A wandlike device and a system that delivers a localized dose of antibiotics could be the next phase in the treatment of diabetic foot ulcers. Both methods are now entering human trial stage, according to an article in Medscape news (free registration required to view story).
The WoundWand is a debridement device that uses radio energy to precisely dissolve soft tissue, a process that has been used to perform tonsillectomies for several years. The device itself has been used in Australia, and researchers are now recruiting 60 patients for clinical trials.
Also ready for clinical trial is Osprey Medical's "Limb Recovery System" (LRS), a percutaneous system that can isolate an infected lower limb from the larger circulatory system using catheters, thus allowing higher doses of antibiotics than possible through other delivery methods. Researchers recently reported success with the approach in a 5-patient study. The 20-patient trial is expected to be completed by the end of 2014.
APTA emphasizes the importance of prevention, wellness, and disease management, and offers resources on diabetes for physical therapists and their patients through its Move Forward.com diabetes webpage and in a pocket guide to diabetes. The association also offers 21 clinical practice guidelines on care for patients with diabetes as well as 3 Cochrane reviews related to care for patients with diabetes-related foot ulcers through its PTNow evidence-based research tool.
Do you have patients or clients with a recent type 2 diabetes diagnosis? The American Diabetes Association is offering a free guide called "Where Do I Begin," that helps patients and clients understand the fundamentals of the disease and the steps that can be taken to live with it. The booklets are being offered at no charge and can be ordered online.
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