Diabetic foot ulcers are one of the most serious complications of diabetes, affecting approximately 15% of diabetic patients during their lifetime. These open sores or wounds typically develop on the bottom of the foot or around pressure points, and without proper treatment, they can lead to severe infections, tissue damage, and even amputation. According to the American Diabetes Association (ADA), 85% of diabetes-related amputations are preceded by a foot ulcer, making early intervention crucial for preventing serious complications.
At Vascular Surgery Associates in Los Angeles & Santa Monica, we specialize in comprehensive diabetic foot ulcer treatment, combining advanced wound care techniques, vascular interventions, and preventive strategies to promote faster healing and reduce the risk of limb loss.
Understanding Diabetic Foot Ulcers
Diabetic foot ulcers occur due to a combination of poor circulation, nerve damage (neuropathy), and prolonged pressure on the foot. High blood sugar levels damage blood vessels and nerves, reducing the body’s ability to heal wounds and fight infections. Many patients with diabetic neuropathy may not feel pain or discomfort from a developing ulcer, allowing it to worsen unnoticed.
Common Causes & Risk Factors
Peripheral Neuropathy
Loss of sensation in the feet leads to unnoticed injuries
Poor Circulation (PAD)
Reduced blood flow prevents proper wound healing
Uncontrolled Diabetes
High blood sugar damages tissues and impairs the immune response
Foot Deformities & Pressure Points
Bunions, calluses, and ill-fitting shoes increase ulcer risk
Infections & Gangrene
Bacterial infections can spread quickly, leading to tissue death
Since diabetic foot ulcers worsen without treatment, early detection and vascular assessment are critical for preventing serious complications.
Signs & Symptoms of Diabetic Foot Ulcers
Many diabetic foot ulcers start small but can progress rapidly. Symptoms include:
- Persistent redness or swelling around a wound
- Open sores or wounds on the bottom of the foot
- Drainage or pus from an ulcer
- Skin discoloration or blackened tissue (gangrene)
- A foul odor, indicating infection
If you notice any of these signs, seek immediate medical attention to prevent infection and further tissue damage.
Advanced Diabetic Foot Ulcer Treatments
At Vascular Surgery Associates, we take a multi-disciplinary approach to treating diabetic foot ulcers, focusing on wound healing, infection control, and circulation improvement.
Wound Debridement & Advanced Dressings
Removing dead or infected tissue is essential for stimulating healing. We use specialized dressings and skin substitutes to create an optimal healing environment.
Compression Therapy & Offloading Devices
Reducing pressure on the ulcer with custom orthotics, total contact casts, or compression therapy helps prevent further irritation and promotes healing.
Infection Control & Antibiotic Therapy
If an ulcer is infected, we provide targeted antibiotic therapy to eliminate bacteria and prevent further tissue damage.
Minimally Invasive Vascular Interventions
For ulcers caused by poor circulation, restoring blood flow is critical. We offer angioplasty, stenting, and atherectomy to open blocked arteries and improve healing rates.
Skin Grafting & Tissue Regeneration
For large or deep ulcers, skin grafting and bioengineered tissue substitutes can be used to rebuild healthy skin and prevent amputation.
Frequently Asked Questions About Diabetic Foot Ulcers
No, diabetic foot ulcers require specialized wound care to prevent infection and complications.
Healing time depends on circulation, diabetes control, and treatment type, but with advanced care, most ulcers improve within weeks to months.
Infected ulcers can lead to tissue death (gangrene) or sepsis, making early medical intervention essential.
Regular foot exams, proper footwear, blood sugar management, and vascular check-ups can significantly reduce your risk.
Not necessarily–early intervention with vascular treatments and wound care can save limbs in 90% of cases.

Dedicated to Excellence in Vascular Care Since 1963
Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.
Skilled Diabetic Foot Ulcer Care in Los Angeles & Santa Monica | Prevent Complications Today
Diabetic foot ulcers can lead to serious consequences, but with specialized care, healing is possible. At Vascular Surgery Associates, our team offers cutting-edge treatments to restore circulation, fight infection, and promote tissue healing.
Schedule a consultation today with Los Angeles & Santa Monica’s leading diabetic foot ulcer specialists and take the first step toward recovery.