Dr. G uses the Mercury Retrograde analogy to explain why diabetic foot ulcers often recur, covering medical and mechanical causes like osteomyelitis, unresolved pressure, neuropathy, scar tissue, and poor footwear. He outlines common hotspot locations, signs of underlying bone infection, and why healed skin remains fragile.
The episode emphasizes immediate reassessment for reopened wounds, essential tests (cultures, labs, X-ray/MRI), and proven prevention: timely offloading (TCC, boots, custom orthotics), footwear adjustments, surgical fixes when needed, daily foot checks, moisturizing, and close follow-up to stop the cycle and avoid amputation.
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