4 Reasons Why Foot Wounds Don't Heal
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- เผยแพร่เมื่อ 31 พ.ค. 2024
- Here is a video that explains the four main reasons why foot wounds don't heal quickly.
TIMESTAMPS
00:00 - Introduction
00:20 - High Blood Sugar and Poor Nutrition
01:19 - Poor Blood Flow
03:07 - Deeper Infection
04:44 - Pressure
9:10 - Outro
Here are more free resources about foot wounds.
1) Free Course on Foot Wounds - centralmassachusettspodiatry....
2) Free Book on Wound Healing - drpelto.com/free-books
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DISCLAIMER:
Dr. Donald Pelto received his Doctor of Podiatric Medicine degree from Scholl College of Podiatric Medicine in 2006. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Pelto is a licensed podiatrist in Massachusetts. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Pelto and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. The Healthy Living, Heal My Foot Wound Fast and Dr. Donald Pelto, DPM are not liable or responsible for any advice, course of treatment, diagnosis or any other information, services or product you obtain through this video or site.
📣QUESTION: What do you think is the reason why your wounds don't heal?
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,may I talk to you Doctor?
I would like to share knowledge with you.
I would like to send you medicine can fast heal for diabetic ulcer,so that you can try.
Very good information here. Thanks. I had a number of foot wounds after wearing new shoes which got worse and wouldn't heal. I used sugar and honey which seemed to clean up the wounds, but in the end antibacterial powder completed the healing.
Spot on. thanks for the information. Wish I was told this the first day I went to the DPM and was told i had a diabetic ulcer on my big toe. He took an x-ray, gave me an antibiotic and some toe foot doughnuts for off loading and said it should be healed in a week or two. came back in two weeks and the hole was almost closed. He said it should be fine....However it never closed it just kept weeping and draining. Boy was he wrong. No boot, no wedge shoe, no real explanation about how devastating bad neuropathy can be. My tissue was a crushed skin meat between the bone and my callus on my big toe. The tissue was necrotic and needed to drain and such. Not just a cut or a blister which is what it looked like. Cuts and scrapes heal. Crushed tissue needs to be expelled before it can heal. The foot end of your toe is a really difficult area to heal even in a normally functioning person.
Had no idea how much walking on it will not allow it to heal. I also have pretty severe neuropathy which cause autonomic changes to the tissue preventing the tissue to be supple. Instead it becomes hardened and cracked. Not to mention the muscular weakness and bio mechanical instabilities caused by neuropathy The neuropathy is like the perfect storm when it comes to destroying your feet.
I am embarrassed to say it has been over two 1/2 years of dealing with this. I am going weekly as needed to the 3rd DPM who seems to have a handle on this.
Jan 2019 MRI showed no bone involvement...Oct 2019 MRI was positive for Osteomyelitis in the distal toe bone. Bummer. Because...I don't really know why.
I could go on but as of today it is real close to being healed. March 2020 after 10 weeks of oral antibiotics specifically following tissue cultures to pick the correct antibiotic the MRI came back much improved ie no more infx. YEA! hopefully.
Six x-rays since October comparative studies show no further bone loss either. YEA!
All the redness and swelling has resolved. Yea!
Blood flow has never been an issue and blood sugar could be better but my A1c which was 14 at the time of the injury is down to 6-7 for several years. I am not fat with BMI of 24% from 34% two years ago.
I was thinking of getting an infectious disease consult for an IV pick since it still seems to be weeping a bit.
My DPM says it will weep until it closes. Doesn't mean the infection has not cleared up. The repeat x-rays have not shown any bone changes at all.
I will give it another 4-6 weeks of really good offloading and nutrition and self care with collagen powders. It is really close to closing.
My current DPM says I have good motion flexion and no joint locking when I walk in my big toe and doesn't feel I need to have any release procedures I am 59 and in pretty good health No arthritis or anything like that
I think at this point it is again back up to me. Being and staying 100% compliant.
Yes it has been a challenge to say the least.
You have been through a lot wish you all the best.
