05/07/2025
Healing Toe Pressure Ulcers (Case Study)
The patient presented with a single, deep pressure ulcer located over the extensor hallucis longus (EHL) tendon which runs along the top of the big toe. The wound developed as a result of prolonged pressure and compromised skin integrity, exacerbated by reduced mobility and poor circulation. At presentation, the area was discoloured, dry, and inflamed, with visible tissue breakdown exposing deeper structures.
Over the course of a structured, closely monitored care plan, we observed:
Initial stage: A yellow-brown ulcer with surrounding skin that was cracked and desiccated. The wound site sat directly over the EHL tendon, raising concern for delayed healing and infection risk.
Early healing phase: As wound hygiene and debridement was prioritised, inflammation began to settle. The surrounding skin softened, and the tissue bed showed early signs of repair.
Midpoint: Healthy granulation tissue developed steadily over the tendon, and swelling reduced significantly. The risk of secondary infection declined as the wound depth shallowed.
Final phase: The wound closed completely with restored skin integrity. The patient reported full comfort, and no further signs of pressure or inflammation were noted on follow-up.
What Are Pressure Ulcers?
Pressure ulcers, also known as pressure sores or decubitus ulcers, are areas of skin and tissue damage that occur when there is prolonged pressure on one area, especially over bony prominences like the toes, heels, or sides of the foot. They can develop in anyone with limited mobility, reduced sensation, or poor circulation — particularly among older adults or individuals with chronic conditions such as diabetes.
How Do Pressure Ulcers Develop?
When pressure is applied to the same area for too long, blood flow to the tissues is reduced, and the skin begins to break down. In the early stages, this may appear as redness, warmth, or hardening. As the condition progresses, the skin may blister, crack, or open entirely, leading to painful, slow-healing wounds that can become infected if not properly managed.
Factors that increase the risk include:
Limited mobility or immobility
Poor circulation or peripheral artery disease
Diabetes and nerve damage (neuropathy)
Ill-fitting footwear or foot deformities
Age-related skin thinning
Why Early Podiatric Intervention Matters
Pressure ulcers on the feet are often overlooked in the early stages — especially if the patient has reduced sensation. But without proper care, they can lead to serious complications, including deep infection, cellulitis, or even tissue death.
If you or someone you care for has:
Persistent redness or pain on the toes or heels
Thickened or distorted nails pressing into the skin
Wounds that won’t heal or appear deeper over time
Reduced foot sensation (numbness, tingling, or burning)
…then it’s time to seek professional care. Pressure ulcers can be prevented and treated effectively, especially when caught early.
Pressure ulcers may look small at first, but they can escalate quickly. This case shows how early intervention, regular wound monitoring, and skilled podiatric care can lead to complete healing, even in complex presentations.
To book an appointment:
https://familypodiatrycentre.com/appointment/show
