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Wound Care

Diabetic foot ulcers, infection and wound healing: grading, offloading, when circulation is the limiting factor, and what a wound open at six weeks is telling you.

Gangrene in the Diabetic Foot

September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Foot Guide article card: Gangrene in the diabetic foot, in the Wound care series, by Dr. Tom Biernacki, DPM, FACFAS

Dry, wet and gas gangrene look different and move at different speeds. How they are told apart, why it often does not hurt, and which one is measured in hours.

Categories Wound Care

Non-Diabetic Foot Ulcers Explained

September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Foot Guide article card: Non-diabetic foot ulcers, in the Wound care series, by Dr. Tom Biernacki, DPM, FACFAS

Neuropathic, venous, arterial and pressure ulcers look different and need opposite treatments. How to tell them apart, and why compression can harm the wrong one.

Categories Wound Care

Diabetic Foot Infection: Signs

September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Foot Guide article card: Diabetic foot infection, in the Wound care series, by Dr. Tom Biernacki, DPM, FACFAS

Infection is diagnosed by looking at the foot, not by swabbing it. The signs, why fever is often absent, and the probe-to-bone test that changes the whole plan.

Categories Wound Care

Diabetic Foot Ulcers: Causes and Treatment

September 7, 2026September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Foot Guide article card: Diabetic foot ulcers, in the Wound care series, by Dr. Tom Biernacki, DPM, FACFAS

Diabetic foot ulcers heal when the pressure comes off and the blood supply is adequate. A surgeon on grading, offloading and what six weeks without progress means.

Categories Wound Care

Who writes this

Dr. Tom Biernacki, DPM, FACFAS is a double board-certified podiatric foot and ankle surgeon in Michigan. Diabetic wounds, Charcot neuroarthropathy and at-risk feet are daily work, not a side interest.

About this site · Editorial policy

Start here

  • What diabetes does to feet
  • Charcot foot
  • Diabetic foot ulcers
  • The diabetic foot exam
  • Diabetic shoes and Medicare

Be seen today if

Fever, redness spreading up the leg, pus or a bad smell, black tissue, or a foot that has turned cold, pale or dusky. An open wound on a diabetic foot is a this-week problem even when it does not hurt.

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