Dr. Pelto, your information is very clear and useful. My foot would is caused by a 3in needle I stepped on. The circumstances aren't important but the area of the needle insert is., It is on the right foot. the needle went in one inch below the smallest toe. On impact, I gasped, sat down on the floor which was a feat of balance but I managed to sit without putting any pressure on it. I was able to remove the needle by holding down the outer part of my foot and pulled the needle out. No blood on the needle and then I pressed down and no blood came out. This happened over 10 years ago. Operations on this foot were performed by 3 doctors and the wound has not healed. At present I am soaking my feet in warm water with epsom salt, tea tree oil and I have used vinegar soak and then wrapped my foot with duct tape. Only temporary relief. Today, it is really bad the pain is "off the charts" meaning I cry alot because of the hard pain . O I have inserts in my shoes that do not help. Can you suggest anything natural for my discomfort ? I am also using aloe and baking soda which is messy and I just want to have this would heal. I sure hope you can advise me. Thank you very much.
I saw several videos touting the great healing ability of regular granular cane sugar after applying it directly to difficult Diabetic wounds.
Surprisingly.....this has worked quite well for me. Worth a try in my opinion. After you research this to confirm that this is a viable wound healing technique.
Thank you Doc may the Lord bless you and your family always amen. GBUA
I have a laceration on my foot and it's been a week with stitches and I can't explain what it looks like but I would show a picture if I could
Hi Do some health videos on foot health. How to stop bleeding in between the toes. Home Treatments.
Thanks
This is exactly what happened to my Brother. Like a lot of men, in his 50’s, he thought he had a callous on the bottom of his left foot. He would go and get it shaved down. The Summer of 2021, he got a sore on the jawline of the right side of his face. I noticed it was not healing and I implored him to go and see his Dr. He informed that he did not have one. I told him to Google Docs in his area and to make an appointment ASAP. He found a Dr taking new patients, but it was too late. He was diagnosed as a diabetic and at the same time, his left foot erupted with a terrible infection. My Brother had gangrene so bad that his left foot had to be amputated below his knee. They did everything they could to save his foot. The debridement they did took all of the flesh off of the bottom of his foot. I was there the morning after they did the debridement and it was like looking at a war wound. They ran an MRI and the infection was already there his bone, so the foot had to go. Two days after he had the surgery to
amputate his foot, my Brother went into cardiac arrest. If he was anywhere but the hospital, he would not be here today. They saved his life! Now my Brother has broken bones in his right foot and he is wearing an Ortho boot similar to what the Doc describes here. He will have to have his right foot fused and even then, after spending months off his feet, he may end up losing it anyway and he’ll end up a double amputee. I worry about my Brother so much. He is now in his early 60’s and his struggles are real. Heed what the Doctor is saying in this video and take care!!!
Whats the symbol of bloodsugar in the result please i just need to know it
Thank you for this very helpful video.It helps a lot on my foot wound to heal much faster.
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Thanks... SuF DP (blood Sugar, Blood Fow, Deep infection, reduce Pressure).
glad you enjoyed! Check these out for more information - www.drpelto.com/ulcer
glad you enjoyed! Check these out for more information - www.drpelto.com/ulcer
No. 4 is for rich people.
I am 76 with spinal cord deficits that largely reduce sensory acuity from the waste down. I have edema on my left leg and foot that apparently made me vulnerable to foot ulcer, and I didn't know that. Every test has come back negative for diabetes.
I respect the idea of staying off of one's feet in order to heal an ulcer on the sole of the foot. But people still have to make trips to the bathroom (for me more frequently than pre-illness) and to bathe, have a life, etc.
But, I found what turned out to be most welcome news and what has helped in getting my heel ulcer to heal over is OTC hydrocolloid dressings from the pharmacy. They are somewhat expensive, but can be left on for three days.
So, I had my more than one-inch round raw wound now come to the point that I don't have to worry about it, but realize that it might take as much as a year now for everything to come back together, including the fat layer beneath the epidermis, and for the uneven feel and appearance of the wound site to go away, now four months since treatment began.
