Ulcers

Ulcers are skin wounds that are slow to heal. In the foot, as prominent metatarsal heads on the plantar (bottom of the foot)are subjected to increased pressure, the skin begins to become callused. When subjected to shearing forces, there is a separation between the layers on this callused skin, which fills with fluid and becomes contaminated and infected. The result is a foot ulcer.

Ulcers are classified in four stages, according to how deeply they penetrate the layers of skin they have broken through.

The four stages of ulcers are:

  • Stage 1—Characterized by reddening wounds over bony areas. The redness on the skin does not go away when pressure is relieved.
  • Stage 2—Characterized by blisters, peeling, or cracked skin. There is a partial thickness skin loss involving the top two layers of the skin.
  • Stage 3—Characterized by broken skin and sometimes bloody drainage. There is a full thickness skin loss involving subcutaneous tissue (the tissue between the skin and the muscle.)
  • Stage 4—Characterized by breaks in the skin involving skin, muscle, tendon, and bone and are often associated with a bone infection (osteomyelitis).

The are also four major cause of foot ulcers:

  • Neuropathic—Related to the nerves and characterized by a loss of sensation in the feet.
  • Arterial—Related to poor blood circulation to the lower extremity. This type of ulcer can be very painful and is usually found on the tips of toes, lower legs, ankle, heel, and top of the foot. It can very easily become infected.
  • Venous—Related to compromised veins. These ulcers are often seen around the inside of the ankle and are slow to heal.
  • Decubitus—Derived from excessive and prolonged pressure on one area of the foot. The most common type of decubitus ulcer of the feet is bed sores on the backs of the heels of people confined to bed for long periods of time.

Foot ulcers are a common problem for diabetics. Contact casts are sometimes applied to the diabetic foot to relieve the bony prominent areas of pressure, allowing ulcers to heal.

Our Location

7525 Greenway Center Dr #112 Greenbelt, MD 20770

Hours of Operation

Our Regular Schedule

Monday:

8:00 am-4:00 pm

Tuesday:

8:00 am-4:00 pm

Wednesday:

8:00 am-4:00 pm

Thursday:

8:00 am-4:00 pm

Friday:

8:00 am-4:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

What Our Clients Say About Us

  • "This was my first appointment. It was very welcoming and very helpful. The information shared was done in a friendly and easy to understand manner. I highly recommend their services.

    Dr. Cohen was the physician that I saw. He was excellent."
    Ralph M
  • "In my opinion Dr. Richard Cohen is not only an outstanding doctor but man integrity. I highly recommend him each time footsore is the subject in a conversation. He offers helpful information all the time and my feet are the better because of it. Thank you sir."
    John F
  • "Total Foot Care represents its name well with professional staff and qualified physicians. You receive also a little pampering."
    Cheryl M
  • "Great experience! Having surgery in a pandemics is not an easy discussion to make. Dr. Cohen and his staff made me feel safe and comfortable. Everyone was friendly."
    Delaine S
  • "Dr. Sassoon was very friendly and knowledgeable. This was my first time visiting a podiatrist and he made sure I was comfortable and I was informed about my care. The receptionist and other staff were all very professional and kind during my visit. I will definitely recommend to others!"
    Kanisha B
  • "I have been a patient at Total Foot Care for many years. I have always found Dr. Cohen and his staff to be thoroughly professional. The care that I have gotten here has always been top-notch. I do not hesitate to recommend them."
    Robert H
  • "Dr. Cohen was very professional and caring. He explained my condition and advised on the property care."
    Mary T
  • "Dr. Sassoon is simply the best! He does a great job on keeping my toenails in good health......and he is very gentle in his approach to make everything pain free. I would recommend him to all my family and friends without any fears.

    He also has a wonderful personality and I enjoy every visit with him."
    Bernice M
  • "Wonderful experience! Courteous, calm, friendly staff. Everything is spotless."
    Nancy M
  • "I can finally walk around pain free."
    Stephanie De Leon
  • "Dr. Cohen, DPM provided me with excellent care when I needed it the most."
    Jennifer R.