Where are neuropathic ulcers most commonly located?

Neuropathic ulcers are most commonly found on the plantar aspect of the foot or on the toes due to the pressure and lack of sensation in these areas, particularly in individuals with diabetes or peripheral neuropathy. Patients with these conditions often have a diminished ability to feel pain, temperature, or pressure, leading to injuries that can develop into ulcers without the patient being aware of them.

The plantar foot is often subjected to continuous stress and pressure from walking or standing, making it a prime site for ulcer formation. Areas that bear more weight, like the ball of the foot, are also susceptible, but the characteristic location for neuropathic ulcers, especially in patients with diabetes, tends to be more centered on the plantar aspect and the toes, where high-pressure points and friction can lead to skin breakdown.

Understanding the typical presentation of these ulcers is crucial for effective assessment and management, as well as for implementing preventive measures for at-risk individuals.