The Wagner system describes the diabetic foot ulcer as a full thickness wound extending to tendons or deeper subcutaneous tissue but without bony involvement or osteomyelitis [1]. The university of Texas system refers to levels of ischemia [2] and infection while the SAD system [3] attends to size, area, depth, arteriopathy and any neuropathic involvement. The breadth of classification system in use reflects the complexity and range of signs/symptoms associated with diabetic foot ulceration, with a lower limb lost to amputation every 30 seconds [4]. Recent research has estimated that more than 50% of diabetic foot ulcers will recur within 3 years suggesting that the professionals involved in treatment are fighting a difficult battle especially when it is considered that the lifetime risk for developing such an ulcer is calculated to be in the region of 15–25% [5].