Hard-to-heal wounds, ulcers

By JackSmart Latest Reply 2010-11-09 04:04:36 -0600
Started 2010-07-13 07:57:50 -0500

As reported in the Journal of the American Academy of Physician Assistants, (JAAPA, August 2009), chronic wounds affect an estimated 5.7 million patients in the U.S. and cost the healthcare system approximately $20 billion annually. The article's author further notes that optimal wound care requires a portfolio of treatments including the only FDA-approved protein-based topical gel Regranex(R) (becaplermin), bioengineered skin substitutes, hyperbaric oxygen therapy, and subatmospheric wound therapy (also known as negative-pressure wound therapy), as well as institutional support from the growing number of nationwide wound-care centers that offer specialized, multidisciplinary approaches to the treatment of chronic wounds. The author also reports that the cost of treating non-healing ulcers of longer than one year's duration is estimated to range from approximately $20,000 to $27,000, based on the level of advanced care.

As reported in the International Wound Journal, (December, 2007) "one of the most feared complications of diabetes is the lower extremity amputation." Other studies report that diabetes is the leading cause of nontraumatic lower extremity amputations in the U.S., amounting to greater than 75,000 per year or over 200 per day. Limb amputation occurs 10 to 30 times more often in a diabetic person than in the general population. Among the patients with lower extremity amputation procedures, 5% to 17% will die during the operation and 2% to 30% will die within 30 days of surgery. Longer term survival is even worse. Mortality following amputation ranges from 13% to 40% at one year, 35% to 65% at 3 years and 39% to 80% at 5 years. These mortality rates are similar or worse than many common types of cancer including prostate, breast, colon and Hodgkin's disease. Despite these grim statistics, many remain unaware of the very serious nature of non-healing lower extremity ulcers in diabetic patients.

Are we aware of the aids helping to heal these wound? Offer to talk about new products and discuss them.

15 replies

dloop 2010-11-09 04:04:36 -0600 Report

Dear Setebaid, Diabetic-md helped me out a lot: when I was on holiday all the sun and ocean and the tasty food made me forget about gl control and I easily got myself a cut on the foot which didn't want to heal. I bought the spray and came back to a strict diet and the wound healed very fast.

Setebaid 2010-07-14 08:34:06 -0500 Report

Hi, everybody. Have just joined Your community (like it by the way very much!) and the this topic is one of my greatest fears!! Have read a lot about it in the net and have seen plenty of aids. The newest one I've found is Diabetic-md Here's a link to the video: http://www.youtube.com/watch?v=UI4RPdg3vLY
Has anybody tried it?

GabbyPA 2010-07-14 20:56:56 -0500 Report

I cannot get the video to play. Could you check the link? It might just be me...LOL, but it comes up with an error

Graylin Bee
Graylin Bee 2010-07-14 01:06:45 -0500 Report

I came awful close to being 1 of those statistics this year. But Diabetes was not the caue of the ulcers. Mine healed within 3 months. But because of MRSA they were limb and life threatening. In the face of possible amputation there is really no comfort in numbers.
One of the new technologies used on me was an Ultra Sound Spray. It was really effective and did not increase my pain level when it was being used. Every time the Wound Care Nurse used it at least one other nurse was eager to try it out. They also used a collagen matrix dressing. It hurt, but seemed to help.
My Wound Care Dr. mentioned he was having very good results with MedHoney. They didn't use it on me.

GabbyPA 2010-07-14 07:20:48 -0500 Report

How interesting about the medical honey. I have known for years that honey is one of natures miracle medicines. It is funny how we have to turn nature into a medicine all the time.

kdroberts 2010-07-14 09:47:05 -0500 Report

Active Manuka honey is the daddy of all when it comes to medicinal properties. Trouble is it's very expensive and the plants are only grown in New Zealand (I think) and since it's completely natural the active level is not consistent. A Level of 16+ is what you want but 10-15 can be useful. Anything lower and it's an expensive table honey. If it is not active, it will be cheap and no different to any other honey. This is one of the natural remedies that can back up the antibacterial claims with stacks of research and studies.

Graylin Bee
Graylin Bee 2010-07-14 11:57:20 -0500 Report

Wound Care Institute Blog has some very interesting info. I stumbled acrossed it last week. I misspelled medihoney in my first reply. Skipped the i. Medihoney is a natural product I would not have minded being used on me. I have read about a few natural methods that sound horrible. One was medical maggots. If my Dr had suggested that I would still be attached to the ceiling!!! :0 When i read the article about that last week my husband alsmost had to get me to the ER. He had to kepp telling me take a breath, take a breath.

GabbyPA 2010-07-14 21:20:56 -0500 Report

Yes, my mom used to work at the Mayo Clinic in Minnesota and they still used them then (1960's) They are a long time friend of the doctor.

GabbyPA 2010-07-13 08:35:40 -0500 Report

Well, now that is just depressing. So the key is control everyone. These statistics are really bad. I had no idea that the mortality rate after surgery was so high.