Help healing Ulcer on Achilles area

Hi all Just wondering if anyone had any ideas on healing of ulceration on the post calc /Achilles area? Patient is middle age, working active job, can’t wear any offloading footwear, vascular wise no issues.

Hi all Just wondering if anyone had any ideas on healing of ulceration on the post calc /Achilles area? Patient is middle age, working active job, can’t wear any offloading footwear, vascular wise no issues.

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Help healing Ulcer on Achilles area