Background: Diabetic foot ulcers (DFUs) are a major cause of non-traumatic lower limb amputations worldwide. Pressure offloading is a key strategy in ulcer management; however, its real-world effectiveness compared to conventional dressings remains under-evaluated. Objectives: To compare the efficacy of conventional saline dressing and pressure offloading dressing using the SUVIDHA technique in healing diabetic foot ulcers. Methods: This randomised comparative study enrolled patients with plantar DFUs who met the inclusion criteria. Patients were divided into two groups: Group A received conventional saline dressings, and Group B received pressure offloading dressings for one week in-hospital and continued offloading dressings at home for 6 weeks. Ulcer area was measured pre- and post-intervention. Results: Mean post-intervention ulcer area was significantly smaller in the pressure offloading group (4.2 cm²) than in the saline group (17.6 cm²) (p<0.01). The mean reduction in ulcer size was also greater in the pressure offloading group (24.2 cm² vs. 15.3 cm²; p=0.012). Conclusion: Pressure offloading dressings are significantly more effective than conventional dressings in promoting ulcer healing. Offloading should be integrated into standard DFU care, especially in resource-limited settings.