Extracorporeal shock wave therapy for management of chronic ulcers in the lower extremities.
Saggini R, Figus A, Troccola A, Cocco V, Saggini A, Scuderi N. Ultrasound Med Biol. 2008 Aug;34(8):1261-71
I know ESWT but why 11 ?? To helps with re-vascularisation to an ulcer border - help reduce the size of the wound.
I assume strong antibiotics and debridement of the gangrenous tissue would have occurred as well.
Once the gangrene was eliminated form the body and specialised wound dressings applied it would be then possible for the wound to close.
Diabetic ulcers are the slowest to heal.
What type of pain medication was used? Aspro, Dispirin, Oxycontin, ???
Lacking on a lot of the details
Low-energy extracorporeal shock wave therapy enhances skin wound healing in diabetic mice: A critical role of endothelial nitric oxide synthase
Denso Hayashi et ak Wound Repair and Regeneration; Early View
The effectiveness of extracorporeal shock wave therapy for the treatment of lower limb ulceration: a systematic review
Paul A Butterworth, Tom P Walsh, Yvonne D Pennisi, Anna D Chesne, Christoph Schmitz and Susan A Nancarrow Journal of Foot and Ankle Research 2015, 8:3
doi:10.1186/s13047-014-0059-0
Extracorporeal shockwave therapy in the treatment of chronic diabetic foot ulcers: a prospective randomised trial
S.M. Jeppesen et al Journal of wound care
Extracorporeal shockwave therapy for the treatment of chronic wound of lower extremity: current perspective and systematic review
Mohammed TA Omar, et al International Wound Journal 15 February 2017
Improved Healing of Diabetic Foot Ulcer upon Oxygenation Therapeutics through Oxygen-Loading Nanoperfluorocarbon Triggered by Radial Extracorporeal Shock Wave.
Wang S et al Oxid Med Cell Longev. 2019 Aug 14
Extracorporeal Shock Wave Therapy for Treating Foot Ulcers in Adults With Type 1 and Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Qiangru Huang et al CJD; Article in Press
Application of extracorporeal shockwave therapy to improve microcirculation in diabetic foot ulcers: A prospective study
Daun Jeong, MSc,a,b Jin Hyuck Lee, PT, PhD,b,c Gyu Bin Lee, PT,c Ki Hun Shin, PT,c Jangsun Hwang, PhD,a,b Se Youn Jang, BSc,d Jin Yoo, PhD,d and Woo Young Jang, MD, PhDcorresponding authora,b,c,*
Author information Article notes Copyright and License information Disclaimer Medicine (Baltimore). 2023 Mar 17; 102(11): e33310.
Extracorporeal shockwave therapy for diabetic foot ulcers: a feasibility study
Louise H Hitchman, Joshua P Totty, Paris Cai, George E Smith, Daniel Carradice, Ian C Chetter Journal of Wound CareVol. 32, No. 3Practice