Non Healing Diabetic Wound

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Casestudies of Contents

Brief Medical History

Name: Mr MM

Age/Gender- : 41y / M

Presenting Complaint

  • Multiple non-healing wounds on left leg
  • Pain and swelling of left leg
  • Associated with fever and
  • Difficulty in walking since 7 years.

Associated Illness: Diabetes Mellitus.

Severity: High

Chronicity: 7 years

EpD: continuous

OTT: On Oral Antibiotics and Analgesics Off and On.

Integrated Summary

Ayurveda Medical Management Strategy:

Prescription of [Diet+Lifestyle+Medicine+Cleansing Therapies] customised to the patient and the stage of his diabetes disease.

Outcome

Parameters 17-9-2013 08-10-2013 06-01-2014

Circumference of left lower limb at calf region.

80 cm

42.5 cm

42.5cm

Circumference of right lower limb at calf region.

45 cm

42 cm

41 cm

Wound on dorsal aspect of calf region

Shape – irregular
oozing +++
Slough ++++
Colour – whitish
Vascularity – poor
Length – 13.5 cm
Breadth – 12 cm
Depth – 4 cm

Shape – irregular
oozing – absent
Slough – nil
Colour – bright red
Vascularity – good
Length – 12.5 cm
Breadth – 11 cm
Depth – 2 cm

Shape – triangular
oozing -absent
Slough -nil
Colour – pink
Vascularity – good
Length – 4 cm
Breadth – 3 cm
Depth – 0.1 cm

Wound on lateral aspect of calf region

Shape – irregular
oozing +++
Slough ++++
Colour – whitish
Vascularity – poor
Length –9.8 cm
Breadth – 7 cm
Depth – 2.5 cm

Shape – irregular
oozing – absent
Slough – nil
Colour – bright red
Vascularity –good
Length – 9.8 cm
Breadth – 7 cm
Depth –0 .5 cm

Shape – oval
oozing – absent
Slough – nil
Colour – pink
Vascularity –good
Length – 5.5 cm
Breadth – 4.8 cm
Depth – 0.3 cm

Wound on anterior aspect of lower limb

Shape – oval
Distance between farthest point – 4 cm
Distance between nearest point – 3 cm
Depth – 2.5 cm, 20 cm extended internally in upward direction on the anterior surface

Shape-oval
Distance between farthest point – 4 cm
Distance between nearest point – 3 cm
Depth – 2 cm, 20 cm extended internally in upward direction on the anterior surface

Shape – oval
Distance between farthest point – 2 cm
Distance between nearest point – 1.5 cm
Depth – 0.5 cm, 7 cm extended internally in upward direction on the anterior surface

Blood sugar levels

 

RBS—243 mg/dl

FBS – 87 mg/dl

RBS—153 mg/dl

Body weight

114 kg

94 kg

96 kg

Before Treatment After Treatment

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* Outcomes may vary from person to person

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