Dr. Prakash was well-trained with wound care during his residency at St. Barnabas hospital and is up to date with current wound care modalities such as substitute skin grafts and total contact casting techniques. Wounds encompass many individuals and the most common lower extremity wounds are diabetic foot ulcers (DFUs) and venous leg ulcers (VLUs).
Currently there are roughly 30.3 million Americans with diabetes and roughly 1/4 of them may develop a diabetic foot ulcer (DFU).
If you or someone you know who is diabetic and has not seen a podiatrist, please consider having your feet evaluated to prevent this unfortunate trend.
Those who unfortunately have an amputation of an extremity have a five year mortality rate of 50%.
The main stay or initial treatments for wound care are debridements and off-loading, key standards to keeping a wound in its acute phase.
Along with regular follow up and ulcer debridements, skin substitute grafts including:
This is not a complete list, but highlights the typical offerings to help augment and promote healing and closure of a wound.
A wound needs to be assessed continuously in the ever-evolving paradigm for healing. A wound which is considered wet or moist needs to the dried out to facilitate healing, and vice versa. With continuous periodic care, we will strive to take those chronic wounds back into the acute setting, and facilitate and enable healing.
Skin checks are an important evaluator for screening and preventing foot ulcers, including non-invasive vascular checks such as TCPO2
Diabetic ulcers need routine debridements to allow adequate healing and promotion of granulation tissue
Along with debridements, off-loading is a crucial part in promoting healing by limiting pressure on an ulcer site to enable blood flow
There are many skin substitute grafts which promote growth factors and lower the bioburden in a stalled ulcer