A diabetic foot ulcer is rarely just a skin problem. Circulation, sensation, pressure and infection all decide whether it heals, and each is assessed before treatment is planned.
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The aim is a healed foot that stays healed, and a limb that remains useful.
Assessment, offloading, debridement and closure.
Read more →The full pathway, including when surgery is needed.
Read more →Wounds that have stayed open despite dressings.
Read more →Spreading infection and gangrene needing urgent surgery.
Read more →Flap cover where bone or tendon is exposed.
Read more →Why a diabetic foot ulcer must not wait.
Read more →Bring recent sugar readings, HbA1c if you have it, and any culture or imaging reports. If a vascular study has already been done elsewhere, bring that too, because circulation decides much of the plan.
Come with the footwear you normally wear. Pressure patterns explain a great deal about why an ulcer formed where it did, and about how to stop the next one.
203, Trinity Business Park, OPP G3 Store, Madhuvan Circle, LP Savani Road, Adajan, Surat, Gujarat 395009.
Timings Mon to Sat · 10:00 to 19:00 · OPD by appointment
320, Times Square, Canal Road, Bharthana, Nr. G.D.Goenka International School, Vesu, Surat, Gujarat 395007.
Timings Mon to Sat · 10:00 to 18:00 · Emergency 24×7
Dr. Ashutosh Shah is a Plastic, Reconstructive and Cosmetic Surgeon (DNB) practising in Surat, Gujarat. The work covered by this site is reconstructive, which means restoring form and function after birth differences, burns, injury, cancer surgery, infection and chronic wounds.
Consultations are unhurried. You are told what the problem is, which options genuinely apply, what each involves, and what it will realistically achieve, including where an operation is not the right answer.
Cost depends on whether the foot needs dressings alone, repeated debridement, or flap reconstruction, and on the length of admission.
Patients are referred by physicians and diabetologists across the city and the surrounding districts.
Each page below covers one kind of work at the Surat clinic, with the questions patients ask about it, the cost band and how to reach the team.
These are the questions asked most often when an ulcer is not settling. If yours is not here, send it on WhatsApp and the team will reply, usually the same day.
Ask your question →As soon as it appears, rather than after weeks of dressings. Early assessment of circulation, depth and infection is what protects the limb, and small ulcers are far easier to close.
Often it can, particularly when blood supply is adequate and infection is controlled early. Where tissue has already died, the aim shifts to removing the least possible and keeping a functional foot.
Nerve damage from diabetes reduces sensation, so a deep ulcer can cause no pain at all. Absence of pain is not reassurance, which is why daily foot checks matter so much.
Good control helps but rarely closes a wound by itself. Pressure has to come off the ulcer, dead tissue has to be removed, infection has to be treated and blood supply has to be adequate.
Admissions for infection, debridement and reconstruction are usually considered under mediclaim subject to policy terms, and scheme cover may apply. Pre authorisation is raised before admission where possible.
Because the pressure point and the nerve damage that caused the first ulcer are still there. Offloading footwear, daily inspection and prompt attention to any new break are what prevent recurrence.
Walking on an ulcer keeps reopening it. Offloading with special footwear, a cast or crutches is usually advised, and what is practical for your daily routine is worked out with you.