Why Diabetic Wounds Are Different
Three forces converge: neuropathy (you can’t feel the developing wound), microvascular disease (impaired healing), and immunocompromise (rapid infection). The result: a small blister can become a limb-threatening infection in days.
The Standard of Care
- Aggressive offloading with a total contact cast, removable walker, or surgical offloading shoe
- Sharp debridement at every visit
- Infection control - cultures, targeted antibiotics, and imaging for osteomyelitis
- Vascular optimization - non-invasive arterial studies, vascular surgery referral when indicated
- Glycemic control - coordinated with the patient’s primary care or endocrinologist
- Advanced therapies - bioengineered skin substitutes and growth factor preparations for chronic wounds
Limb Salvage
Even severe diabetic foot infections - including those involving bone - can frequently be managed with selective surgical debridement, partial-foot amputation, and reconstruction that preserves a functional, weight-bearing foot. Dr. O’Carroll’s training and patient volume in this area is the practice’s foundation.
Prevention Is Everything
Daily skin checks, properly fitted diabetic footwear, prompt evaluation of any callus, blister, or color change, and an annual comprehensive foot exam. The goal is to never have a wound at all.