Once the wound stops draining, the hydrocolloid dressing will tend to stick to the wound and this makes it difficult to remove the dressing after three days of it being smashed to the wound. I have been putting some bag balm (mostly a petrolatum, lanolin base) on the dressings and the wound, and holding the dressing securely in place with surgical tape. Otherwise, wound wash spray can help to remove the dressings.
The pharmacy might also have available foot cushion pads to help keep the soles of the feet off of the hard insole of many shoes.
I wish anyone with a pressure injury anywhere on their selves to have a quick recovery and a complete healing. Maybe the above can help someone with a hint or two as to what might work for them.
My teenage son hit the bottom of a wooden chair so hard while trying to do a handstand that it opened on the heel. I don't see fat or muscle. It is not too deep, it's about an inch long and no longer bleeding.
I have hyperthyroidism and no medication and a baby and fell asleep. This happened around 3:30am and too many hours have passed. It is possible to heal it ourselves? I've had a cut on top of my foot and. Two large ones from a glass on my leg and they both healded without the need of stiches.
Thankyou so much for sharing your helpful experience
i have a partial abrasion toe wound under my toe since i tripped and fell in mcdonalds since jan 3. may i know what the average healing time for this? thanks. i appreciate your concern in posting this video
Each wound has different healing time. I would check with your doctor.
@@DrPelto thanks again doctor!!!! you are very kind and by sharing information through your videos, you are helping a lot of people all over the world! keep it up and i hope your practice will flourish.
I like your art work!
Thanks for talking about foot concerns.
Thanks!
Thanks
Thanks for watching! check these resources for more information about foot wound - www.drpelto.com/ulcer
Please help. I've had a foot surgical debridement because of a small benign fibroma. It's going to 3 months and it's healing slowly or has stopped. It has a black scab around the edges. The middle is white with a red spot. I dont know if blood circulation is a problem but if I put little pressure there's blood spots. I'm in a boot and crutches. I've recently started taking vitamin C supplements
Sorry I can't give medical advice on my TH-cam page but I would be happy to make a short video if you submit your question on my blog - www.drpelto.com/home#question
Thanku sir...
You're welcome! Check this link for more information that might help you! - www.drpelto.com/ulcer
Hello doctor, how much average time is required to fully heal foot sole surgery wound?
Everyone is different if all is healthy should heal in 4-6 weeks but not usual
@@DrPelto thanks for reply
Its the pain for me. The wound is located under my inner ankle on my right foot, so i only wear crocs because any other shoe pushes on the wound and causes pain. I got my blood work done and im not diabetic. I was a truck driver and ate poorly until October of 2022. Since then i joined a gym, dropped 30lbs, changed my diet from fast food to a Mediterranean diet, then all of a sudden on my foot where there was a callus on my foot opened to a wound. I cover my wound with medihoney, xeroform, and medipore tape. I wash it everyday everyday and take antibiotics. The pain is through the roof unless i eat 800mg ibuprofen every 7½ hours.
Dr. Pelto, I stepped on a 3 inch needle over 10 years ago. After stepping on it I was scared but had to do something to get it out. The wall phone was out of range for me to get to, so no call for emergency. I had carpet on the floor and did not see it so there I was with a needle stuck in my foot and no way to seek medical help. After the shock of this intrusion in my foot, I sat down carefully and held down the area surrounding the wound and slowly pulled it out straight up. I pressed on it and no blood. Oh my was I scared but at least it was out. No blood. I pressed it again and no blood. Okay now what do I do? I washed it off and put my sock back on. I did not have a foot doctor so I asked a neighbor and was given a phone number. I made the call and an appointment was made. I kept my foot clean and limped out of the room but not doing a normal walk. Long after that day I have seen several podiatrist and have had numerous in office and in hospital operations. I am limping still to this day. Hurting, painfully walking. The wound did not heal and no blood comes out no puss nothing. just pain. Is there any ointment, oils or something can heal it within and without so I can walk normal again? And if you are wondering how intense the pain is just know that I cry very often several times a day because of the pain. I sent this to you hoping you might offer some info about my situation with this puncture wound that won't heal. I thank you for any response.
