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DIABETIC FOOT · WOUND CARE + ANGIOPLASTY · JAIPUR

Your diabetic wound won't heal because blood isn't reaching it.

शुगर के पैर का घाव ठीक नहीं हो रहा? ख़ून का बहाव बहाल कीजिए।

Dressings, antibiotics, and wound care treat the surface. But if the artery supplying your foot is blocked, no dressing in the world will close that wound permanently. Flowcare identifies the blockage — and opens it. Combined with expert wound care, your foot can heal. The window to save it starts today.

Wound care + debridementDoppler diagnosisAtherectomyPeripheral angioplastyEmergency slotsCashless insurance
0+
Diabetic foot cases
0%
Limb salvage (timely care)
0+
Peripheral angioplasties
0yr
Vascular expertise
LIVE · BLOOD-FLOW PATHWAY
STEP 1/6
Warm blood reaches the foot
Healthy artery
★ The single most important thing to understand

The reason most diabetic foot wounds don't heal.

Most patients arrive at Flowcare having dressed their wound for weeks or months with nothing improving. There is a reason. It's not the dressing. It's not the antibiotic. It's the blood supply.

When diabetes is uncontrolled for years, it damages two systems simultaneously:

1Nerves (Neuropathy). You stop feeling pain in your feet. A small cut goes unnoticed. A blister is ignored. You don't feel the damage accumulating.

2Arteries (PAD). High blood sugar thickens and narrows the arteries in your legs and feet. Blood flow reduces. The foot is literally starving for oxygen and nutrients.

Result: A wound forms — often unnoticed. The immune cells that fight infection cannot reach it. The nutrients that build new tissue cannot reach it. Every dressing change buys time — but if the blocked artery isn't treated, the wound will never truly heal.

🩺
Antibiotics treat infection
They cannot open a blocked artery. Bacteria can be killed; arteries cannot be "killed" cleaner.
🩹
Dressings protect the wound
They cannot restore blood flow. A clean wound is still a wound without blood supply.
🩸
Angioplasty opens the artery
Blood reaches the wound. Immune cells arrive. Tissue rebuilds. Healing begins — within days.
60-second risk assessment

How urgent is your diabetic foot situation?

8 सवाल — आपका जोखिम स्तर और अगला क़दम

8 quick questions. Get your risk tier — RED, AMBER, BLUE, or GREEN — and the recommended next action. Your answers stay private. Designed by Dr. Bansal based on 500+ diabetic foot cases.

Question 1 of 8
🩺
Do you currently have a wound, sore, or ulcer on your foot or leg?
Your answers are not stored
YOUR LIVE ASSESSMENT
Answer 8 questions to see your urgency tier
You'll find out:
  • Your urgency tier (Red / Amber / Blue / Green)
  • Whether you need ER, same-day, or this-week care
  • Whether angioplasty is likely indicated
Tool based on 500+ diabetic foot cases at Flowcare Jaipur
Understanding diabetic foot

A two-system failure — and why that makes it so dangerous.

Diabetic foot is not one condition. It is the result of two simultaneous failures in the diabetic body — and treating only one half explains why so many wounds never close.

Failure 1Neuropathy. High blood sugar damages peripheral nerves — starting in the feet. You lose the ability to feel pain, temperature, and pressure. A pebble in your shoe can cause a pressure ulcer you cannot feel. A blister becomes an open wound before you realise.

Failure 2Peripheral Artery Disease (PAD). High blood sugar also damages and narrows the arteries in the legs and feet. Blood flow to the foot decreases. Immune function reduces. Healing capacity collapses.

The combination is what makes diabetic foot so dangerous — you cannot feel the wound forming, AND the wound cannot heal because blood isn't reaching it. This is why a Grade-1 wound can quietly become Grade-4 gangrene in 6 weeks.

