The Effect of Combined Modulated Ultrasound and Electro-Stimulation on Diabetic Foot Ulcers

Despite advances in wound science, treatments and wound care practice, many chronic wounds continue to be difficult to treat and are slow to heal.  Accordingly there is a continuing search for both primary and adjunct treatments for wounds such as diabetic foot ulcers and venous leg ulcers. Electrostimulation and ultrasound are both therapies which have been utilized and shown to be effective in chronic wound healing.  Combining these therapies in the form of combined modulated ultrasound and electric field stimulation (CUSEFS) is a relatively new concept and not widely studied. 

This paper aims to outline ongoing research to determine the effectiveness of CUSEFS in the treatment of patients with chronic ‘hard to heal’ diabetic foot and venous leg ulcer wounds. Evidence from a completed small case series with diabetic foot ulcers showing wound size reduction of 71% will be presented.  Progress on two larger trials with diabetic foot ulcers and venous leg ulcers will also be discussed. While this area of therapy and research is in its early stages, it shows promise as a useful adjunct therapy for chronic ulcers. 

Three points that will be covered:
· Chronic wound healing 
· Combined modulated ultrasound and electric field stimulation
· Diabetic foot ulcers

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