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Foot puncture wound

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
When I had an accident I had to go to the Minor Injuries Unit, to be cleaned out, treated to prevent infection, and given a tetanus jab. Diabetics can never be too careful
 
Felinia said:
When I had an accident I had to go to the Minor Injuries Unit, to be cleaned out, treated to prevent infection, and given a tetanus jab. Diabetics can never be too careful
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I went on Friday. It was cleaned dressed tetanus shot given and antibiotics started.
 
If you think you're getting worse then I would contact them again for advice!
 
I agree, it shouldn't be getting worse so you should go to A & E or walk in centre or whatever is near you. Even ring 111 for advice if that is not possible. I would do it today not wait until tomorrow.
 
Please get it checked again . It really is not worth the risk .
I agree With @Leadinglights , it’s time for A&E now as it shouldn’t be getting that bad , some MINOR discomfort is to be expected but it should not be anything near as bad as you are experiencing.

Please let us know how you get on.
 
Thank you for all the advice.
I've just been to the out of hours GP as when I've changed my dressing my wound was weeping puss. and is quite red around it and has spread some. I've kept it clean and dressed. Dr said its definitely infected. Since I've been on co amoxiclav for 4 days they don't seem to have worked. So he has put me on flucloxacillian to hopefully stop it getting worse. Gave me anti inflammatries to bring down any swelling. Hopefully it starts getting better soon.
 
Thanks for letting us know .
Hopefully the new anti bs will do the trick , fingers crossed .
But if you don’t notice a big improvement soon, then please go to A&E
 
Hellybell80 said:
Thank you for all the advice.
I've just been to the out of hours GP as when I've changed my dressing my wound was weeping puss. and is quite red around it and has spread some. I've kept it clean and dressed. Dr said its definitely infected. Since I've been on co amoxiclav for 4 days they don't seem to have worked. So he has put me on flucloxacillian to hopefully stop it getting worse. Gave me anti inflammatries to bring down any swelling. Hopefully it starts getting better soon.
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Do keep a very close eye on it and if it worsens go straight to A&E. You have had two very common antibiotics so far but it may be that hospital only or IV antibiotics are more appropriate. With diabetes infections bow knee level are difficult to treat even in well controlled diabetics. Crossing my fingers for you!
 
SuperBee said:
With diabetes infections bow knee level are difficult to treat even in well controlled diabetics.
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I was told that, if we manage our diabetes the risk of complications is much less.
I have had a few docs who suggest a wound takes longer to heal because I have diabetes but then I have pointed out mine is well managed and then they change their mind.
Not that I am disagreeing with you that @Hellybell80 should keep an eye on her wound ... but I would say that to anyone is regardless whether they have diabetes.

Leadinglights said:
I agree, it shouldn't be getting worse so you should go to A & E or walk in centre or whatever is near you.
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I apologise for smiling to myself about going to a "walk in centre" for a foot problem. Perhaps it should be renamed 🙄
 
helli said:
I was told that, if we manage our diabetes the risk of complications is much less.
I have had a few docs who suggest a wound takes longer to heal because I have diabetes but then I have pointed out mine is well managed and then they change their mind.
Not that I am disagreeing with you that @Hellybell80 should keep an eye on her wound ... but I would say that to anyone is regardless whether they have diabetes.


I apologise for smiling to myself about going to a "walk in centre" for a foot problem. Perhaps it should be renamed 🙄
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I agee with you that good control reduces complications. Having been through diabetic foot clinics, vascular surgeons and amputation, PAD and other diabetes related issues to the lower leg and foot just seem to be slightly different in that they seem to strike that more randomly. I will not ramble on but think more research is needed and a more productive approach by the UK medical profession!
 
helli said:
I was told that, if we manage our diabetes the risk of complications is much less.
I have had a few docs who suggest a wound takes longer to heal because I have diabetes but then I have pointed out mine is well managed and then they change their mind.
Not that I am disagreeing with you that @Hellybell80 should keep an eye on her wound ... but I would say that to anyone is regardless whether they have diabetes.


I apologise for smiling to myself about going to a "walk in centre" for a foot problem. Perhaps it should be renamed 🙄
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Yes perhaps the hobble - in centre. I had to go there when a heavy microcscope fell on my foot and it was definitely a hobble.
 
helli said:
I was told that, if we manage our diabetes the risk of complications is much less.
I have had a few docs who suggest a wound takes longer to heal because I have diabetes but then I have pointed out mine is well managed and then they change their mind.
Not that I am disagreeing with you that @Hellybell80 should keep an eye on her wound ... but I would say that to anyone is regardless whether they have diabetes.