"We see patients who walked in with a 'small cut' that had been open for months. Their blood sugar was high. Their pain signal was gone. By the time the wound's severity registered to anyone, the artery had been blocked for years." — Dr. Bansal

India's diabetic foot crisis — in numbers.
77M
Indians living with diabetes — world's second-largest diabetic population.
1 in 4
diabetics will develop a foot ulcer in their lifetime.
100K+
lower-limb amputations performed in India every year.
80%
of those amputations — preventable with timely vascular intervention.
Wagner classification

What grade is your wound? Click to find out.

Wagner ग्रेड क्या है? — क्लिक करके पता करें

Vascular surgeons worldwide use the Wagner classification to grade diabetic foot. Knowing your grade tells you how urgently to act — and whether angioplasty is likely indicated. Click any grade to see the action plan.

0Grade
At-Risk Foot
No ulcer — but risk factors
Preventive window
1Grade
Superficial Ulcer
Open through skin surface only
2Grade
Deep Ulcer
Through to deep tissue · ★ MOST COMMON
★ Best window for angioplasty
3Grade
Deep Ulcer + Abscess
Infection reaching bone (osteomyelitis)
Same-day required
4Grade
Partial Gangrene
Tissue death in toes/forefoot
Limb-saving window closing
5Grade
Extensive Gangrene
Life-threatening — go to ER NOW
GO TO ER NOW
Grade 2 · Deep Ulcer
Wound has penetrated through to deep tissue (tendon or joint may be visible). Infection risk is high. Peripheral angioplasty is strongly indicated to restore blood flow before infection deepens.
Action: Flowcare: wound debridement + Doppler + PAD assessment. Likely angioplasty. This grade has the highest probability of a fully-healed outcome.
The salvage window

How diabetic foot progresses — and why every week matters.

From a "small cut" to a limb-threatening emergency in six weeks. The progression is consistent. The intervention window is finite. Most patients arrive at Week 4 having dressed it themselves through Weeks 1–3.

1
Week 1
🟡 Manageable if treated NOW
Small wound or blister. You can't feel it (neuropathy). Looks minor. Most patients ignore it or apply home remedy.
2
Week 2
🟠 Urgent — antibiotic + Doppler needed
Wound opens further. Bacteria enter. Infection begins. Still no significant pain. Redness starts appearing around the edges.
3
Week 3
🔴 Critical — angioplasty + aggressive wound care
Infection spreading through tissue. Wound deepens. Bone may be exposed. Blood sugar rising from active infection.
4
Week 4
🚨 Emergency — limb at risk
Infection reaching bone (osteomyelitis). Spreading cellulitis. Gangrene risk begins. The salvage window narrows daily.
5
Week 6+ without action
🚨 ER-level emergency
Without blood flow restoration — gangrene, sepsis risk. The window for limb-saving intervention is closing. Amputation discussions begin.
Where angioplasty changes the outcome
Weeks 1–3: Angioplasty = high probability of complete healingWeeks 4–6: Limb still often salvageable; partial toe amputation possibleAfter Week 6 without treatment: Below-knee amputation risk rises sharply
The 10-second daily foot check

Every diabetic should do this every morning.

हर सुबह — सिर्फ़ 10 सेकंड — पैर की जांच ज़रूरी है

Neuropathy means you can't trust your pain signal. These 5 checks take 10 seconds and can prevent amputation. Tap each one as you do it — and if you tick "yes" to any of them, seek assessment today.

Why this matters: Most diabetic foot emergencies begin with a finding that seemed minor. The "small cut" that becomes a Grade-3 wound was almost always first noticed at Grade 0 — and dismissed.

Tap each check as you do it. Tick "yes" to ANY → seek assessment today.
👁️
Any new wound, cut, or break in skin?Look — don't rely on feel. Use a mirror for the sole.
🌡️
Is one foot colder than the other?Cold = poor blood flow. Compare with the back of your hand.
🎨
Any redness, darkening, or bluish discolouration?Especially around toes, heel, and pressure points.
💧
Any discharge, moisture, or smell between toes?Even faint odour from a healthy-looking foot matters.
🦷
Any callus that has broken open?Broken calluses are a common entry point for infection.
Found something on your foot check?
Use the contact form below to describe what you found.
Causes & risk factors

Why diabetes makes your feet uniquely vulnerable.

