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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for foot ulcer

Hi, may I answer your ohealth queries right now ? Please type your query here... Plan of care that outlines medical management, surgical management and mechanical management (like Offloading the affected foot) in Open Ulcers? Nature of Patient: Female, 49, Type 2 Diabetes for 7 years, Bilateral Great toe ulcers, Non healing for last 1 year. Right: 2 cm * 1cm, Left: 3 cm* 2 cm Margins: Irregular Depth: Right: ½ cm, Left: ¾ cm Findings: HbA1c: 9%, Vibration Perception Threshold (VPT) & Hot and Cold perception (HCP): Grossly Impaired, Doppler: Normal, Ankle Brachial Index (ABI): Right- 1.01, Left- 0.92 1)What are the other information do u require from the patient? 2)what is the primary goal of treatment for her? 3)Do u think her diabetes control is adequate, and if not what might you suggest? 4)What teaching would you do with this patient? 5)What are the plans regarding treatment of the ulcer?
Tue, 27 Apr 2021
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Orthopaedic Surgeon 's  Response
Hello,

Non healing ulcers of the foot due to diabetic neuropathy can be treated by a podiatrist. You need proper surgical debridement for healing.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Praveen Tayal, Orthopedic Surgeon
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Suggest treatment for foot ulcer

Hello, Non healing ulcers of the foot due to diabetic neuropathy can be treated by a podiatrist. You need proper surgical debridement for healing. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopedic Surgeon