I apologise for smiling to myself about going to a "walk in centre" for a foot problem. Perhaps it should be renamed 🙄
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I agree with @SuperBee for similar reasons
But for the good care I received whilst in hospital for three weeks while they tried to save my foot , successfully I might add coz I am a few only a few toes less than I was born with .

Copied from @SuperBee post
I agee with you that good control reduces complications. Having been through diabetic foot clinics, vascular surgeons and amputation, PAD and other diabetes related issues to the lower leg and foot just seem to be slightly different in that they seem to strike that more randomly. I will not ramble on but think more research is needed and a more productive approach by the UK medical profession!
 
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I think mine is moderately well controlled but, since diagnosis, any injury to skin takes ages to heal. What used to take a day or two now takes 3 weeks plus to sort out.
 
Perhaps I am lucky but I have not seen any significant changes when it comes to healing.
I don't believe I am any different to anyone else of my age.

Maybe luck, maybe genes (my T1 is not genetic), maybe diet (I have never enjoyed processed food as much as I enjoy cooking from scratch), maybe because I exercise a lot, maybe because I was diagnosed T1 later in life so more able to manage my diabetes. Who knows?
 
SuperBee said:
I agee with you that good control reduces complications. Having been through diabetic foot clinics, vascular surgeons and amputation, PAD and other diabetes related issues to the lower leg and foot just seem to be slightly different in that they seem to strike that more randomly. I will not ramble on but think more research is needed and a more productive approach by the UK medical profession!
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It does seem the risk of complications is variable.
I did think reading the Time in range thread,
actually how many problems are caused by a spike, or high BG, or similar.
(Especially after reading a thread about a type 2 eating a sweet or similar and seeing a spike of nine or thereabouts, knowing that other none diabetics see the same)
Maybe there are other factors involved, BG, cholesterol, blood pressure, exercise........

I still live in shorts and open toed walking sandals from about March to November, with bare feet, and have never had any foot issues.
My skin still heals as fast as ever, I don't get injections, (but I am up to date on all my tetanus shots etc, I walk for hours a day at times, other days (especially recently) I can stay in all day.
 
travellor said:
It does seem the risk of complications is variable.
I did think reading the Time in range thread,
actually how many problems are caused by a spike, or high BG, or similar.
(Especially after reading a thread about a type 2 eating a sweet or similar and seeing a spike of nine or thereabouts, knowing that other none diabetics see the same)
Maybe there are other factors involved, BG, cholesterol, blood pressure, exercise........

I still live in shorts and open toed walking sandals from about March to November, with bare feet, and have never had any foot issues.
My skin still heals as fast as ever, I don't get injections, (but I am up to date on all my tetanus shots etc, I walk for hours a day at times, other days (especially recently) I can stay in all day.
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You don’t know how glad that makes me to read that 🙂 .

It is certainly true that good control helps reduce the risks. Till I got the Libre I did not know how badly I was spiking as when I tested I was usually in the right ball park . it was probably those spikes causing all my troubles , now they can’t hide from me lol .
I too think time in range is more important .
My reasoning is non Ds spike too but not for long or possibly as high as we can. Can you tell I am envious lol.
 
I have not noticed any particular change in healing either,and I had a total knee replacement 4 years ago without problems.
 
One reason why healing may not be proceeding normally is that this was a tree root, which are intimately tied up with fungal mycelium. Though such fungi present no systemic health issues, locally the body is fighting them alone simply as alien material. An anti fungal agent may speed things up. A nail impaling the foot carries no such contamination, so heals better.

Changing antibiotics, or using more and more exotic antibiotics won’t be any more effective if the infection is fungal.
 
Hellybell80 said:
Thank you for all the advice.
I've just been to the out of hours GP as when I've changed my dressing my wound was weeping puss. and is quite red around it and has spread some. I've kept it clean and dressed. Dr said its definitely infected. Since I've been on co amoxiclav for 4 days they don't seem to have worked. So he has put me on flucloxacillian to hopefully stop it getting worse. Gave me anti inflammatries to bring down any swelling. Hopefully it starts getting better soon.
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How are things going now @Hellybell80 ? Hope you have seen some improvement this week
 
everydayupsanddowns said:
How are things going now @Hellybell80 ? Hope you have seen some improvement this week
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Morning,
Its still very painful. Foot just keeps on burning. Its still open and unfortunately still have puss swelling and redness around it. For such a small wound its giving me hell.
Spoke to my GP and she has prescribed some iodine dressings which ill pick up today. I'm halfway through my flucloxacillian got 3 days left.. I havnt looked today at it yet as I'm waiting on the new dressings.
She's said to make sure the redness i have around the wound dosnt get any bigger.
If its still open and weeping by next Thursday, I've an appointment with the nurse to try new dressings.
 
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