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                 FOOTULCERATION.COM
 I would like to open up a discussion format regarding various possible etiologies and to also mention about some diagnostic modalities available. Ulcers can have various causes from systemic starts for example diabetes and syphillus,  biomechanical etiology, infectious causes, vascular and neurologic causes resulting in a neurotrophic
type of ulcer, ischemic non infected ulcers. Just because an ischemic
ulcer does not show any signs of infection perhaps there is not
enough circulatory flow present to manifest the cardinal
signs of an infection such as tumor, rubor, callor, pain and loss of function.
           

I believe that with a foot ulceration there may be too much of an emphasis on the ischemic index. The question that I am hoping someone will contribute an answer to is: Isn't the TCPO2 studies
more useful than the ischemic index in determining the healing
potential of a foot ulcer?
                     For a foot ulceration  I believe a team approach can be beneficial and should include a referral to a vascular specialist.      
                                I feel offloading of the foot ulceration is needed. No matter how much antibiotics a patient is given to attempt to treat an infected ulcer,possible destructive forces that are making the ulcer worsen still must be dealt with.

I BELIEVE IT IS IMPORTANT TO FIND OUT ABOUT THE USE OF SILVER DRESSINGS AND OTHER TYPE OF DRESSINGS ON FOOT WOUNDS :        
                                                          
                           

I GENERALLY TELL MY PATIENTS TO NOT WEAR SHOES THAT ARE TOO TIGHT

BELIEVE DIABETIC FOOT ULCER DIAGNOSIS AND TREATMENT IS A TEAM APPROACH             



REFER WHEN NECESSARY


IF SOMEONE HAS POOR CIRCULATION IN THEIR FEET GENERALLY, I BELIEVE THEY SHOULD BE REFERRED TO A VASCULAR SPECIALIST. IF SOMEONE HAS SWOLLEN FEET, THEY SHOULD BE TOLD IF THEY ELEVATE THEIR FEET TOO HIGH, THIS COULD IMPAIR CIRCULATORY FLOW TO THIER FEET. MOST IMPORTANT OF ALL, DO NOT RELY ON ANY ADVICE FOR TREATMENT FROM THIS SITE. BE SEEN IN PERSON BY A PODIATRIST OR A MEDICAL DOCTOR THAT IS LICENSED TO TREAT THE FEET.


                    
WARNING: DO NOT CLICK ON THE LINKS BELOW UNLESS YOU ARE 21 YEARS OR OLDER AND YOU
ARE A PODIATRIC MEDICAL STUDENT OR A MEDICAL STUDENT OR A PODIATRIST OR A PHYSCIAN.
click here and below only if you are a podiatric medical student or a physician: ULCER PRE DEBRIDEMENT
ULCER POST DEBRIDEMENT
I have to ask every podiatrist and other health care professional the following question: If there is a suspicious foot lesion why not biopsy it? I also have to ask one more question. Isn't it important  a podiatric specimen to be seen by a dermatopathologist? I only heard good things about Bako Pathology services and they were recommended to me by a podiatrist who was one of my teachers. I recently read a newsletter by Bako Pathology Services and I am interested in trying their services. Their telephone number is 877 376-7284.
Listed are only a sample of some sites that may possibly relate to footbiopsy.com
http://www.dermatopathologist.net
http://www.woundcarepractice.com
http://www.woundcareoffice.com
http://www.woundcarepodiatrist.com
http://www.woundcarepodiatrists.com
http://www.woundcarephysician.com
http://www.footwoundcare.com
http://www.footulcercare.com
http://www.footulceration.com
http://www.footbiopsy.com
http://www.footskin.com
http://www.footpathology.com
http://www.onychomycotic.com