Diabetic foot treatment

Treatment for diabetic foot problems varies according to the severity of the condition. A range of surgical and nonsurgical options may help.

Nonsurgical treatment

A doctor will first attempt to treat diabetic foot problems without using surgery. Some methods include

  • Keeping wounds clean and dressed
  • Prescribing antibiotics to treat infections
  • Removing calluses
  • Prescribing immobilization devices, such as a walking cast or total contact cast
  • Closely observing any gangrene on the toes until self-amputation occurs, which is when the toes fall off due to lack of blood flow
  • Recommending exercises and diet changes to manage peripheral vascular disease and prevent it from getting worse
Surgical treatment

When nonsurgical treatment does not successfully heal diabetic foot problems, a doctor might consider surgery. Surgical options include:

  • Removing decaying or dead tissue
  • Removing ingrown toenails
  • Amputating the affected limb, which may range from a single toe to the leg above the knee
  • Surgically stabilizing Charcot Foot
  • Performing an arterial bypass for peripheral vascular disease, which assists blood flow to the area
  • Performing endovascular surgery with placement of stents, which are small devices that keep blood vessels open