I have an ulcer on my foot that will not heal. Is this typical of CMT?
Dr. Joseph Gregory Stilwell, DPM writes:
Yes,ulcers can be quite common with CMT. Oftentimes because a bone is prominent, and taking excess pressure- irritation occurs. Then, with decreased sensation and other changes in the skin along with possible diminished circulation, an ulcer can develop. Sounds like you may need referral to a specialty wound care program (usually run by your local hospital). Here, they can do blood work to assess for signs of infection and other markers that show up in blood screens.
Have you had wound cultures, specialized diagnostic imaging (usually an MRI), or had a consult with a surgeon who could conceivably debride (the removal of damaged tissue or foreign objects) the wound and probably some of the underlying bone? There are many specialized wound dressings and even a “wound vac” that helps to pull drainage from the wound so it can begin to dry up and heal.
These types of ulcers can get out of control rather quickly and possibly result in hospitalization, need for IV antibiotics, and even radical surgery. So, please be proactive about finding your local wound care specialists.
You can learn more about CMT specialist Dr. Stilwell here: ww.HozhoniBalanceRail.com