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Specialist Wound & Limb Care

Diabetic Foot Clinic

Diabetic foot complications are the leading cause of non-traumatic lower limb amputation worldwide — but most amputations are preventable with early, expert care. Our multidisciplinary approach focuses on wound healing, limb salvage, and giving you the knowledge to protect your feet long-term.

⚠️ Seek urgent care if you notice:

Spreading redness, rapidly worsening swelling, black or dark tissue, foul-smelling discharge, fever, or inability to bear weight. These are signs of serious infection that require same-day or emergency assessment.

Book Foot Clinic → WhatsApp Urgent

Wound Care Services

A systematic, evidence-based approach to every diabetic foot wound.

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Comprehensive Wound Assessment
Full evaluation using the Wagner/Texas classification — wound depth, area, presence of ischaemia, infection signs, and neuropathy. Baseline photography for progress tracking.
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Sharp Debridement
Removal of necrotic, sloughy, or infected tissue to promote a clean wound base. Carried out by Dr Kabiye in clinic or theatre depending on extent and depth.
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Infection Management
Wound swabs, targeted antibiotic therapy guided by culture results, and assessment for deep infection or osteomyelitis (bone infection) requiring more intensive treatment.
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Offloading
Pressure redistribution using total contact casts, removable cast walkers, or custom orthotics. Correct offloading is the single most important factor in wound healing.
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Vascular Assessment
Ankle-brachial pressure index (ABPI) measurement and assessment of peripheral arterial disease. If significant ischaemia is present, vascular surgery referral is arranged for revascularisation.
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Progress Monitoring
Regular clinic reviews to measure wound response, adjust dressings, modify offloading, and escalate if healing is not progressing. Clear wound healing targets at each visit.

Daily Foot Care — What You Can Do

Simple daily habits that dramatically reduce your risk of foot complications.

Inspection & Hygiene
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Inspect both feet every day — look between the toes for cuts, blisters, redness, or swelling. Use a mirror or ask someone to help if you cannot see clearly
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Wash feet daily in lukewarm (not hot) water. Test temperature with your elbow — neuropathy means you cannot reliably feel heat
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Dry thoroughly, especially between the toes. Moisture between toes promotes fungal infection
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Apply moisturiser to dry or cracked skin on the heel and sole — but not between the toes
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Cut toenails straight across, not curved. Never cut into the corners
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Do not use scissors, blades, or corn plasters on hard skin — see a podiatrist
Footwear & Activity
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Never walk barefoot — not indoors, not on the beach, not anywhere. A small injury can become a serious wound within days
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Wear well-fitting, cushioned shoes with a wide toe box. Avoid tight shoes, sandals with thin straps, and shoes without backs
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Shake out your shoes before putting them on — something inside (a stone, folded insole) can cause a pressure wound you cannot feel
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Change socks daily. Wear moisture-wicking, seamless socks without tight elastic tops
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Check the inside of new shoes frequently in the first days — watch for rub marks on your feet
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Keep blood sugar, blood pressure, and cholesterol in your target range — poor control dramatically slows wound healing
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Stop smoking. Smoking severely reduces blood flow to the feet and is the single biggest modifiable risk factor for amputation

When to Seek Urgent Care

Diabetic foot infections can progress to limb-threatening and life-threatening within hours. Contact us immediately — or attend the nearest emergency department — if you experience any of the following:

SAME DAY
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Spreading redness beyond the wound edge
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Rapid increase in swelling
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Pus or foul-smelling discharge
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Fever or feeling unwell / shivering
URGENT — within 48 hours
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New wound, blister, or cut that is not healing
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Increasing pain in a wound (can indicate worsening infection)
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Wound larger than 2 cm or deeper than skin
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Discolouration of toe or foot (blue, purple, or dark)
THIS WEEK
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Wound not smaller after 2 weeks of home care
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New numbness or tingling in foot
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Pain walking or at rest (possible vascular disease)
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Hard skin or callus over a bony area

Surgical Options

Surgery is only considered when conservative measures are insufficient. Our goal is always limb preservation.

Surgical Debridement
When wound debridement in clinic is insufficient — for deep, extensive, or heavily infected wounds — debridement is performed under anaesthesia in theatre. Allows complete excision of all non-viable tissue and reduces bacterial load rapidly.
Abscess Drainage
Established collections of pus are drained surgically when they cannot be managed with antibiotics alone. Deep spaces in the foot (plantar fascia, tendon sheaths) may require extended drainage under general anaesthesia.
Bone Resection for Osteomyelitis
When bone is infected (osteomyelitis), partial bone resection may be required. This allows the surrounding wound to heal while avoiding prolonged antibiotic courses where surgical cure is possible.
Toe or Ray Amputation
When a single toe or digit is gangrenous or unsalvageable, limited amputation preserves the rest of the foot. A ray amputation (toe + metatarsal head) is used when infection extends into the foot. Most patients can walk well after these procedures.
Below-knee Amputation
Reserved for limb-threatening infection or gangrene that cannot be controlled, or when ischaemia is too severe for healing. Every effort is made to preserve the knee joint, as below-knee amputees have significantly better rehabilitation outcomes.
Vascular Referral for Revascularisation
When poor blood supply is a primary factor, referral to a vascular surgeon for angioplasty, stenting, or bypass surgery can restore perfusion and enable wound healing that would otherwise be impossible.
Our Approach

Coordinated Multidisciplinary Care

Successful diabetic foot management requires collaboration across multiple specialties. Dr Kabiye coordinates care between surgeons, physicians, endocrinologists, podiatrists, vascular surgeons, and rehabilitation specialists to address every dimension of your condition.

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General Surgery
Wound debridement, infection control, amputation decisions
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Endocrinology / Diabetes
Blood sugar optimisation for wound healing
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Vascular Surgery
Revascularisation when blood supply is compromised
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Podiatry
Wound dressings, offloading, nail care, long-term prevention
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Rehabilitation
Post-amputation prosthetics, physiotherapy, and mobility

Protecting your feet starts with a single appointment

Whether you have an active wound, a concern about a healing foot ulcer, or you want a preventive diabetic foot check — we are here to help. Same-week and urgent appointments available.

Book Foot Clinic → Tapion: 758-284-0557 Rodney Bay: 758-720-7111