A cold, painful, pale limb, or a black toe with fever, needs emergency care today. Acute limb ischaemia and spreading foot infection are measured in hours. Go to the nearest hospital — do not wait for our reply.
Limb salvage in diabetes, aneurysm repair, narrowed leg arteries, varicose veins and dialysis access, at accredited hospitals across Delhi NCR.
The commonest reason patients contact us here is a diabetic foot that is not healing. That is a race, and most of the delay happens before anyone picks up a scalpel.
Free. No obligation. A written opinion within 48 hours.
More limbs are lost to delay than to disease severity. This is the message we most want patients and their families to act on.
Diabetic neuropathy removes the pain that would normally force you to seek help. Patients walk on an infected foot for days because it does not hurt.
An ulcer that will not heal usually means the arteries are narrowed. Restoring flow — by angioplasty or bypass — is what allows healing and prevents amputation.
Repeated courses of antibiotics without checking the circulation is the commonest pattern we see in patients who eventually lose a limb.
Send clear photographs of the foot in good light, including the sole and between the toes. We can triage urgency from those within hours.
If the foot is black, smells, or you have fever, go to hospital today. Do not spend that time arranging travel — send us photographs afterwards and we will help with what comes next.
What we are asked about most in vascular surgery.
Limb salvage, revascularisation and wound care
Cramping leg pain on walking, rest pain, critical ischaemia
Open and endovascular repair
Laser, radiofrequency and surgery for symptomatic veins
Including post-thrombotic syndrome
Stroke prevention after a TIA or minor stroke
Fistula creation and salvage of failing access
In children and adults
Detailed pages for these are being written. In the meantime send your reports and you will get the same written opinion within 48 hours, from the same clinical team that reviews every case.
Much of vascular surgery is now performed through a needle puncture rather than an incision.
A balloon opens the narrowed artery from inside, with a stent placed where needed, through a puncture in the groin. It restores blood flow to a threatened foot without an open operation and can be repeated. For limb salvage it is frequently the first choice because recovery is quick and the patient is often unfit for major surgery.
A graft, ideally the patient's own vein, carries blood around the blocked segment. It is more durable than angioplasty for long blockages and remains the better option in selected patients. It requires an open operation and a longer recovery, and the vein must be of adequate quality.
A stent graft delivered through the groin arteries lines the aneurysm from inside, or an open operation replaces the segment. Endovascular repair has a much easier recovery but requires lifelong surveillance scanning; open repair is more durable and better suited to younger, fitter patients. Anatomy decides which is possible.
The faulty vein is sealed from inside with laser or radiofrequency heat, or with glue, through a needle puncture under local anaesthetic. Most patients walk out the same day. It is worth doing for aching, swelling, skin changes or ulceration — not for appearance alone.
Creating an arteriovenous fistula in the arm for haemodialysis, and salvaging access that is failing. A working fistula is the best long-term access and considerably safer than a line. Creating one before dialysis becomes necessary is far better than in a crisis, and it is frequently left too late.
Salvaging a diabetic foot needs a vascular surgeon, an interventional radiologist, a diabetes physician and a podiatry or wound service working together. A surgeon alone cannot do it.
A unit that only offers one will recommend the one it offers. For limb salvage you want a genuine choice.
Restoring blood flow is half the job. The wound then needs weeks of proper dressing and pressure relief, and that must be arranged before you go home.
Ask directly: what is your limb salvage rate for a foot like this, and is amputation avoidable here? A surgeon who engages seriously with that question is the one you want.
Vascular surgery carries risks of bleeding, infection, graft or stent blockage, and kidney injury from contrast dye — a real consideration in diabetic patients with impaired kidneys. Bypass grafts can fail, sometimes requiring further surgery or amputation. Aneurysm repair carries a risk of death that varies considerably with fitness and urgency. Despite best efforts, some limbs cannot be saved, and an honest surgeon will say so before starting.
Acute ischaemia is measured in hours. The limb is lost without immediate treatment locally.
This needs drainage and antibiotics today. Travel wastes the time the limb does not have.
Both worsen surgical outcomes and contrast dye risk. Stabilising them first is part of the treatment.
We arrange vein treatment for symptoms and skin damage, not cosmetic outcomes.
Aneurysms below the treatment threshold are monitored, not repaired. Operating early carries risk without benefit.
For a threatened limb, our most useful role is often telling you to go to a local hospital now and helping with reconstruction afterwards.
A patient travelling for limb salvage after a non-healing diabetic ulcer.
Frequently, yes, if the blood supply can be restored before infection destroys the tissue. That is why speed matters so much. Send photographs and we will give you an honest assessment — including when the answer is that amputation is the safer course, which we would rather tell you plainly than after you have spent money.
Because an ulcer that will not heal in a diabetic foot usually means the blood supply is inadequate. Antibiotics and dressings cannot heal tissue that is not receiving enough blood. Repeated courses of antibiotics without a vascular assessment is the commonest pattern in patients who eventually lose a limb.
Angioplasty is less invasive with a quick recovery and is often the first choice, particularly in patients unfit for major surgery. Bypass is more durable for long blockages where a good vein is available. Your anatomy, fitness and the state of the foot decide it — and a unit offering only one cannot advise you neutrally.
If they cause aching, swelling, skin discolouration, bleeding or ulceration, yes — treatment prevents progression to skin damage. If they are purely a cosmetic concern, we do not arrange treatment. Compression stockings help symptoms considerably in the meantime.
Not until it reaches the size threshold where the risk of rupture exceeds the risk of repair. Below that, surveillance scanning with blood pressure control and stopping smoking is correct management. Operating on a small aneurysm exposes you to risk for no benefit.
Well before dialysis becomes necessary — a fistula takes weeks to months to mature and be usable. Creating one in a crisis means starting dialysis through a line, which carries a considerably higher infection risk. If your kidney function is declining, ask about access planning now.
Related pages: Diabetic kidney disease · Type 2 diabetes · Aortic aneurysm · Stroke · End-stage kidney disease · All treatments
Send clear photographs of the foot in good light, including the sole and between the toes. For a threatened limb we assess urgency within hours, not days.
Your reports go directly to our medical team. We do not share your records with hospitals until you tell us to.
WhatsApp +91 83035 86344 · Phone +91 83035 86344 · Email tibhind@gmail.com
Coordinators available 9:00–20:00 IST. We speak Arabic, English, Russian and Bengali.