Risk Factors of Younes et al for a Diabetic Heel Ulcer

 

Risk factors for a diabetic heel ulcer:

(1) immobility of the lower limb (i.e., pressure ulcer)

(2) diabetic neuropathy

(3) structural deformity (Charcot joint, ankle equinus)

(4) peripheral arterial occlusive disease

(5) poor foot care

(6) failure to adequately treat lesions

(7) edema of the foot and ankle

(8) history of foot ulceration or amputation

 

Foot care should include:

(1) daily foot exam

(2) regular washing and skin care

(3) proper footware with pressure offloading

(4) periodic assessment of perfusion with noninvasive vascular tests

 

Any lesions that develop should be aaggressively managed.