Welcome to the Podiatry Arena forums, for communication between foot health professionals about podiatry and related topics.
You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members (PM), upload content, view attachments, receive a weekly email update of new discussions, earn CPD points and access many other special features. Registered users do not get displayed the advertisments in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!
If you have any problems with the registration process or your account login, please contact contact us.
dear all,
60 years old patient with bilateral plantar heel ulcer over a period of 2 years duration. both plantar heel ulcer round in shape and measures 4 cm in diameter with 2 cm depth.active discharge present. patient has been on regular dressing for long time but no response. i would like expert opinion regarding management of this patient
Suresh,
you need imaging (plain film and/or CT) to rule out bone involement.
Is the patient ambulatory? What is footwear like? What other eitiologies are involved? Diabetes, PVD, infection etc. May need revascularisation, debridement (conservative or surgical), off loading etc.
What dressings have been used in the past? We tend to use either cadaximer iodine or silver based dressings on the stage 3-4 heel pressure ulcers that we encounter
__________________ Stephen Tucker Eastern Health
Podiatry Manager
I am assuming patient is diabetic? I have used PRAFO (pressure relief ankle foot orthoses) with patients with ulcerated heels previously with some success. These are primarily for night time usage but can also be used during the day. I have also used the aircast boot but you need to be careful with compliance as it can be a bit difficult to don. Is the patient amblulant, if so what footwear is he wearing. Is he on crutches?
Bilateral heel ulcers
Linear Mode
