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Diabetic Foot Guide

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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.

Total Contact Cast: How It Heals a Diabetic Foot Ulcer

October 8, 2026 by Dr. Tom Biernacki, DPM, FACFAS

A total contact cast heals a diabetic foot ulcer by keeping weight off it with every step. Who it suits, how long you wear one, risks, and cast vs boot.

Categories Wound Care

Toe Amputation With Diabetes: Recovery, Walking and What Comes Next

September 24, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Gloved hands applying a sterile dressing to a toe during wound care

Toe amputation with diabetes: why it’s done, how long healing takes, walking afterward, the real survival figures and what lowers the risk of another.

Categories Wound Care

Diabetic Leg Ulcers: Early Signs, Types and What Heals Them

September 20, 2026 by Dr. Tom Biernacki, DPM, FACFAS
A clinician wrapping a compression bandage over a dressed foot and lower leg

Most leg ulcers in diabetes are venous or arterial, not neuropathic. Early signs, how to tell them apart, and why circulation comes before compression.

Categories Wound Care

How to Heal a Diabetic Wound Faster: What Actually Works

September 20, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Gloved hands wrapping a sterile gauze dressing around the forefoot of a diabetic patient

How to heal a diabetic wound faster: offloading, blood flow, infection and glucose control, the myths that slow healing, and when to see a specialist.

Categories Wound Care

Early-Stage Diabetic Foot Ulcer: Pictures, Stages and What to Do Today

September 24, 2026September 20, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Illustration of diabetic foot ulcer stages 0 to 3 side by side

What an early-stage diabetic foot ulcer looks like, the Wagner stages 0 to 5 in pictures, and what to do today at each one, from a foot and ankle surgeon.

Categories Wound Care

Gangrene in the Diabetic Foot

October 3, 2026September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
A clinician holding a patient's foot and checking the pulse during a circulation assessment

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 20, 2026September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
A clinician wrapping a compression bandage over a dressed foot and lower leg

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 24, 2026September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Gloved hands applying a sterile dressing to a toe during wound care

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

October 3, 2026September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Gloved hands wrapping a sterile gauze dressing around the forefoot of a diabetic patient

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
  • Diabetic feet pictures
  • Charcot foot
  • Early-stage foot ulcers
  • Diabetic foot ulcers
  • Spots on the legs (dermopathy)
  • 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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