Neuropathic Ulcers

Epidemiology

Diabetic neuropathic ulcers usually develop over areas of pressure (mal performans)

ABI is not always useful due to falsely elevated readings due to arterial calcification.

Toe pressures may be taken, but require specialized vascular laboratories.

Cultures are not normally helpful as plymicrobial growth is common.

Debridement is required, followed by antibiotic therapy. Off-loading is required to remove pressure from affected areas.

Vascular supply is generally adequate for healing