Two parallel pathways of damage — one silent, one stealthy. Understanding both explains why standard wound care alone keeps failing for diabetic patients.

PATHWAY 1 · NEUROPATHY
The injury you can't feel
High blood sugar damages peripheral nerves
Sensation in feet reduces, then disappears
Injury occurs — pebble, blister, friction
Wound forms — not felt, not noticed, untreated
PATHWAY 2 · PAD
The healing that can't happen
High blood sugar damages artery walls
Plaque builds inside leg arteries
Blood flow to foot reduces drastically
Wound cannot heal — infection spreads
⚠️
The deadly intersection
Neuropathy hides the injury. PAD prevents healing. Together — a wound forms silently, grows without pain, and cannot close. This is why diabetic foot kills more limbs in India than any other vascular condition.
Risk factors — starred items multiply danger
Uncontrolled HbA1c
Smoking
Hypertension
High cholesterol
Diabetes > 10 years
Foot deformities
Poor footwear
Previous ulcer
★ Flowcare's complete care pathway

Wound management + vascular diagnosis + angioplasty — one clinic.

Most wound care clinics can dress a wound. Most vascular centres can open an artery. Flowcare does both — in one visit. This is the four-phase pathway every diabetic foot patient is taken through.

PHASE 01
Wound Assessment + Doppler
Day 1 at Flowcare
  • Complete wound assessment (size, depth, infection)
  • ABI (Ankle-Brachial Index) measurement
  • Color Doppler ultrasound — blood flow to foot mapped
  • Blood sugar + CBC + CRP blood tests
  • Wagner grade classification
Result → clear understanding of whether blood flow is the issue.
PHASE 02
Wound Care + Debridement
Weekly (or as needed)
  • Professional wound debridement — remove dead tissue
  • Advanced wound dressings (hydrocolloid · foam · alginate)
  • Offloading footwear advice + prescription
  • Blood sugar optimization guidance
  • Antibiotic therapy if infection is confirmed
Result → wound surface managed + infection controlled.
PHASE 04
Follow-up + Monitoring
Monthly · ongoing
  • Monthly Doppler follow-up
  • Wound progress tracking with photographs
  • HbA1c monitoring
  • Preventive foot care education + footwear review
Result → healed wound stays healed. New ulcers prevented.
The missing piece

Restoring blood flow to your foot — peripheral angioplasty.

Peripheral angioplasty opens the blocked artery in your leg that is starving your foot wound of oxygen and nutrients. Without this step, no dressing achieves permanent healing.

  • 60-minute day-care procedure
  • Pin-hole access — no open surgery
  • Local anaesthesia — fully awake
  • Blood flow restored immediately
  • Home same day
  • Wound healing begins within days
1000+
peripheral angioplasties · Dr. Bansal
"Many of these were diabetic foot patients at Wagner Grade 2–4. My expertise is opening the artery at exactly the right moment to save a limb that appears lost."
— DR. RAJENDRA BANSAL · MBBS DMRD DNB FVIR
India's preventable crisis

100,000 preventable amputations every single year.

Most were diabetic patients. Most were preventable. This is the math the Indian healthcare system rarely talks about — and the math that changes when blood flow is assessed before infection takes over.

100,000+
LOWER-LIMB AMPUTATIONS · INDIA · ANNUAL

India performs more diabetic limb amputations than almost any other country in the world. Most patients who lose a limb had a non-healing wound that was treated with dressings only — without ever assessing or treating the blocked artery causing it.

The standard of care in most Indian diabetic foot cases: dressings, antibiotics, blood sugar control — with no vascular assessment. No Doppler. No angioplasty. The artery stays blocked. The wound stays open. Infection spreads. Amputation follows.

What changes the outcome: Patients who receive Doppler + peripheral angioplasty at Wagner Grade 2–3 have a 90–95% chance of avoiding amputation. Without vascular intervention, the same patients face a 40–60% amputation rate within 12 months.
77M
Indians with diabetes
25%
Will get a foot ulcer in lifetime
100K+
Annual amputations in India
80%
Of those — preventable
For family members

Is your parent a diabetic denying a foot problem?

