I have another foot ulcer. Same Place. Same reason.
The picture above shows the issue.
Second toe from the right (next to the “Big Toe”) is dislocated 2nd joint and the bones are pointing down (hence the shortening of the toe) causing pressure every step I take of every single day.
Basically, I wear a hole in my foot. This is the third time it happened. There very likely be a 4th, 5th, 6th……. Who knows?
The story of my first two ulcers is well documented along with the gory pics.
This one won’t be.
Once the first two ulcers had healed, I reflected and realised that I had burned out due to the almost 2 years of treatment and that had taken several months to manifest and lasted the rest of the treatment.
Today I realised that I was already burned out with ulcer number 3 and the prospect of months of treatment and the certainty (in my head) that this will keep happening and there is no end game.
Breaking down in tears literally begging my podiatrist for surgery to remove the dislocated bones was not the subtlest of indications of my burn out I know.
At EASD leas week I attended a workshop about the FDA Rescue research on self-harm and suicide in people living with diabetes. I have not seen the data but I wonder if and how much diabetes related complications factor in these cases.
Please, please, please continue to #TalkAboutComplications
Grumps.
The Grumpy Pumper 
So sorry to hear this! I just want to tell you that for years I have found your posts informative, sometimes amusing, maybe sometimes gory but I’ve learned a lot I didn’t know from your posts. As a diabetic of 43 years I feel your struggle with the endless complications and restrictions. I hope you bounce back even grumpier when you’re ready!
I am so sorry to hear about this. In 2019 I had four foot surgeries and my feet are so messed up with Charcot-Marie-Tooth disease. I love saying the whole thing. It makes me think I have a tooth in my foot.
So anyway, I am sorry to hear about this issue. It seems like for 10 years I have been battling diabetes foot issues. Right now I have four broken bones and a dislocated toe in my right foot. Or as my wife says often, your a damn mess. I hope yours heals well and quickly.
Much energy brother.
This seems like a crazy response but if I were in your feet (because your shoes are too big) I would consider asking for a partial amputation of the toe if the doctor doesn’t want to remove the bones. Or is that too much like “elective surgery”? I would think you would be much more comfortable and still be able to get around well.