Current Issue on Newstands Now - Apr/May 2008 - Click Here to See What's Inside! Subscribe Now! Read the Current Issue Online Now!
Newsrooms
Blood Sugar
Medications
What Can I Eat?
Exercise
Complications
Health Care
The Cure
People are Talking
Living with Diabetes
About Us
Get the Free E-Newsletter…
Diabetes Health E-Newsletter

Each week the Diabetes Health E-Newsletter delivers links to the very latest in news, reviews, blogs and videos from Diabetes Health direct to your inbox.

See an example E-Newsletter

As a subscriber you'll get access to the amazing Diabetes Health Digital Advantage™ so you can read the current issue of Diabetes Health magazine online wherever you are!

Email Address:
Area of Interest:
Accu-Chek
Latest
Popular
Top Rated
Diabetes Health Reference Charts
Type 2 Archives
Print | Email | Comments (9)

Q and A: Can My Father Avoid Amputation?

24 November 2007
Recommend this Article:

Average Rating:

Dear Diabetes Health, My 82-year-old father is a type 2 diabetic. He is in extreme pain due to an ulcer on his toe and is at risk of amputation of his foot. Here in Canada, the doctors are quick to amputate.

Could you please tell me if any less radical proven procedures exist? I've read about a sock that is used to increase circulation; do you know if it works? I would really appreciate any help short of radical surgery.

Ivan


Dear Ivan,

The pain of ischemia (lack of circulation) is certainly severe. I strongly suggest a second opinion prior to amputation. Some vascular surgeons do not do the surgeries that bring blood down to the smaller vessels in the foot.

You must find one that does. These procedures are not possible in everyone, but a test called a digital subtraction angiogram may show that your dad could be a candidate for this surgery. There are many, many vascular surgeons capable of these procedures.

The "sock" you mention may be the "Circulator Boot." You can find very detailed information about it at www.circulatorboot.com. I have no personal experience with it.

Neil M. Scheffler, DPM, FACFAS
Author: "101 Tips On Foot Care For People With Diabetes, 2nd Edition"

Baltimore Podiatry Group
5205 East Drive
Baltimore, MD 21227
410-247-5333

www.baltimorepodiatrygroup.com


Recommend this Article:

Average Rating:


Recent Related Hot Topics...

Sweeter (and Better) Than Sugar? Two doctors take a close look at artificial sweeteners

comments 18 comments - 1 May 2008

Is That Soda Really Sugar-Free? Test It With Tes-Tape Before You Drink

comments 17 comments - 28 Apr 2008

Hypoglycemia: What Do You Feel In Your Body? What Do You Feel In Your Mind?

comments 17 comments - 1 May 2008

Vitamins and Supplements: Taken For Health Or Taken For A Ride?

comments 16 comments - 23 Apr 2008

Still Healthy After 54 Years Living With Type 1

comments 11 comments - 8 May 2008

"I Don't Live Like I Have Diabetes"

comments 10 comments - 21 Apr 2008

A Guide to Parents, Written by a Teenage Diabetic

comments 9 comments - 8 May 2008

When Being High in the "Mile-High" City Isn't a Good Thing

comments 8 comments - 15 May 2008

To Color or Not to Color Insulin With Vitamin B-12? Our "Help Us Avoid Fatal Mistakes!" Discussion Continues

comments 7 comments - 28 Apr 2008

Pfizer Halts Sales of Exubera In Wake of Lung Cancer Fears

comments 5 comments - 16 Apr 2008


Comments...

Add your comments about this article below. You can add comments as a registered user or anonymously. If you choose to post anonymously your comments will be sent to our moderator for approval before they appear on this page. If you choose to post as a registered user your comments will appear instantly.

When voicing your views via the comment feature, please respect the Diabetes Health community by refraining from comments that could be considered offensive to other people. Diabetes Health reserves the right to remove comments when necessary to maintain the cordial voice of the diabetes community.