क्या आपके माता-पिता पैर की समस्या को नज़रअंदाज़ कर रहे हैं?

The most common story at Flowcare: a son or daughter brings their elderly parent in — because the parent has been saying "it's nothing, it doesn't hurt" for weeks. Neuropathy means they genuinely cannot feel the wound. It genuinely doesn't hurt. But no pain does not mean no danger.

⚡ ACT TODAY — NOT THIS WEEKEND
If their foot has a wound that isn't healing — bring them today.
"We'll go next week" is the most common phrase that leads to amputation. The wound has been open for weeks already. Every day matters now.
🔍 "IT DOESN'T HURT" — NOT REASSURING
No pain ≠ no danger.
Diabetic neuropathy removes pain. The wound can be deep, infected, and reaching bone — with zero pain signal. Trust your eyes. Trust your nose. Don't trust their pain report.
🏥 BLACKENING / FEVER = EMERGENCY
Go to ER immediately. Don't wait for their agreement.
If you see blackening, spreading redness, or fever — this is an emergency. Adult children regret waiting. They never regret acting fast.
Transparent pricing

What to expect — Flowcare diabetic foot costs.

No hidden charges. No "ballpark figures" that surprise you later. Three care tiers — pick yours based on Wagner grade and whether PAD is confirmed.

STEP 1 · DIAGNOSIS
Initial Assessment + Doppler
First visit — clarity within 90 minutes
₹2,000 – ₹6,000
SINGLE VISIT · ALL-INCLUSIVE
Complete wound assessment + ABI + Color Doppler + blood tests review. Know if blood flow is the issue — in one visit.
Covered by most insurance plans
STEP 2 · ONGOING
Wound Care + Debridement
Per-session · weekly or as indicated
₹1,000 – ₹5,000
PER SESSION · GRADE-DEPENDENT
Professional wound cleaning, debridement, advanced dressing. Sessions scheduled weekly or per clinical need until closure.
Insurance covered · frequency by Wagner grade
The cost of amputation + rehabilitation + prosthetic + home care: ₹5L – ₹20L+ over 5 years.
The cost of timely angioplasty: ₹1,20,000 – ₹4,00,000. Once.
Your interventional radiologist

Jaipur's diabetic foot salvage specialist — Dr. Rajendra Bansal.

18+ years and over 10,000 personally-performed pin-hole vascular procedures. 500+ peripheral angioplasties — many specifically for diabetic foot patients at Wagner Grades 2-4. The diabetic foot patients other surgeons sent away often end up in his clinic.

Dr. Rajendra Bansal
Dr. Rajendra Bansal
MBBS · DMRD · DNB · FVIR
10K+
Procedures
500+
Peripheral angioplasties
A NOTE FROM DR. BANSAL
"I have seen many limbs appear lost — and then saved with timely blood flow restoration. My instruction to every team member is the same: emergency diabetic foot cases get same-day slots. Always. The wound has already waited weeks. We don't make it wait days."
Credentials
MBBS
SMS Medical College, Jaipur
DMRD · DNB
Diagnostic Radiology
FVIR
Fellowship · Vascular & Interventional Radiology
Member
Indian Society of Vascular & Interventional Radiology
Speciality
Diabetic foot salvage · PAD · Critical limb ischaemia
Commitment
Personally reviews every Doppler before angioplasty for diabetic foot
Why Flowcare for diabetic foot

Six reasons feet get saved here.

Peripheral angioplasty expertise
1000+ procedures by Dr. Bansal personally. Diabetic foot is the largest single sub-specialty.
Same-day emergency slots (Grade 3-4)
When you need emergency care, you are seen the same day. No appointment waiting.
Colour Doppler + ABI in-house
No referrals out for diagnostics. Vascular mapping happens on Day 1, in the same chair.
Insurance cashless
Approved with 25+ insurers. We handle the paperwork while you focus on your foot.
Monthly follow-up support
Healing is monitored monthly. Questions answered by Dr. Bansal's team during follow-up visits.
Honest answers

Everything diabetic foot patients actually ask.

