Neuropathic Ulcer

Neuropathic Ulcer Treatment in India

A neuropathic ulcer is a foot wound caused mainly by nerve damage, which removes the protective sense of pain so repeated pressure quietly breaks the skin down. At EDFC, these ulcers are healed primarily by offloading the pressure point, alongside wound care — because the circulation is usually adequate but the warning system has failed.

What is a neuropathic ulcer?

When diabetes damages the foot's nerves, you lose the protective sensation that normally makes you shift your weight or notice an injury. Pressure then builds at the same spot — usually under the ball of the foot or a bony prominence — forming a callus that breaks down into an ulcer. Because the foot can't feel it, the wound is typically painless and often discovered late, sometimes only by a stain on the sock.

Signs to watch for

• A painless ulcer, often under the ball of the foot or a toe
• A thick callus with a wound forming underneath
• Numbness, tingling, or a "walking on cotton" feeling
• A round, "punched-out" wound surrounded by hard skin
• Warm, well-coloured feet despite the wound (good blood flow)

When to see a doctor in India: any callus that breaks down or a painless sole wound should be assessed promptly — neuropathic ulcers heal well with offloading but worsen quickly if walked on.

Why they form

The root cause is loss of protective sensation from diabetic neuropathy, combined with repeated pressure over a high-load area. Unlike ischemic ulcers, blood supply is usually fine — so the priority is removing pressure, not restoring circulation.

How EDFC treats a neuropathic ulcer

• Offloading — casts or special footwear to remove pressure, the key to healing.
• Wound care — debridement of callus and appropriate dressings.
• Nerve assessment — a neuropathy test to gauge risk.
• Prevention — custom insoles to stop recurrence once healed.

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