AYURVEDIC MANAGEMENT OF WAGNER’S GRADE-III DIABETIC FOOT ULCER – A CASE STUDY
Keywords:
Diabetic foot ulcer, Osteomyelitis, Amputation, Dushta VranaAbstract
Diabetic foot ulcer (DFU) is one of the commonest chronic complications with a poor prognosis and can lead to amputation if timely intervention is not done. A classical triad of neuropathy, ischemia and infection characterizes the diabetic foot. Diabetic foot ulcers are common and estimated to affect 15% of all diabetics. Mainstay of treatment includes antibiotics, debridement, local wound care, and footwear improvisation. Inspite of all advances in health sciences, statistics reveals that about 3% patients yet have to undergo lower limb amputation.
Ayurveda has considered such ulcer as Dustha Vrana and many modalities like oral medication, blood-letting, wound debridement etc. have been advocated for their management. A 75 years old male patient with a history of uncontrolled diabetes mellitus more than 15 years, presented with a non-healing foot ulcer (Wagner’s Grade-III DFU) since two months. He was successfully managed within 14wks with Ayurvedic internal and external medications at OPD level. The treatment resulted in complete wound healing and prevented the likely amputation too.
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