Treatment for diabetic foot complications is multi-faceted. It aims to restore circulation, heal wounds, and prevent limb loss. Our vascular surgeons work alongside a multi-disciplinary team (including endocrinologists, podiatrists, and wound care specialists) to deliver the best care. Treatment options include:
- Medication and Lifestyle: We optimize blood sugar and cholesterol levels with medications and diet advice. Controlling diabetes is essential for healing. Patients are guided on foot care routines, including regular foot checks and proper footwear. Smoking cessation is strongly encouraged, as smoking worsens circulation.
- Wound Care: Non-healing ulcers require advanced wound management. We clean and debride (remove dead tissue) from ulcers to promote healing. Specialty dressings or skin grafts may be used for large wounds. Antibiotics are prescribed for any infection. In some cases, hyperbaric oxygen therapy is offered, as increased oxygen supply can speed up the healing of chronic foot wounds.
- Endovascular Procedures: For poor circulation, minimally invasive interventions are often first-line. Our vascular surgeons perform:
- Angioplasty & Stenting: A tiny balloon (angioplasty) is threaded into narrowed arteries and inflated to widen the vessel. A mesh stent may be placed to keep it open. This restores blood flow to the foot and is done through small punctures, shortening recovery time.
- Thrombectomy: If a blood clot is blocking an artery in the leg or foot, a thrombectomy may be performed. Using catheter-based tools or tiny snares, the clot is physically removed. This quickly reopens the artery and relieves acute ischemia (lack of blood flow).
- Catheter-Directed Thrombolysis: For certain clots, we use clot-dissolving medication delivered directly to the blockage via a catheter. This targeted therapy can dissolve clots without open surgery. Our team carefully monitors and guides the medication to maximize benefit and minimize risks.
- Surgical Bypass: In cases of severe arterial disease where endovascular methods aren’t sufficient, traditional surgery may be needed. Our experienced vascular surgeons perform bypass grafting to reroute blood around blocked segments. This creates a new pathway for blood flow to the foot. Bypass surgery can save the limb when other methods fail.
- Amputation Prevention: Above all, our goal is limb preservation. Through the combination of above therapies, over 90% of threatened limbs can be saved. In rare cases where a toe or part of the foot is severely damaged, a minor amputation might be performed to prevent a more serious spread of infection. Even then, we carefully plan any amputation to maintain as much function as possible, followed by rehabilitation and custom orthotics.
Throughout treatment, our team remains closely involved. Patients receive education on wound care and lifestyle. We monitor healing progress with frequent follow-ups. Our clinic offers state-of-the-art facilities like a dedicated wound care center and on-site imaging. This integrated approach gives Dubai’s diabetic patients the best chance of recovery and full mobility.
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