ULCERATIONS

Once a medical history and examination of the feet and the lower limb (including vascular and neurological assessment) is completed, the causation of the ulceration can be determined.
Diabetes Mellitus, Rheumatoid Arthritis, Peripheral Vascular Disease, and postural overload due to a Neuromuscular Disease are a few conditions that can lead to ulcerations. All of these conditions are classified as “high risk” and are treated promptly and routinely.  Advice on home therapy and education on the presenting disease is given in an attempt to deter ulcers from forming.

CHIROPODIAL TREATMENT

• Regular appointments are scheduled to monitor the healing ulceration
• The area is debrided and dressed with appropriate antiseptics or antibiotics and sterile dressings
• Prescriptions and home treatment advice is given
• Temporary padding is designed for the shoe to distribute the weight evenly over the foot and away from the area of ulceration
• Permanent orthotics, total contact cast and/or surgical boots may also be used to alleviate pressure from the area
• Consultation with the family physician on the progression/regression of the ulceration and oral antibiotic therapy may be initiated

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