Treatments For Diabetic Foot Ulcer Of Metatarsal

Treatments For Diabetic Foot Ulcer Of Metatarsal

The diabetic foot is prone to major problems. This is because the foot is the "organ" that expresses many of the underlying effects of diabetes. These are: (1) neuropathy, (2) vascular disease, and (3) diminished response to infection.

As a result of the neuropathy, the foot can become deformed. This happens through two routes or reasons. The first is that the neuropathy causes paralysis of small muscles in the foot, which results in clawing of the toes. Clawing of the toes causes prominence of the metatarsal heads on the bottom of the foot as well as the knuckles on the dorsum or top of the foot. The neuropathy also causes diminished sensation. As the prominent metatarsal heads on the plantar or bottom of the foot are subjected to increased pressure, the skin will begin to hypertrophy and become callused.

The callused skin can be subjected to shear forces. The forces will cause a separation between the layers of the skin, which will fill with fluid, which can then become contaminated and infected. The pressure can also cause primary breakdown of the skin in these areas, and the result is a foot ulcer. Once the initial breakdown and contamination occurs, the foot then can go on to significant problems because of infection.

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