Wound Management & Diabetic Foot Treatment

If you have a wound or a sore that persists from a over three weeks to months, perhaps it’s time to see a doctor. At Motherhood Hospitals you’ll have access to the best in wound management from getting the right wound dressings to advice on care and nutrition and even advanced surgical intervention only when necessary.

In the care of chronic wounds like those that don’t heal due to physiological factors etc, our surgeons take a more comprehensive approach, investigating the root cause of infections, checking blood sugar levels and blood circulation, nutritional and medicinal intake. This helps to manage wounds by managing the optimal functioning of the body so it provides all that it needs to heal the wound, naturally (and to check recurrence) and with the help of timely and accurate infection control and wound care.

Wounds can be acute or chronic. Either way wounds must be treated and cared for on the advice of your doctor.

Acute wounds

These wounds are tissue damage cussed by trauma which may include those caused by surgical procedures,  by falls or accidents, exposure to heat electricity and chemicals or friction. These wounds are generally expected to heal normally and within a short timeframe, with the wound closing up when the healing is done.

Chronic wounds

These are wounds that haven’t healed by 3 months. These wounds get inflamed, and infected. They usually don’t heal for reasons that may be internal and external. Internal issues could be due to the use of certain medications,  poor nutrition or underlying factors like diabetes or poor blood circulation. External reasons could include inappropriate dressing selection or issues with moisture or aftercare.

Chronic wounds fall into three main categories:

1. Diabetic Ulcers

Diabetics are at the greatest risk of developing chronic wounds that if not attended to can lead to amputation.
Neuropathy or loss of feeling in the feet makes it possiblle that small cuts or trauma go unnoticed and risk infection. Poor blood flow to the legs makes it harder for wounds in the area to heal. The presence of diabetes compromises the body’s ability to fight infection and leads to progressive worsening of the wound.

With immediate medical intervention and wound care our  doctors draw up a therapy plan, helping you maintain control of blood sugar levels and ensuring you get adequate nutrition and to help the healing.

2. Venous leg ulcers.

A high percentage of leg wounds are caused by  venous leg ulcers. These thed to appear as uncontrolled swelling in the legs which get filled up with liquid. Blood flow back up the legs is poor, so they swell leaving the legs feeling heavy. The skin around the area may also harden and get discoloured.
Venous leg ulcers tend to recur and maintenance usually requires regular use of Compression garments like ACE bandages or compression stockings to prevent fluid collection and help keep future leg ulcers at bay. Any leg swelling should be evaluated by a physician because many conditions cause swelling- some, such as blood clots, require more extensive evaluation or treatment.

The other options are surgical and would require the attention of a vascular specialist.

3. Pressure Ulcers.

These can occur when pressure is constantly exerted on a particular body tissue over a period of time, or sometimes even over a few hours. The constant pressure compresses vessels that carry blood to keep the tissue alive, causing injury.
Patients confined to a bed or a wheelchair are at high risk of pressure ulcers.

The best treatment is to remove the pressure – turning or moving the body can prevent injury.  Some patients could benefit from special mattresses or additional cushioning.  

These treatments are day-care, out-patient procedures.