WHAT IS DIABETIC ULCER

A diabetic ulcer is a chronic wound, commonly occurring on the lower extremities of individuals with diabetes, caused by poor circulation, nerve damage, and impaired healing. High blood sugar levels damage blood vessels and nerves, reducing blood flow and sensation, which can lead minor injuries to escalate into serious ulcers.

TYPES OF DIABETIC ULCER (WAGNER CLASSIFICATION)

  • Grade 0: No open ulcer; may have pre-ulcerative lesions
  • Grade 1: Superficial ulcer without underlying involvement
  • Grade 2: Deep ulcer involving skin and subcutaneous tissue
  • Grade 3: Ulcer with deep involvement, including bone or abscess
  • Grade 4: Gangrene in the forefoot, may require partial amputation
  • Grade 5: Extensive gangrene necessitating full foot amputation

SIGNS & SYMPTOMS

  • Open sores that heal slowly
  • Deep, crater-like wounds
  • Yellowish or greenish discharge
  • Redness, swelling, or inflammation around the ulcer
  • Pain or tenderness at the ulcer site
  • Foul odor from the wound
  • Calluses or thickened skin around the affected area
  • Loss of sensation, making injuries hard to detect
  • Changes in skin color or texture around the ulcer

CAUSES

  • Nerve Damage (Neuropathy): High blood sugar damages nerves, reducing sensation and making injuries hard to detect
  • Poor Circulation: Reduced blood flow in diabetes hinders wound healing
  • Trauma: Minor injuries may escalate into ulcers due to impaired healing
  • Infection: Poor hygiene or untreated ulcers can lead to infections and complications

TREATMENT AT SANJEEVANAM AYURVEDA HOSPITAL

At Sanjeevanam Ayurveda Hospital, diabetic ulcer management is approached holistically, focusing on wound healing, improving circulation, and diabetes control. Key Ayurvedic treatments include:

  • Wound Care: Use of Jatyadi Taila and herbal poultices to cleanse the wound and promote faster healing.
  • Herbal Medications: Anti-inflammatory herbs like Haridra (turmeric), Neem, and Guduchi help reduce infection and support tissue repair.
  • Raktamoksha (Bloodletting Therapy): This blood purification therapy uses methods like leech therapy or venesection to improve blood circulation and remove toxins. Raktamoksha can help prevent infections and enhance wound healing by improving local blood flow to the ulcerated area.
  • Panchakarma Therapy: Detoxification treatments to eliminate body toxins, support circulation, and promote healing from within.
  • Diet and Lifestyle Modifications: Customized pitta-pacifying diet and lifestyle guidance to manage blood sugar and reduce inflammation.
  • Stress Reduction: Yoga and meditation to alleviate stress, supporting overall wellness and blood sugar stability.

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