I would recommend seeing a specialist for this to avoid any other problems.
I had a corn operation on my leg it has been 1 month it is not healing till now what i should doctor please suggest me
Sorry I would talk to your doctor.
Theres an infected wound on my foot and has pus inside the skin and i cant walk because if i put pressure on it, it will swell, im taking 2 ciprufloxacin a day, my blood sugar is not high, im only 17, will this wound heal in days? What should I do? Thanks for answering
I would see a doctor
How's it going now?
What about getting the pancreas cleaned & changing diets? Won't the wound heal?
Nope
Mine healed, I accidentally dropped my tea cup and one of the shards hit me and now its healed?
@@Heextraasf a few days, like maybe 5 or 6 I dont really remember lol
Congratulations. You’re average then. This video doesn’t pertain to you
I have stepped rusty nail at the middle of my two toes ( at hollow parts of the center of two toes) around october 2020,i waa already injected anti tetanus, maybe after 2 weeks the wounds was healed already but i thought it was already totally healed, after how many days the upper portion of my foot near the heald wound was swelling and it was red and it turnd out to have another wound, there, and saw another doctor and have checkd my blood sugar even twice but they said its ok..i have taken lots of antibiotics and i stopped it because it was already a month but the wound doesnt heal..until it healed slowly...but why is it that just this week another swelling again near the scars of the wound..pls help...
Sorry to hear that
I have a very very VERY small cut on the top left of the nail of the left big toe and it’s been there for probably a year and a half and it won’t go away it doesn’t hurt and it’s not infected but it just won’t go away
Glad you enjoyed here are some other resources on this condition you may find helpful - www.drpelto.com/ulcer
I scrapped my knee while riding I bike, and now it's been more 3 weeks still it's not healing. Sometimes I stop doing dressing thinking the wound is healed and then again few drops of blood starts coming. God knows when I live normal life again...
I feel you
Bro how's it now???I have the same problem my knee wound healed but the one on my foot not healing
Suffering the same from bike accident 10 stitches and it looks scary.
I have the same i got from the crank set when my foot slip from the pedal going downhill on trail
Hi there! Hope all is well right now! Resources on this link might help you - www.drpelto.com/ulcer
I did accident when i was 11years old my foot cut the middle mean from finger to heel. Now its little cuts due to wrong foot step its happend.The wound took five months. I visit many doctors now its small spots which bleed only at night. Day time its okay. My age 44 and i have no sugar and B. P. I am very slim only 50kg my wieght and height 5,8. Kindly suggest me the solution.
Shahid sorry I can't give specific help over youtube I hope you feel better
Yesterday I went to the pools and there was a broken tile and i accidentally cut myself and it’s very big . What can I do to heal it ? I’m really scared
Best thing is to keep it clean and let it do its thing, ive had a huge cut on my toe, the main problem I find is that the foot has tons a bacterials and germs so its hard for it to heal, just keep it clean and naturally let it do its thing
Wound care involves advanced treatment such as giving extra oxygen to the wound, which in done in a wound clinic or by a podiatrist.
I agree thanks
Dear, Doctor what is the health secret?
You have to see me to get that
Hi please help me I have would in my private part a side for 2years now I have tried all ways but it can't heal what can I do? Please help
Ime heal ama bado.
I was sliding my foot across the floor and a splinter got into my foot, cutting it open a little. It's sore and painful, only sitting down without having my foot facing touching the ground helps.
I got a 10 inch stick 4inches deep into my foot I think I win 😂
That was painful! Thanks for sharing.
You're so abrasive in giving your advice.
Sorry you think so just trying to help
I've had a blood blister cut on my toe for 6 months
Dear Doctor: the A1C of 7 is way high. I want mine below 5. A perfect blood sugar in a healthy young adult is around 4.5. Look into the works of Richard K Bernstein.
Thanks for the reply, yes I agree lower is better but if you are a 9 a 7 is a good start.
