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Complicated Case Update of Vimal

  • Marty Shively
  • Nov 4
  • 1 min read

Cause & Cure of his Foot Ulcer


A man with a walker and leg cast stands with two people outdoors, including Dr. Sharwan Saini. They are surrounded by children on a patterned stone and dirt path with tents and trees.

A recent medical evaluation revealed that Mr. Vimal’s chronic right foot ulcer was not caused solely by an external injury but was primarily linked to nerve compression in his spine.


Doctors explained that the spinal cord, particularly between the D12–L2 levels, carries nerves that control movement and sensation in the legs and feet. In Vimal’s case, a cyst at the D12–L2 region compressed these nerves, leading to muscle weakness, loss of sensation, and reduced control of his right foot.


This nerve damage resulted in a condition known as “foot drop,” where lifting the front part of the foot becomes difficult. Over time, the abnormal pressure on certain areas of the sole caused a chronic, non-healing ulcer. Because of reduced sensation, Vimal often did not notice small injuries or wounds, allowing them to worsen gradually. Medical experts note that such ulcers are a common complication of spinal nerve compression or neuropathy, highlighting the importance of early diagnosis and treatment.


Vimal is still recovering from his spine surgery (see his earlier story dated September 4, 2025). Although his foot initially showed signs of improvement after the cyst was removed, it suddenly deteriorated, requiring emergency foot surgery. He now wears a cast, and a walker has been invaluable in helping him manage basic but essential self-care activities.


Dr. Sharwan Saini, SKT Founder & Executive Director, shared that Vimal is progressing well despite facing the challenges of a “double recovery.”


A group of people, including children in orange uniforms and adults, stand on a mosaic & dirt tiled path against a rural backdrop, appearing serious. Vimal is seated on a charpoy in the middle with his walker in front of him.

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