Understanding Foot Ulcers

We’re diving into a topic that might sound a bit daunting but is super important to understand: foot ulcers. Whether you’re reading this for yourself or someone you care about, we’re here to shed some light on what causes foot ulcers and how they can affect your feet.

What Are Foot Ulcers?

Foot ulcers are open sores or wounds that can develop on the feet, usually due to a combination of factors like pressure, poor circulation, or trauma. They can range from small, shallow sores to deeper wounds that affect the layers of skin and may go as deep as the bone or joint. While they might seem like a small issue at first, foot ulcers can be a big deal if left untreated. But, as with any condition, if the root cause is identified early then the right treatment plan can be implemented and the wound will have the best chance possible to heal. 

What Causes Foot Ulcers?

There are a few common culprits behind foot ulcers. 

  1. Pressure Wounds: Also known as pressure ulcers or bedsores, these occur when constant pressure on a specific area of the foot reduces blood flow to the skin. This lack of circulation can cause the skin to break down and form an ulcer. Pressure wounds often affect people with limited mobility, those who wear tight shoes for extended periods or those with foot deformities that create areas of high focal pressure.
  2. Vascular Insufficiency: This fancy term refers to poor blood flow in the arteries. When your arteries aren’t delivering enough oxygen-rich blood to your feet, it can lead to tissue breakdown and therefore ulcers. People with conditions like peripheral artery disease (PAD) are particularly at risk.
  3. Venous Insufficiency: This occurs when the veins in your legs have trouble sending blood back to the heart, causing blood to pool in the lower extremities. This pooling can lead to increased pressure in the veins and surrounding tissues, resulting in ulcers. 

How Podiatrists Can Help

If you’re dealing with a foot ulcer, it’s crucial to seek professional help. Below are some of the ways we can help the healing process:

  1. Wound Care: This includes cleaning, debriding not viable tissue, and dressing the ulcer to promote healing and prevent infection. 
  2. Dressings: Choosing the right dressing is essential for protecting the wound and aiding in recovery. 
  3. Low-Level Laser Therapy (LLLT): This non-invasive treatment uses laser light to reduce inflammation, stimulate cell growth, and accelerate healing. To learn more about laser visit out Low Level Laser page that goes into detail. 
  4. Offloading: Reducing pressure on the affected area is key to healing, especially if it’s a pressure wound! We may recommend special shoes, insoles, or devices like offloading boots to take the weight off the ulcer and promote better blood flow, or simply add padding to the foot or shoes to minimise pressure on the wound.
  5. Referrals: In some cases, we might refer you to other healthcare professionals, such as vascular specialists or wound care centres, to ensure you receive comprehensive care.

Foot ulcers can be a bit scary, but with the right care and support, they can heal effectively. If you notice any unusual sores or wounds on your feet, it’s always best to consult a podiatrist sooner rather than later. 

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