The Importance of Offloading Diabetic Foot Ulcers
By: PPMA Board Member Jan Golden, DPM
Polyneuropathy, peripheral arterial disease, structural foot deformities, repetitive micro-trauma, and elevated plantar pressure are all risk factors that contribute to the development of diabetic plantar ulcers. The gold standard for diabetic foot ulcer treatment includes debridement of non-viable tissue, management of infection, revascularization procedures if indicated, controlling blood sugar, proper nutrition, and offloading the ulcer. Adjunctive therapies have also been useful, such as hyperbaric oxygen therapy, advanced wound care products, and negative-pressure wound therapy.