Diabetes is a disease in which one’s blood sugar levels are higher than the normal range. Foot problems are very common in people with diabetes as high blood sugar damages the nerves and blood vessels in the feet.

The nerve damage is called diabetic neuropathy and it causes numbness, tingling and pain. As the neuropathy advances it leads to loss of sensation in the feet.

Complications in the diabetic foot are mostly caused by a triad of ischemia, diabetic neuropathy, and infection. Foot ulcer complications are the main reason why people with diabetes are hospitalized and have to undergo amputations.5-8% of patients will undergo a major amputation 1 year after developing a diabetic ulcer. Due to diabetic neuropathy patients do not have the protective sensation in their feet. Thus the patient will not feel any trauma, like stepping on something sharp or wearing tight shoes. This could lead to continuous tissue damage, ulceration, foot deformities, increased plantar pressure, and infection. In the diabetic foot peripheral arterial disease (PAD) is seen as the primary cause for vascular impairment.

The risk of developing PAD is increased with diabetes and ischemia is considered the biggest culprit of delayed wound healing. Diabetic neuropathy and ischemia combined is called neuroischemia and in these cases wound healing is affected by the severity of ischemia.

Amputation Surgeries- Unfortunately sometimes the last resort of treatment is amputation in diabetic foot management. Amputation is needed when there is gangrene of the affected part and without amputation infection may spread to healthy tissue or may spread through blood and may cause septicaemia and is a life threatening situation. We have a decade of experience in amputation surgeries with superior outcomes.