Impaired dermal microvascular reactivity and implications for diabetic wound formation and healing: an evidence review

  • Todd D O'Brien
  • Journal of Wound Care, September 2020, Mark Allen Group
  • DOI: 10.12968/jowc.2020.29.sup9.s21

How poor microcirculation can prevent diabetic foot ulcer healing

Photo by Taylor Leopold on Unsplash

Photo by Taylor Leopold on Unsplash

What is it about?

Recent research has shown abnormal microcirculation secondary to neuropathy in the skin of patients with diabetes can lead to poor wound healing. Newer diagnostic and therapeutic options are reviewed for treatment of these difficult to heal wounds.

Why is it important?

Recent advances discussed in this article will make wound care professionals aware of developing trends in the treatment of difficult to heal diabetic foot wounds.

Perspectives

Todd O'Brien

I have had a longstanding research interest on the topic of diabetic peripheral neuropathy. This interest has lead me to a better understanding of the effect that neuropathy has on microcirculation. This is especially relevant to my clinical specialty of podiatry where I encounter difficult to heal wounds often in the presence of excellent pedal pulses. This seeming paradox is more comprehensible to me after researching and writing this review. I hope others may find it enlightening as well.

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http://dx.doi.org/10.12968/jowc.2020.29.sup9.s21

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