For your privacy and protection, we ask that you do not include personal details such as address or telephone number in any comments posted.

Don't have your Diabetes Health Username? Register now and add your comments to all our content.

Posted by anonymous on 25 November 2007

Please can I recommend something I worked with here in the UK (some years ago - I don't do any more!), and use all the time myself and for my family. I am not a diabetic, but I did have a foot ulcer which I healed successfully. Also I spoke personally to people who did have diabetic foot ulcers who healed and avoided amputation with this product. I promise it is not internet rubbish. It is called Youki the Wound Healer - call the UK on 01628 674644 to speak to Sujata Jolly the scientist who developed it and she will also be glad to advise. I know the way she treats wounds is contrary to much of current practice. The wound - except in cases of the heaviest exudate - should be uncovered where possible. Certainly in case of foot ulcer, pressure should be relieved, and when shoe needs to be worn cut away a hole in slipper to ensure no pressure on affected area etc etc No time/space to put everything here, but I promise you I recommend this product and approach from bottom of my heart. Lots of good wishes and good luck! Rachel

Posted by ricklude on 29 November 2007

Ivan,

My mother was a type 1 and had a resistant infection of her big toe also. Her two doctors wanted to amputate. If not for the intervention of a third and more agressive doctor, she would have lost her entire foot and not just part of the infected toe.

If there aren't other serious and "real" medical concerns, seek out a doctor of such caliber for your father.

I myself had my foot removed due to having NO circulation in it at all. The lower limb became infected post op and I am now an above the knee amputee ( L-aka ). I feel, I was too quick in letting them take off what was left sans a more agressive treatment of the infection. I didn't have any other medical conditions which could have caused further problems at that time either.

Posted by Xerelda on 29 November 2007

Have they tried honey to heal the ulcer? Also have they tried a hyperbaric chamber to heal the ulcer? An unna boot might help too. I've seen vein bypass grafts that go into the foot. Ask the surgeon to try that. If the leg veins are not in good shape to use as bypass grafts, they can take the arm veins. Check these things out first. It was my job to find those veins (registered vascular technologist).

Posted by anonymous on 29 November 2007

My father has had a wound on his foot for over two years adn the only thing sthat help him have been Ozone therapy and the use of the Hyperbaric Chamber ( 2 hrs daily) - SO many I see there everyday with far worse wounds leave perfectly healed. though we live in Turkey and these are accpeted and apporved tehrapies run by specialist doctors and our insurance pays for these therapies in full - I don'T knwo if you have access to it - but Hyperbaric Chmaber therapy also saved my uncle's toes that were scheduled to be amputated and had developed gangrene. Best to your father.

Posted by anonymous on 30 November 2007

Hyperbaric chamber therapy may be available at Virginia Mason Hospital in Seattle, Washington. This is less than 300 miles from Vancouver, Canada.

Posted by anonymous on 30 November 2007

I've read that Manuka raw honey from New Zealand has antibacterial properties and heals infections.

Posted by anonymous on 7 December 2007

Hyperbaric chamber therapy may be one way to heal the ulcer, but Anodyne Therapy often works better than the chamber. I don't know if this kind of treatment is available in Canada or not. Many different physical therapy places and hospitals are seeing great results with healing of ulcers and even reducing/removing gangrene with Anodyne Therapy. It also reduces pain.

Posted by anonymous on 12 December 2007

I understand a new treatment with super oxygenated water called Microcyn from Oculus Innovative Sciences has been found to be quite effective in resolving diabetic ulcers. US Clinical trials are in process. You might contact the company to find out who is participating.

Posted by anonymous on 19 December 2007

my uncle had an amputation for a diabetes toe ulcer. he went home the next day and returned with an infection within 12 hours.
the doctors recomemmended a below knee amputation. But it was all very terrible and he died the next year. Please do try every thing else first.
Uncle was driving just weeks before the toe ammputaion. Please try getting the circular checked ....

Have Your Say...

Username: Password:
Comment: