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Clinical
Application Guide for Successful Healing
What to
Look for in Wound Therapy for your patients with Non
Healing Foot Ulcers
- End-Diastolic
Compression
Poor blood circulation
is a significant factor in nearly all recalcitrant foot
lesions, causing a deficit of oxygen and nutrients together
with a build up of fluid and waste metabolites. End-diastolic
compression using Circulator Boot™ equipment is an
essential technique for any clinic that treats at-risk
patients. The system includes a control unit which is
connected to the boot and times the pneumatic compression
pulses, typically 85 mm Hg pressure, to occur at end-diastole.
This increases blood flow in the feet and legs to induce
angiogenesis. It disperses antibiotics through the tissues
and is often the only technique that is effective
against deep infections. The Circulator Boot is arguably
the overall most efficient and cost-effective therapy
for foot lesions, especially when infection is present
and other wound-closure methods have failed. Because
of its high clinical intensity it should be used first
before other therapies or surgeries.
- Bio
Stimulation Laser
With an output
power of at least 250 mW visible and 250 mW infra red
light, plus the ability to uniformly scan the entire wound
with an applied dose of 3 to 4 Joules/cm2,
Low-Level Laser Therapy (LLLT) stimulates granulation
tissue and augments collagen synthesis to accelerate healing.
- Galvanic
Stimulation
In this form of
electro therapy, a pulsed-DC current, passing though the
wound bed by means of conductive dressings, accelerates
wound healing. It will usually turn around a stubborn
wound to produce healing, and will significantly shorten
the healing time in wounds that would eventually heal
anyway.
- TENS
and Interferential Stimulators
Electro therapy using nerve stimulation (TENS) or interferential
current techniques can accelerate wound healing by relieving
the swelling and increasing blood flow to the feet.
- Vacuum-Assisted
Closure
A mild vacuum applied intermittently to the wound by means
of an airtight dressing can aid in wound closure.
- Local
Antibiotic Injection
An adjunct to end-diastolic compression therapy, the therapist
injects a suitable antibiotic directly into and around
the infected tissues using an ultra-fine needle prior
to a therapy session. The cardio-synchronous compression
pulses act to disperse the antibiotics for effectively
eliminating even the most difficult cases of cellulitis
and osteomyelitis.
- Multi
Electrolyte Soak
Another adjunct to end-diastolic compression therapy,
"Sea Soaks" provides the essential micronutrients
needed to aid in healing. In a soak solution for the foot
during a therapy session, and along with antibiotics and
hydrogen peroxide, this provides a soft debridement
that largely replaces the sharp debridement sessions which
can otherwise be damaging to delicate infected tissues.
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In clinical testing, what
do the researchers say about end-diastolic pneumatic
compression?
"Excellent outcomes in patients with severe
peripheral arterial occlusive disease suggest
that the wound care community consider expanded
utilization of this modality." – Zink,
J. 2003.
About local antibiotic injection?
"Both osteomyelitis and soft tissue infections
can be successfully treated without any surgical
interventions." –
Dillon, RS. 1986.
About laser therapy for pain control and tissue
repair?
Laser therapy has a positive treatment effect
on tissue repair processes and also, on pain control."
–
Parker, J. Meta-analysis. 2000.
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