Combined therapy in the treatment of mixed etiology leg ulcer – case report

Abstract

The most frequent causes of leg ulcers are chronic venous disease (CVD) related mainly to venous hypertension and peripheral arterial disease (PAD) related to disseminated atheromatous lesions in lower limb arteries. In 15%–21% of patients, ulcers of mixed venous-arterial etiology occur, which are usually more resistant for conservative therapy (compression therapy, pharmacotherapy, wearing elastic stockings, leg elevation and massage, change of lifestyle, and regular physical exercises). The contemporary model of complex therapy of leg ulcers in the course of chronic venous and arterial insufficiency more often also comprises numerous physical therapy procedures as associated therapy. This paper presents beneficial results of treatment applied to a 58-year-old patient with 1-month lasting painful chronic ulcers of both shins of mixed venous-arterial etiology, resistant to conservative therapy, which was performed by using the device Laserobaria-S for local combined physical therapy including simultaneous action of hyperbaric oxygen, extremely low-frequency (ELF) variable magnetic field, and low-energy light radiation. As a result of a 9-week therapeutic cycle consisting of 30 daily procedures, a complete healing of ulcers in both shins with accompanying subsidence of pain and substantial reduction in the intensity of local inflammation around the ulcer was obtained. The patient reported no side effects, and no complications were observed during the therapy.

Comparison of the efficacy of topical hyperbaric oxygen therapy alone vs a combination of physical methods including topical hyperbaric oxygen therapy, magnetotherapy, and low‐energy light therapy in the treatment of venous leg ulcers

“…[15][16][17]44,45 So far, the therapeutic efficacy of both presented methods in the treatment of leg ulcers of various origin has been observed in some published case histories. 4,[19][20][21]46 In the present study, we confirmed for first time that the application It should be emphasized that the time required for a single procedure and the number of procedures in the therapeutic cycle were similar for both analyzed therapeutic modalities.…”

“…So far, the therapeutic efficacy of both presented methods in the treatment of leg ulcers of various origin has been observed in some published case histories 4,19‐21,46 …”

“…4,19 The second group, consisted of 29 patients, who underwent treatment with the use of multifunction device LASEROBARIA-S (INVENTMED, Świętochłowice, Poland) applied for procedures of combined physical therapy with simultaneous use of topical hyperbaric oxygen application in combination with variable magnetic field of extremely low-frequency and lowenergy light. 20,21 The criteria for inclusion were as follows; presence of venous leg In patients treated with OXYBARIA-S device, the oxygen applied was introduced to the chamber from an external cylinder, the oxygen concentration was about 95%, its pressure amounted to 1.5 mBa, the applied flow rate was about 5 L/min, whereas in patients treated with LASEROBARIA-S device the following physical factors were applied simultaneously; oxygen supplied to the chamber from an external cylinder, having the concentration of about 90%, pressure of 1. 19.65 ± 7.31 points to 80.68 ± 7.03 points (P = .000003) (Figure 3).…”

“…The first study group consisted of 36 patients treated with the use of OXYBARIA‐S device (FASER S.A., Tarnowskie Góry, Poland) applied in procedures of topical hyperbaric oxygen therapy 4,19 . The second group, consisted of 29 patients, who underwent treatment with the use of multifunction device LASEROBARIA‐S (INVENTMED, Świętochłowice, Poland) applied for procedures of combined physical therapy with simultaneous use of topical hyperbaric oxygen application in combination with variable magnetic field of extremely low‐frequency and low‐energy light 20,21 …”

<p>Kikuhime Device in the Management of Venous Leg Ulcers</p>

“…It has been reported that these clinical manifestations are observed annually in about 0.1-0.3 % of the western population, increasing with age up to 2% of patients over the age of 80 years. 2 Generally, it affects about 1% of the middle-aged population and 3.6% of patients over 65 years of age, having significant psychosocial consequences. 1 All information about past and present medical conditions of the patient, physical examination, laboratory testing, or hemodynamic evaluation may help clinicians to determine a diagnosis as well as a type of leg ulceration and its cause.…”