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A sore foot

An extract of the brochure „The diabetic foot syndrome“ by Dr. med. Karl Zink

 

Taking care of a sore foot

A sore foot should be healing quickly. Not only does a wound restrict your quality of life, but you also take a high risk of losing your foot by an amputation.

 

The wound isn´t the problem itself moreover does the adding infection of the tissue or even of the bone make it worse. The infection may spread all over the body and lead to a blood poisoning with fever, circulatory reactions and organ failure. An infection has to be treated with antibiotics immediately.

 

A local infection can be noticed by its reddening and heating of the wound and its surroundings, by its smell or coloring of its edges, by the discharge of pus or increasing cover.

 

Two considerations are important with healing:

  • The circulation has to be sufficient
  • The wound has to be without any pressure

 

Modern products are able to support the treatment, but they cannot compensate the deficit of pressure release or circulatory disorder.

 

Treatment of wounds

In order to heal, wounds have to be treated damply. Modern wound padding and bandages can be helpful; they do not have to be changed as often. Your doctor chooses the right bandage and the times for changing the bandages depending on the level of healing and the condition of the wound.

 

The person that changes the bandages must scrub one´s hands with disinfection and wear gloves. The wound and its surroundings have to be disinfected, unless it is already without any infects. By then just use Ringer´s solution or a damp compress to clean the wound. A short shower is possible as well.

 

Finally the wound has been healing

Although your wound has been healing, you still take a high risk of getting new wounds. One out of three patients suffers from a new wound in between the following 12 months! The smallest carelessness, wearing badly fitting shoes or an unknown even short strain could cause new wounds. Examples are abnormal jobs, such like floor covering or doing the gardening on your knees. These practical actions can lead to ulceration of the tip toes. Fruit picking on a declining area or extended hiking could cause detachment of the foot sole’s skin; even you wear a good fitting orthopedic shoe.

Permanent foot inspections have to be done by yourself

New wounds can easily arise. The neuropathia prevents the wound from being noticed. Therefore it is absolute necessary that you check your feet in a daily routine. If you aren´t able to do so anymore, you must ask your partner or relatives. Please contact your doctor or podologist in case of abnormalities.