Debridement of the wound was recently discussed or answered in this forum and it reminded me of the question ,Is the wound scab a friend or foe ? All the evidence and opinion is for debridement of the diabetic foot wound being necessary to speed healing. I remember a diabetic patient with wound on apex of toe,with bone visible, which would not heal despite frequent debridement and application of cadexomer iodine. The debridement was mostly of the cadeomer iodine crust that was formed. After a few weeks of failiure i decided to leave the crust in place for a few weeks and finaly decided to remove the crust and found that the toe was healed.
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The theory is that such a crust or scab when left in place will slow healing. my message from this is that slow healing is better than no healing,as long as the scab is not weight bearing or is thick.
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Stinky feet sufferer
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Stinky feet sufferer
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