Diabetic Foot/Hand

About Diabetic Foot/Hand at Kayakriti

Diabetes affects nerves, blood vessels and immunity, making feet and hands vulnerable to ulcers, infections and slow-healing wounds. Diabetic foot treatment in Lucknow at Kayakriti starts with a careful examination of pulses, sensation, skin condition and footwear. Bloods, imaging and microbiology guide individualised plans aimed at saving toes, feet and hands wherever possible.

Foot ulcer treatment depends on depth, infection and circulation. Superficial neuropathic ulcers usually heal with offloading footwear, regular dressings and good blood sugar control. Deeper ulcers with infection require antibiotics, surgical debridement and sometimes flap reconstruction. We coordinate with physicians and vascular specialists when needed, since outcomes depend strongly on overall diabetes care and circulation.

Diabetic wound care in our clinic uses modern dressings selected to match wound moisture, infection control needs and patient circumstances. Negative pressure wound therapy is used for selected wounds. Offloading is critical: total contact casts, removable boots and customised insoles redistribute pressure and protect healing tissue. Education on daily foot inspection, footwear and skin care reduces recurrence risk.

Infection management is a core service. We treat cellulitis, abscesses and osteomyelitis with combined antibiotics and surgery. Pus is drained promptly, dead bone removed and tissue specimens sent for culture to guide therapy. Severe infections require admission and intravenous antibiotics. Early specialist review prevents progression that would otherwise lead to extensive tissue loss or amputation.

Reconstructive surgery is offered when wounds are too large to heal alone. Skin grafts, local flaps and free flaps are used to cover bone, tendon or joint, prioritising weight-bearing areas of the foot and dexterous areas of the hand. Diabetic limb salvage strategies are planned in close coordination with vascular specialists when arterial supply needs revascularisation before surgery.

Long-term follow-up continues at the diabetic foot clinic so problems are detected early. Patients are reviewed regularly with photographs and simple checks of sensation and pulses. Family members are encouraged to support daily foot inspection and footwear discipline. Our aim is to maintain functional, comfortable feet and hands for years, not just to heal one ulcer episode.

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