Same Day Appointments Available

Why don't we leave wounds open to air?

Moist is better than dry

Diabetic foot wounds and ulcers heal best when kept moist. If allowed to air out, wounds will scab over. The body will then have to work twice as hard to lift up the scab and heal underneath. The scab is basically a biological bandaid, which is fine for kids and most adults. However for patients with diabetes who already have impaired healing, the scab will slow down the healing process, and harbor bacteria which can become a source of infection. That is why wound care clinicians recommend some type of topical cream or ointment that has antibacterial properties, and to keep the wound covered essentially 24/7.

What is maceration?

Understandably the rationale behind letting wounds air out is due to concern for a white appearance around the wound called maceration. This happens drainage from the wound gets the surrounding skin wet. This is normal, as wounds may drain more in the early stages of healing, and that drainage will decrease over the next few weeks as the wound starts healing and become less inflamed. It is recommended to increase the frequency of the dressing change to prevent maceration, even up to three times a day if needed. If you need supplies, your doctor can order supplies to be shipped to you depending on your insurance. It is also important to see your doctor regularly for debridement, as a buildup of debris and bacteria called bioburden can develop on top of the wound. This looks like a gelatinous yellow-red layer, that should be removed regularly to prevent infection.

Dr Haywan Chiu, DPM Haywan Chiu

You Might Also Enjoy...

Rigid and high top boots allow for control and stability on hikes. Don't forget the spikes for icy conditions!

Selecting Appropriate Shoe Gear

Picking a new pair of shoes can feel overwhelming. With a quick glance at social media, you will find ultra rigid shoes, minimalist shoes, or even sandals which all claim to be best for marathon runners. So, what works best? See our recommendations!
flexor tenotomy

Surgical Treatment for Diabetic Foot Ulcers

Diabetic foot ulcers are treated by removing the ground, or removing the bone. It sounds like an amputation but it’s not. Usually, foot ulcers are located on areas of the foot where there is a joint or prominence...
diabetic hammertoes

Why Do Diabetic Feet Develop Hammertoes?

When a toe contracts, it usually straightens back out. Over time, either due to arthritis, diabetes, or overuse, it can stay in a clawed or hammered position causing problems. For people without nerve damage (neuropathy), it can be painful...
Charcot foot collapse

Charcot foot

Arthritis in a neuropathic foot can get so bad that the bones and joints of the foot breaks down. The medical term is called Charcot neuroarthropathy (pronounced shark-o). It can happen to any joint of the body, but the most common area is the foot's arch.


Emergent podiatry services and wound care clinic