We pulled the top 18 questions from common patient concerns. If yours isn't here, use the contact form below — Dr. Bansal reviews complex cases.

Why is my diabetic wound not healing despite dressings?
Because dressings treat the surface — not the blocked artery underneath. If your foot's blood supply is reduced (PAD), immune cells and nutrients cannot reach the wound. The dressing keeps it clean, but the wound cannot rebuild tissue. A Doppler ultrasound will tell you if a blocked artery is the cause.
What is peripheral angioplasty and how does it help diabetic foot?
Peripheral angioplasty is a pin-hole procedure that opens blocked arteries in your leg using a tiny balloon (and sometimes a stent). It restores blood flow to the foot in 60 minutes — under local anaesthesia, no incisions, home the same day. For diabetic foot, this is often the missing piece that makes wound care finally work.
How do I know if my wound needs angioplasty?
Three signs strongly suggest you do: (1) the wound has not healed in 4+ weeks despite proper dressings; (2) your foot feels cold, pale, or numb; (3) your Doppler shows reduced ABI or visible arterial narrowing. A 60-minute Doppler test gives a definitive answer.
What are the Wagner grades of diabetic foot?
Wagner Grade 0 = at-risk foot, no wound. Grade 1 = superficial ulcer. Grade 2 = deep ulcer (most common at Flowcare). Grade 3 = deep ulcer + infection to bone. Grade 4 = partial gangrene. Grade 5 = extensive gangrene (ER emergency). The visualizer above shows each grade and recommended action.
How quickly can diabetic foot become an emergency?
Faster than most patients realise. A Grade 1 wound can become Grade 4 in 4–6 weeks without intervention. Once gangrene begins, sepsis can develop within 24-48 hours. This is why "we'll go next week" is dangerous after the 4-week mark.
Is amputation inevitable for Grade 4 diabetic foot?
No. Grade 4 means tissue death in part of the foot — usually toes. With timely multi-vessel angioplasty, the rest of the foot can usually be saved. Partial toe amputation may be necessary, but a below-knee amputation is often avoidable. The window is tight — typically hours to days.
What is the ABI test and what does it tell us?
ABI (Ankle-Brachial Index) compares blood pressure in your ankle to your arm. A healthy ABI is 0.9–1.4. Below 0.9 suggests PAD. Below 0.5 is critical. It's a 10-minute non-invasive test we do on Day 1 at Flowcare.
Can wound healing begin without angioplasty?
If your blood flow is normal (ABI ≥ 0.9) and the wound is shallow, yes — wound care alone may close it. But if PAD is confirmed, no amount of dressing will heal it permanently. The wound may temporarily improve, then reopen. This is the pattern that ends in amputation.
How much does diabetic foot treatment cost at Flowcare?
Initial assessment + Doppler: ₹2,000 – ₹6,000. Wound care sessions: ₹1,000 – ₹5,000 each. Peripheral angioplasty (if needed): ₹1,20,000 – ₹4,00,000. Total typical journey: ₹1.5L – ₹4L. Compare this to amputation rehabilitation: ₹5L – ₹20L+ over five years.
Is diabetic foot treatment covered by insurance?
Yes — covered by most insurance plans. Peripheral angioplasty is approved under cashless arrangements on 25+ insurers. We handle all documentation.
My parent says the wound doesn't hurt — should I be worried?
Yes. No pain is one of the most dangerous signs. Diabetic neuropathy removes pain. A wound can be deep, infected, and reaching bone — with zero pain signal. Trust your eyes, not their pain report. If the wound has been there 2+ weeks, bring them in today.
What is the 10-second daily foot check for diabetics?
Every morning, check both feet for: (1) any new wound/cut, (2) temperature difference between feet, (3) redness or discolouration, (4) discharge or smell, (5) broken calluses. If you find ANY of these — seek assessment today. 🚨 If you also have fever + spreading redness, go to ER immediately.
How do I know if my foot has poor blood flow?
Common signs: foot feels cold (especially compared to the other foot), pale or bluish colour, weak or absent pulses in the foot, leg pain when walking that improves with rest (claudication), shiny or hairless skin on lower leg. A Doppler ultrasound confirms within minutes.
What is osteomyelitis and how serious is it?
Osteomyelitis is bone infection. In diabetic foot, it typically happens when a deep wound (Grade 3+) reaches the bone underneath. Treatment requires extended IV antibiotics + often surgical debridement + restoring blood flow. Without intervention, it leads to bone destruction and amputation.
What is diabetic gangrene — when must I go to ER?
Gangrene is tissue death from lack of blood supply. Signs: black or grey-black tissue, foul smell, sometimes pain (or none if neuropathic). 🚨 Go to ER NOW if: black/dark tissue anywhere on the foot + fever + spreading redness + chills/confusion. Sepsis can develop within hours.
How long does angioplasty take for diabetic foot treatment?
The procedure itself: 60 minutes for a single artery, up to 90 minutes for multi-vessel cases. Total time at Flowcare from arrival to discharge: 4-6 hours including pre-op preparation, the procedure, and 2 hours of monitored recovery. You walk in. You walk out the same day.
Can Ayurveda or home remedies treat diabetic foot ulcers?
For Grade 0 prevention — lifestyle changes, blood sugar control, and protective footwear absolutely help. For an active ulcer with PAD — no herbal preparation can open a blocked artery or substitute for surgical debridement. Combining home remedies with delay is the most common path to amputation at Flowcare.
How can I prevent diabetic foot if I don't have a wound yet?
Five things: (1) HbA1c < 7 consistently, (2) annual foot exam + ABI/Doppler after age 50 or 10+ years of diabetes, (3) daily 10-second foot check, (4) proper diabetic footwear — never barefoot, (5) stop smoking. Prevention costs <₹6,000/year. Amputation costs lakhs.
हिंदी में जानकारी

