Comprehensive Risk Assessment & Staging
We conduct thorough evaluations using the University of Texas Diabetic Wound Classification System, Wagner Grading Scale, and PEDIS classification. Assessments include 10-gram monofilament testing for protective sensation, biothesiometry for vibration perception, Doppler ultrasound for vascular assessment, and computerized gait analysis for pressure distribution mapping. Each patient receives a customized risk score determining intervention intensity and follow-up frequency.
Advanced Wound Healing Technologies
Our wound care arsenal includes negative pressure wound therapy with instillation capabilities, hyperbaric oxygen therapy, bioengineered skin substitutes, platelet-rich plasma applications, extracellular matrix scaffolds, and smart dressings with sustained antimicrobial release. We employ a systematic approach using the TIME framework (Tissue, Infection/Inflammation, Moisture, Edge) to optimize the wound microenvironment for healing.
Vascular Optimization & Circulatory Restoration
Collaborating with vascular specialists, we perform endovascular interventions including angioplasty, stenting, atherectomy, and surgical bypass procedures when indicated. Our goal is achieving optimal tissue perfusion through transcutaneous oxygen measurements (TcPO2 >40mmHg) and toe pressures (>55mmHg) to support wound healing while preventing further tissue loss.
Preventive Footwear & Offloading Strategies
We provide custom-molded therapeutic footwear, pressure-redistributing orthotics, total contact casting, and removable walker boots. Our diabetic shoe program includes regular reassessment and modifications to accommodate changing foot architecture while preventing recurrent ulceration in previously affected areas.
- Comprehensive diabetic foot screening using validated classification systems
- Advanced neuropathy assessment with quantitative sensory testing
- Vascular evaluation with ankle-brachial indices and toe pressures
- Pressure offloading with custom orthotics and therapeutic footwear
- Glycemic optimization through endocrinology collaboration
- Smoking cessation counseling and cardiovascular risk management
- Regular foot inspections and professional nail care services
- Patient education on daily foot care and early problem recognition
Early indicators include persistent numbness or tingling, burning sensations, changes in foot shape (Charcot foot), dry cracked skin, callus formation under pressure points, temperature differences between feet, and hair loss on toes. Recognizing these signs within the first 2-4 weeks allows intervention before ulcer development in 85% of cases.
Yes, approximately 80-90% of diabetic foot ulcers can heal completely with comprehensive multidisciplinary care when treated within 30 days of onset. Our center achieves 92% healing rates for non-infected ulcers through advanced wound care, vascular optimization, and strict offloading protocols, with amputation rates below 2% for patients in our prevention program.
Patients with no current foot problems should have comprehensive foot exams every 6-12 months. Those with neuropathy, vascular changes, or previous ulcers require examinations every 3 months. Active wound patients need weekly or biweekly assessments until healing, then monthly for 3-6 months during the high-risk recurrence period.
Optimal glucose control (HbA1c <7%) improves healing rates by 40-60% by reducing inflammation, enhancing immune function, and promoting collagen synthesis. Each 1% reduction in HbA1c decreases amputation risk by 43%. Our program includes continuous glucose monitoring integration with wound healing tracking for coordinated care.
Recent advancements include stem cell therapies with mesenchymal cells, amniotic membrane grafts, shockwave therapy for recalcitrant ulcers, electrical stimulation devices, oxygen-enriched dressings, and telemedicine monitoring systems. Our center implements these technologies based on ulcer characteristics and patient response patterns.
Our Team
Meet the Experts Behind Your Care
Dr. Viswanath Atreyapurapu
Consultant Vascular & Endovascular Surgeon
Dr. Manikanth Karumuri
Consultant Plastic, Reconstructive & Cosmetic SurgeonTestimonials
What Our Patients Are Saying
“I recently underwent vein laser treatment at IKIGAI under the care of Dr. Vishvanath Atreyapuram, and I am incredibly impressed with the experience and results. From the moment I stepped into the clinic, the staff made me feel welcome and at ease. Dr. Vishvanath is not only highly skilled and professional but also took the time to explain the procedure in detail, addressing all my concerns patiently.”
“My daughter was born with cleft palate and was advised to get operated after she turns 1 year old. We have lost all our hopes and were very worried about her. Dr K. Manikanth garu has done palatoplasty for my daughter last year. Since then he has taken very good care of my daughter even after the surgery and during reviews also, and now my daughter is perfectly alright. Thanks alot for Dr. Manikanth garu for the treatment.”
“Ikigai clinics is offering expert surgical care for all vascular and plastic surgery related conditions. It offers a serene ambience, world class infrastructure and highly skilled surgeons with personalized treatment plan for every patient. Highly recommended👍”
“I recently underwent vein laser treatment at IKIGAI under the care of Dr. Vishvanath Atreyapuram, and I am incredibly impressed with the experience and results. From the moment I stepped into the clinic, the staff made me feel welcome and at ease. Dr. Vishvanath is not only highly skilled and professional but also took the time to explain the procedure in detail, addressing all my concerns patiently.”
“I had a great experince with Dr viswanath Atreya and Dr manikanth karumuri for my varicose veins and venous ulcers treatment at ikigai clinics. From the very first consultation ,the doctor was kind ,through and extremely knowledgeable .iam so greatful for the care i recived and would highly recommend Dr viswanath and Dr manikanth to anyone dealing with varicose veins and venous ulcers Thank you ikigai clinics”
“⭐⭐⭐⭐⭐ Highly Recommend Ikigai Clinic for Nose Plastic Surgery! I recently had a nose plastic surgery at Ikigai Clinic, The entire experience, from consultation to post-surgery care, was handled with utmost professionalism and expertise. I'm truly satisfied with my results, and I highly recommend Ikigai Clinic to anyone considering cosmetic procedures. Thank you so much (Dr.Manikanth Karumuri)”
“I recently underwent AVF surgery with Dr. Viswanath Atreyapurapu at Ikigai Clinics, and I couldn’t be more satisfied with the care I received. Dr. Viswanath was incredibly professional, patient, and knowledgeable. He took the time to explain the procedure thoroughly and made me feel at ease every step of the way. The surgery went smoothly, and the post-operative care was excellent. Highly recommend Dr. Viswanath and Ikigai Clinics to anyone in need of vascular care.”