Signs that an ulcer is healing

• Ulcer bed becomes pink

• Ulcer bed becomes shiny with glistening granulations

Table 4.1 Clinical features of neuropathic and neuroischaemic foot

Neuropathic foot

Neuroischaemic foot

Ulcer on plantar surface

Ulcer on margins

Heavy callus

Thin glassy callus or no callus

Warm foot

Cold foot

Pulses present

Pulses absent

TcPo, above 30 mmHg

TcPo2 below 30 mmHg

• Dimensions of ulcer decrease with new epithelium around the edges

• Ulcer bed becomes drier with less discharge

• Swelling diminishes

• Ulcer becomes less painful

• There is no undermining

• Sinus depth reduces.

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