हिंदी में डायबिटिक फुट की पूरी जानकारी

शुगर के मरीज़ों के लिए — हिंदी में ज़रूरी जानकारी। जब पैर में घाव हो, तो देर मत कीजिए। हमारी टीम हिंदी में पूरी मदद करती है।

डायबिटिक फुट क्या है?
शुगर की वजह से पैर की नसों और धमनियों में हुई दोहरी ख़राबी। दर्द का अहसास भी कम, और घाव भरने की क्षमता भी कम।
पैर का घाव क्यों नहीं भरता?
क्योंकि पैर तक ख़ून ही नहीं पहुँच रहा। एंटीबायोटिक और मरहम — कोई भी बंद धमनी को नहीं खोल सकता।
नसों में ब्लॉकेज का घाव से क्या संबंध है?
धमनी बंद = घाव तक ऑक्सीजन नहीं = घाव कभी नहीं भरेगा। एंजियोप्लास्टी से धमनी खोलना ही असली इलाज है।
एंजियोप्लास्टी से पैर कैसे बचता है?
सिर्फ़ 60 मिनट की प्रक्रिया — पिन-होल से बंद धमनी खोली जाती है। उसी दिन घर। कुछ दिनों में घाव भरना शुरू।
Wagner Grade क्या होता है?
घाव की गंभीरता का स्केल — 0 से 5 तक। Grade 2-3 में एंजियोप्लास्टी का सबसे अच्छा परिणाम मिलता है।
पैर काटना — कब तक रोका जा सकता है?
Grade 2-3 पर — 90-95% बार पैर बचाया जा सकता है। 6 हफ़्ते से ज़्यादा देरी पर ख़तरा तेज़ी से बढ़ता है।
इलाज में कितना खर्च आता है?
जांच + डॉपलर: ₹2,000-6,000. एंजियोप्लास्टी (अगर ज़रूरी): ₹80K-2.5L. ज़्यादातर बीमा में कवर। कैशलेस सुविधा।
रोज़ाना पैर की जांच कैसे करें?
हर सुबह 10 सेकंड — कोई नया घाव? पैर ठंडा? रंग बदला? बदबू? कुछ भी मिले — आज ही जांच करवाएं।
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