for all you have done for me, you gave me your words that you could heal any sickness or disease, thank you for permanently curing me of my Type 2 Diabetes you are amazing.

[@DrTomBiernacki]

Thanks!

[@russy59ry]

Fasting is the key to beating diabetes! Eat only to live never live to eat

[@maclover1524]

type 2 diabetes is a condition of your lifestyle and environment. Have loads of carbs and you are just asking for t2d! Stop eating too many carbs for your own pancreas to handle and the t2d clears up - you re right about fasting as well.

[@meow7253]

Can't beat type 1

[@jsmilers]

HOW DARE YOU try to alarm people, talking about possible amputation and such. I have worked in podiatry for 19 years and have yet to see a foot amputation stemming from a foot ulcer.

[@DrTomBiernacki]

You have never seen an amputation from an ulcer?

[@DrTomBiernacki]

Are you saying ulcers don't lead to amputations, I am confused...

[@DrTomBiernacki]

www.mayoclinic.org/diseases-conditions/diabetes/in-depth/amputation-and-diabetes/art-20048262#:~:text=Most%20lower%20leg%20and%20foot,at%20higher%20risk%20than%20others. Check out the first line, almost every single foot amputation begins with a foot ulcer, I mean saying otherwise is lying to people...

[@DrTomBiernacki]

"Most lower leg and foot removals begin with foot ulcers. An ulcer that won't heal causes severe damage to tissues and bone. It may require surgical removal (amputation) of a toe, a foot or part of a leg. Some people with diabetes are at higher risk than others. " These are direct quotes from official sources

[@FolakeBamigboye]

Times used to be very Challenging, I had the worst days of my life living with Diabetes, I appreciate you so much Dr Igudia, You have restored me my life that was lost already . Thank you so much for curing me of my diabetes with your natural Herbs