neuropathic ulcers

Management

Aim

 

Stable, shoe-able plantigrade foot

 

Multidisciplinary approach

 

Multidisciplinary foot clinics (MDFC) 1st established UK 1980s

- shown to significantly reduce rate of diabetic amputations

- involve:

 

Endocrinologist +/- diabetic nurse

- glycaemic control crucial

 

Podiatrist

- non-surgical debridement

- orthoses