I once stepped on something and it made a white mark on my foot, then, I thought it was something stuck in so I tried to cut it with a nail clipper and it made hole-ish thingy and it’s been 2 months since and I’m SO scared...😭
Is that fine now?
omg it healed on december 2018 and i was so relieved
I been having a really dry spot on my elbow for years n last month at work I hit my self n it peel like a little dot and it look deep inside but a pink skin well in a month it didnt heal I put alcohol and clean it and bought a cream for skin problems it got works now is wider and is wet all the time I clean it every day I'm scared it can be cancer :( or worst my doctor never listen to me when it was close and simple to treat any advice?
shavingculture go to a better doctor who will actually listen to your concerns. Not to sound like a dick but you are hiring your doctor. He gets paid to help you, and if he isn’t he needs an evaluation, and you maybe need to tell him either listen or I’m going to someone who will.
Yes doc i have sore and cuts all over my feet,there also is black hair coming out of soresand i mean lots of black hair
I Like "4 ways to heal wounds FASTER". Why approach health care negatively?
Sometimes it's nice to know the cause. Also knowing why I wound won't heal can help a patient make changes to speed up wound healing. It's not negative to understand the reasoning.
@@gremorydarkwood1434 It's only negative the manner in which the video title is phrased.
Great!
My podiatrist said because the foot gets very little blood, oxygen or nutrition.
Yes that is one of the main reasons but pressure on that area needs to be removed. Let me know if you have any other questions.
My foot wound isn’t healing after a month. There is little yellowish fluid coming out but not significant. The wound is on the right side of rhe anke. I still on antibiotics and it hurts. My feet is not swollen but only around the wound. The wound is about 2 inches long. I wasn’t able to rest it due to work etc... test for MRSA is normal and I’m not diabetic. Is healing very slowly ans I am concern. Now I got a referral to see a wound care management. Why it hurt so much after one month?
Are you Okay now
@@aiims-vlogs is perfect now but took a long time to heal, I will soon make a video about it. Thank so much for asking 🤗🙏
@@vilmaryv
Did you take proper wound cleaning regularly?
V Vazquez I have same problem now.. I have a wound on my knee since five weeks.. Yellowish fluid always coming out.. Now I’m worried about that!
Any suggestions will be appreciated guys..
@@kvamshi4561
Clean it regularly and make bandage with any antiseptic cream.
The doctors never did step 3...just amputated
learn more information about foot wounds here - www.drpelto.com/ulcer
I am so scared 😭😭😭😭
Same 😔
I can’t stop panicking....
Me too !!!!!!!!!
Doctors dresses the wound and nature heals it.
Check this out for more! - www.drpelto.com/ulcer
Not true
God heals wounds
I wrongly cut my side nail and my foot hasn't healed in six months
Sorry to hear.
how u heal it my friend i have too .it almost 8months and it doesnt heal 😭
Me too😭
Why won't my leg ulcer heal
Kind of complex I have some information here if it helps www.drpelto.com/ulcer
im scared my mom has a feet wound ....
Sorry about that
A1C of 7 is already way too high.
Agreed but have to start somewhere
If you see Kay
?
these things.... :D stuck in time or that
check this for more info about foot wound - www.drpelto.com/ulcer
I used this product that is sup to remove dead dry skin. Its a plastic sock that is sup to contain moisturizer and it claims to make your feet soft again. It gave me massive blisters. Deep like nothing I’ve seen in my life! My entire toe was a massive blister. I left it alone, but it eventually broke and i was in shock, i had no idea it was that deep
This is a massive hole in my toe. I’ve been using prescription antibiotic creams ( with 3m wound filler
No change
I swapped to medicinal honey
It seemed like it was going to help, but it stopped
6 mos later i still have a massive hole in my toe!
I keep it taken care of, moist and wrapped. By luck, I’ve avoided infection, however how long can i go on like this!
Sorry to hear
Man get to the damn point. Why do you take soo long to give us the four reason.
Sorry here is a course with info www.drpelto.com/ulcer
Donald wont heal xd
my 2 leg wounds and my toes wounds aND FOOT WOUND WILL NOT HEAL
Hi, have it healed now?