thank you and pleased to answer you.
firstly as I do here for patient like you, I always ask for a vascular Doppler
ultrasound of your leg artery to visualize a slowing down of the blood flow linked to diabetes artery transformations, and much more interesting, if the exam find this transformation, we must add to treatments
Anticoagulant medications. in that way, the wound will be better controlled and eradicated(the blood flow will be much better and the antibiotics will target the wound more efficiently).
The essential component of treatment is the management of chronic
neuropathic pain.
Many analgesic neurogenic drugs are available in this indication. These drugs come from
Several families: antidepressants (tricyclics: LAROXYL, serotonergic-noradrenergic:
EFFEXOR, CYMBALTA) neuroleptics (RIVOTRIL, NEURONTIN, LYRICA).
All these treatments Have notorious adverse effects and should be initiated at low doses (especially if
renal insufficiency is present), Then adapted very gradually according to the clinical response.
So you have several medications choices with a high response rate, you should definitely
consult a neurologist.