Open AccessTraditional Therapeutic Approach for the Management of Non-Healing, Chronic Diabetic Ulcer – A Case Report
Author(s) -
G. S. Ramaswamy,
Preetheekha Elangovan,
Mammallan Arumugam,
Shanmugapriya Ponnappan,
Subathra Thangamani,
Thamodharan Sakthivel,
Ujjeevanam Govindan,
Vanitha Kamatchi
Publication year - 2021
Publication title -
journal of evolution of medical and dental sciences
Language(s) - English
Resource type - Journals
eISSN - 2278-4802
pISSN - 2278-4748
DOI - 10.14260/jemds/2021/483
Subject(s) - medicine , amputation , diabetes mellitus , debridement (dental) , diabetic foot ulcer , diabetic ulcers , diabetic foot , surgery , necrotic tissue , disease , intensive care medicine , diabetic neuropathy , wound healing , endocrinology
Diabetic ulcer is an outcome of the combined effect of diabetes related vascular disease and neuropathy. 1 People prone to diabetes mellitus across the world were estimated to be 131 million in 2000; it is expected to increase to 366 million by 2030. 2 According to several studies, about 25 - 50 % of diabetic patients receive instantaneous amputation at the first visit due to the infection. 3 Slight injury to glucose laden tissue will cause infection which is progressed by an ulcer and it tends to a state of non-healing which has been shown to precede amputation up to 85 % of cases. 4,5 Diabetic ulcer management in the contemporary science includes drainage of pus, debridement of dead tissue, local amputation of necrotic digits and antibiotics.6 Siddha system of medicine also has 64 unique categories of internal and external medicines including 32 in each. 7 Both these ends have their own strengths and limitations too. Though treating a non-healing diabetic ulcer is a very big challenge in the current scenario, an integrated approach will give a light on the path of successful management. P