Comprehensive Neuropathy Assessment Suite
We perform detailed neurological evaluation including quantitative sensory testing (vibration perception thresholds, thermal discrimination), nerve conduction studies, autonomic nervous system testing (sudomotor function), and intraepidermal nerve fiber density quantification through skin biopsy when indicated. Our comprehensive approach identifies neuropathy patterns predicting ulcer risk with 85-90% accuracy.
Advanced Vascular & Microcirculatory Assessment
Our vascular lab performs ankle-brachial indices with waveform analysis, toe pressures, transcutaneous oxygen measurements (TcPO2), laser Doppler flowmetry, and skin perfusion pressure measurements. We utilize advanced imaging including contrast-enhanced ultrasound and optical coherence tomography to evaluate microcirculatory changes predictive of healing potential and amputation risk.
Computerized Gait & Pressure Analysis
We employ dynamic plantar pressure measurement systems (EMED, F-Scan) identifying areas of excessive pressure predisposing to ulceration. Our 3D gait analysis includes motion capture technology assessing biomechanical abnormalities contributing to foot deformity development. This data guides prescription of custom orthotics and therapeutic footwear.
Research & Advanced Diagnostic Technologies
Our research division investigates novel biomarkers, imaging modalities, and preventive technologies including hyperspectral imaging, fluorescence microscopy, and artificial intelligence algorithms predicting ulcer development. We participate in multicenter trials evaluating new preventive and therapeutic approaches for diabetic foot complications.
- Comprehensive diabetic foot screening using validated risk classification systems
- Advanced neuropathy assessment with quantitative sensory testing
- Detailed vascular evaluation including microcirculatory assessment
- Computerized gait analysis and plantar pressure measurement
- Biomechanical assessment for custom orthotic prescription
- Educational programs on foot care and ulcer prevention
- Regular surveillance for high-risk patients
- Research participation opportunities for novel diagnostic and therapeutic approaches
All diabetic patients should have baseline assessment at diagnosis. Annual evaluation is recommended for all diabetic patients, with higher-risk patients (neuropathy, vascular disease, deformity, previous ulcer) requiring 3-6 month intervals. Our risk stratification system identifies appropriate surveillance frequency based on individual risk factors and previous findings.
Our lab identifies subclinical neuropathy through quantitative testing 6-12 months before symptom development, detects microvascular changes preceding measurable macrovascular disease, quantifies pressure distribution identifying at-risk areas before callus formation, and provides objective measurements tracking progression over time—allowing intervention 12-18 months before ulcer development in most cases.
Results determine ulcer risk category (0-3), guide frequency of professional care (1-6 months), indicate need for specialized footwear (therapeutic vs. custom), identify candidates for preventive procedures (tendon lengthening, exostectomy), and guide vascular referral timing. Our predictive models using lab data have 92% accuracy for identifying patients who will develop ulcers within 12 months.
Yes, our comprehensive assessment identifies at-risk patients 12-24 months before ulcer development, allowing preventive interventions reducing amputation risk by 70-85%. For patients with existing ulcers, our lab guides appropriate offloading, determines healing potential, and identifies need for vascular intervention—reducing amputation rates by 50-60% compared to standard care.
Current research includes hyperspectral imaging for tissue oxygenation mapping, artificial intelligence algorithms predicting ulcer development from thermal images, wearable sensors for continuous pressure monitoring, advanced biomarkers for infection detection, and novel imaging modalities assessing biofilm presence. Our lab participates in 5-10 active research protocols annually.
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.”