A slow-healing foot wound is more concerning if it appears with tingling feet or numb toes or constant thirst and frequent urination.
Written and reviewed by Doctor Wellness Journal Editorial Team. Last updated: May 27, 2026.
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My name is André, I’m 59, and I live near Eindhoven. It started with a tiny wound on my foot from a new pair of shoes. I thought it would heal in a few days. It did not. My wife, Monique, kept asking me to call the huisarts. I kept saying, “Tomorrow.” I found this blog after searching “why is my foot wound not healing” when the skin around the wound started to look red and angry. If you are in the Netherlands and worried about a possible diabetic foot wound, do not wait too long to get medical advice.
Symptoms
A diabetes-related foot problem may show signs such as:
- A wound that does not heal. A small cut, blister, or sore may stay open longer than expected.
- Redness or swelling. Skin around the wound may look inflamed.
- Warmth around the wound. Warm skin can suggest irritation or infection.
- Fluid, pus, or bad smell. These can be signs of infection.
- Pain or no pain at all. Nerve damage can reduce feeling, so a serious wound may not hurt.
- Numbness or tingling. This can make it harder to notice injury.
- Dark skin changes. Colour changes around a wound should be checked.
A small foot wound that does not heal can be linked with diabetes, poor circulation, infection, pressure from shoes, or reduced sensation in the feet. It should be checked, especially if you already have diabetes or suspect blood sugar problems.
Possible Causes
Searching online about a foot wound that will not heal often starts with fear. The cause may not always be diabetes, but diabetes is an important possibility to consider with a huisarts.
- High blood sugar affecting healing. High glucose levels can interfere with normal wound healing.
- Diabetes-related neuropathy. Nerve damage can reduce feeling, so cuts or blisters may go unnoticed.
- Reduced blood flow. Poor circulation can slow healing in the feet.
- Infection. Wounds can become infected, especially if healing is delayed.
- Shoe pressure or friction. Tight shoes can create blisters or reopen healing skin.
- Skin conditions. Cracks, dryness, fungal infections, or eczema can lead to wounds.
- Other circulation or immune problems. These can also make wounds heal slowly.
When to Seek Care
Call 112 immediately if you have signs of sepsis such as confusion, extreme weakness, rapid worsening, severe illness, fainting, severe chest pain, severe shortness of breath, or stroke-like symptoms.
Seek SEH / acute zorg urgently if the wound is spreading, deep, black, or rapidly worsening, the foot is very swollen, hot, red, or severely painful, you have fever or feel very unwell, you have diabetes and a foot wound looks infected, or the foot becomes cold, pale, blue, or numb suddenly.
Contact HAP / huisartsenpost outside huisarts hours if you have a foot wound with redness, warmth, swelling, fluid, or pus, you have known diabetes and a new foot wound, or you are worried it cannot wait until the huisarts opens.
Book a huisarts appointment if a foot wound is not improving, you have slow-healing cuts or sores, have tingling or numbness in your feet, are thirsty, peeing often, tired, or losing weight, or suspect diabetes but have not been tested.
Lifestyle Steps
- Do not ignore the wound. Feet are not the place to wait and hope.
- Keep the wound clean and protected. Use basic hygiene and avoid friction.
- Avoid tight shoes. Pressure can make wounds worse.
- Check both feet daily. Look underneath, between toes, and around heels.
- Do not cut hard skin deeply yourself. This can create wounds or infection risk.
- Ask about blood sugar testing. Slow healing can be one reason to check for diabetes.
- Seek professional foot care if diabetes is confirmed. Your huisarts can advise on podiatry or diabetes foot care.
FAQ
A foot wound is not healing — when should I seek help in the Netherlands?
Seek help quickly if a foot wound is not healing, looks red, swollen, warm, has fluid or pus, or you have diabetes. Use the huisartsenpost outside normal hours if it cannot wait.
Can a small foot wound not healing mean diabetes?
It can be one possible sign, especially with thirst, frequent urination, tiredness, blurred vision, or tingling feet. Other causes are possible too.
When should I go to SEH for a diabetic foot wound?
Go urgently if the wound is spreading, deep, black, infected, very painful, or you feel feverish or very unwell. A cold, blue, or suddenly numb foot is also urgent.
Why can diabetes cause slow-healing sores on feet?
High blood sugar can affect blood flow, immune response, and nerve function. This can make wounds easier to miss and slower to heal.
Should expats in NL see a huisarts for a foot wound?
Yes. In the Netherlands, the huisarts is usually the first point of contact unless symptoms are urgent or life-threatening.
Sources
- Thuisarts.nl: diabetes type 2 symptoms and huisarts guidance
- Mayo Clinic: diabetes symptoms and causes
- NIDDK: symptoms and causes of diabetes
- Cleveland Clinic: diabetes symptoms and complications
- PubMed: diabetes symptom and complication research
Medical note: This article is for general information only and does not replace advice from a doctor, huisarts, pharmacist, or qualified healthcare professional.
Next step: Contact your huisarts for a foot wound and diabetes check.
If tiredness, weight change, or blurred vision are also present, compare with losing weight without trying and blurred vision with dry mouth.
This article is the urgent-care side of the diabetes cluster; start with diabetes symptoms in the Netherlands if you need the broader symptom overview, or read sudden vision changes if eye symptoms are part of the pattern.