Treatment of diabetic foot

Permanent treatment of diabetic foot 2023

Many people with diabetes suffer from diabetic foot, and if they neglect the treatment, this will lead to amputation of the leg or foot.

What are the risk factors for diabetic foot ulcers?
- Wearing tight shoes or walking around barefoot.
- Peripheral vascular disease.
- Genetic factors.
- Smoking and drinking alcohol.
- Excessive pressure in the feet.
- Frequent foot injuries.
- Bruises and burns.
- Not paying attention to the hygiene of the feet.
- Loss of feeling in the limbs as a result of peripheral neuritis which leads to loss of sensation of any pain.

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How does the injury occur?
The high level of glucose in the blood can affect the sensory and motor nerves due to not producing enough insulin in the body or the inability to use it properly, which leads to losing the feeling of the feet and causing problems to the feet.

What are the symptoms of diabetic foot?
- Loss of feeling in the feet.
- Loss of feeling of heat or cold in the feet.
- Symptoms of tingling and numbness in the patient's feet.
- Delayed healing of wounds on the feet.
- Swelling of tissues in and around the affected area.
- The color of the skin on the patient’s feet turned blue, which is an indication of the inability of blood to reach the legs.
- An increase in body temperature.
- Fluids come out of the patient's feet and have an awful odor in the affected area.
But not all patients feel the symptoms, as many of them have neuropathy, so they do not feel pain, and some patients may suffer from the inability to walk or move, and the disease is usually discovered by a daily examination of the feet, and regular follow-up of wounds to avoid any infection with it.

Services of Dr. Waleed El-Daly Center for Diabetic Foot Treatment:
There are many services are provided at Dr. Waleed El-Daly Center for diabetic foot patients, such as:
- Examination of the foot, and choosing the most appropriate method of treatment.
- Give many pieces of advice and instructions which are necessary for the care of the feet during the treatment of diabetic feet.
- Follow up with the patient periodically to avoid any complications.

Treatment of diabetic foot ulcers:
- Controlling blood glucose levels is very important in cases of diabetic foot ulcers.
- Reducing pressure on the feet and reducing walking on the affected foot until the end of the treatment.
- Use of antibiotics to treat infections, and keep the feet dry is very important in treating diabetic foot patients.
- Clean wounds and remove dead tissue.
- Use dry dressings to help wounds to heal faster.
- Taking medications that help prevent blood clotting and medications that help improve blood circulation and increase blood flow to the legs to help minor wounds and ulcers to heal faster.

How to take care of diabetic foot ulcers?
Diabetic foot ulcer needs special care and these instructions must be followed:
- Avoid walking barefoot and wear appropriate shoes and cotton socks.
- Examine the feet daily and make sure that there are no wounds, ulcers, or changes in the color and texture of the skin.
- Do not use hot water and wash your feet with warm water and soap.
- You must keep your nails clean and trim them appropriately.
- Make sure to follow up with your doctor regularly.
- Maintaining blood glucose levels.
- Early detection of neuropathy, and peripheral vascular diseases.
- Avoid neglecting the treatment of minor wounds to prevent the spread of bacteria into the tissues.

Surgical intervention for treatment and when?
Doctors resort to surgical intervention to treat diabetic foot in advanced cases, which are also in degrees:
- In the beginning, surgical intervention can be limited by removing dead tissue to prevent the spreading of infections, and in cases of abscess in the foot to prevent reaching the amputation stage.
- Surgical interventions to treat the peripheral arterial and vascular occlusion. The doctor can resort to peripheral vascular unblocking surgery through a therapeutic catheter or stent to maintain adequate blood flow supply to the feet.
- When the spread of gangrene is out of control, doctors resort to doing amputation of the foot, In some cases, the amputation is for the big toe only, but in some cases, the amputation may be extended to the foot in a state of the spread of Infection to prevent spreading of gangrene in the legs and body.

Dr. Waleed El-Daly is considered the best vascular surgeon in Egypt and the Arab world, especially in the treatment of occlusion of the arteries of the leg and diabetic foot, and the treatment of gangrene of the foot with the latest scientific standards by using stents, peripheral catheters, and following all treatment methods of the diabetic foot to avoid amputation.

The best doctor for the treatment of diabetic foot and gangrene of the foot:
Dr. Waleed El-Daly is considered one of the pioneers in the treatment of diabetic foot gangrene and the best doctor for the treatment of diabetes and other diseases in vascular surgery in the Arab world, Dr. Waleed Al-Daly holds a Ph.D. in vascular surgery in 2010, he also holds a fellowship from the Royal College of Surgeons in England in 2009, a fellowship at Kiel University in Germany for dilating peripheral arteries by therapeutic catheters, Colin University Fellowship in Germany for Aortic Aneurysms, and Master of Surgery in 2005.

Dr. Waleed El-Daly's Work Experience:
Dr. Waleed El-Daly worked throughout his career in many hospitals, such as:
- Worked at Freeman Hospital in Newcastle, England, from 2014 to 2015.
- Worked at Royal Sussex County Hospital from March 2015 to March 2016.
- Worked at Addenbrookes Hospital, Cambridge University Hospital, from 2016 to 2017.
- Training at Saint Fransizcus Hospital, Germany, 2013.
- Training at Park Hospital in Germany in 2012.
- Training at Methodist Texas Hospital in the United States, in September 2011.