Colleen, check out this link re removal of ulcerating tissue

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Hi Colleen,I just found this link with reference to Panniculitis :http://www.dermnetnz.org/dermal-infiltrative/panniculitis.html

Panniculitis

Treatment

Treatment includes:

Treat the underlying cause, if known (e.g. stop a medication, treat an infection)

Rest and elevate the affected area

Compression hosiery (18-25mm Hg pressure) if these can be tolerated

Pain relief using anti-inflammatory medications such as aspirin, ibuprofen or diclofenac

Systemic steroids (oral or injected) to settle the inflammation

Anti-inflammatory antibiotics including tetracycline or hydroxychloroquine

Potassium iodide

Surgical removal of persistent or ulcerated lesions. *******Your doctor might want to remove the ulcerating area before doing a drastic amputation. I have never heard of anyone having surgery to treat EN, which normally doesn't ulcerate, but it could prove to be useful where the inflammed area is the same spot all the time,Love,idio. EN '68