Wound and Ulcer Treatment

In general, ulcers (sores) can be divided into two categories, venous and arterial.  Most ulcerations occur on the legs and feet where there is more pressure and reduced circulation (since they are the farthest away from the heart with smaller vessel diameter).  Approximately 80% of all ulcers are of the venous type.  The other 20% are comprised of arterial and other less common types of ulcers.  The most common type of arterial ulcer is the diabetic ulcer in which about 15% of diabetics have.

Venous Stasis Ulcer Treatment

The most common ulceration in the lower extremity is the venous ulcer, also known as a venous stasis ulcer.  The occurrence in the general population is about 1-2%.  Common causes of venous ulcers are diabetes, obesity, previously injuries, deep vein thrombosis, older age, previous leg injuries, and inflammation of the veins called phlebitis.  These ulcers are generally irregular in shape, not deep, and most are located over bony prominences (such as the ankle and hip bones).   Venous ulcers can be recurrent and chronic, and can last from months to years, and they are highly susceptible to infections.  Complications of venous ulcers include cellulitis, malignant changes in the tissue, osteomyelitis (for those over the bony prominences), infection, and gangrene (tissue decay).  Ulcer symptoms include pain, edema (swelling), disuse muscle weakness, skin color changes, and varicose veins.  Our leg ulcer treatment uses the state of the art technology to help heal your venous stasis ulcers and prevent complications such as gangrene and amputation.

Diabetic Ulcer Treatment, Singapore

The next most common type of ulcer is the diabetic ulcer.  Diabetes is a multifactorial metabolic syndrome that effects many aspects of a patient’s overall health.  Diabetes (Type II, the most common form), usually comes with other symptoms and conditions such as:  high blood pressure, obesity, high triglycerides, high cholesterol, kidney and liver problems, and eye problems.  In addition, there will be secondary conditions such as joint pain, muscle strains, walking problems, and depression.

Patients suffering from diabetes have reduced circulation and atherosclerosis (hardening of the arteries).  Over time, the patient will damage the small arteries that feed the peripheral nerves (nerves outside the brain and spinal cord that control the arms and legs).  When this happens, the nerve will be unable to function properly since it will not have enough circulation (nutrition).  When the nerve does not get enough blood supply, it sends various sensations to the brain, and the patient feels burning, numbness (paresthesia), and pain.  When enough nerves are involved, there will be multiple sensations in the extremities (hands and feet).  The extremities are most commonly affected since they are furthest away from the heart with smaller blood vessel diameters.  When the peripheral nerves are damaged from diabetes, it is called diabetic neuropathy.

As the circulation become progressively worse, then simple scratches and cuts will not heal normally due to the lack of blood supply.  Small, little scratches and cuts become ulcers and wounds that do not heal.  The act of standing reduces the circulation in the feet due to the increased pressure in the soles of the feet.  Therefore, the soles of the feet are another area where pressure ulcers can develop due to the lack of circulation.  These wounds in many cases when left untreated, can take months to heal, and sometimes years.  Yes, you heard correctly, sometimes these wounds take years to heal if left untreated.  Open wounds are highly susceptible to infections (e.g. staph infections) and other complications such as gangrene (tissue decay) and sepsis (infection in the blood that affects the whole body).  Start your diabetic foot ulcer treatment today so you can start feeling better.

We treat diabetic neuropathy in our office with a very high success rate; and the numbness, burning, and pain can be significantly reduced, or disappear completely.  Please note that we may be able to help you control your diabetic neuropathy and nerve pain, but it does not mean that we will cure your diabetes.  The potential to have nerve pain will remain as long as you have diabetes.  If it is not too late, diabetes can be reversed by making appropriate changes in your lifestyle.  Infrared light therapy will give you temporary relief of your symptoms which you most likely would not experience without any treatment.  With that relief, you may be able to make some additional positive changes to your health.  For example, your doctor may have told you that walking would be beneficial to your health.  You say to yourself, “how can I walk at all, when my feet are numb and weak?”.  In order to help you get over this problem, seek treatment in our office so that you will be able to walk and improve your overall health and reverse or improve your diabetic condition.  That means that even if you are not able to 100% reverse your diabetes, you can still improve your overall health, strength, fitness, and reduce the amount of diabetic medications that you are taking.

Wound Treatment, Singapore

In severe cases, diabetic neuropathy patients can develop non-healing ulcers in the legs, feet, and toes.  These ulcers can become infected and are very difficult to treat.  Open wounds increase the risk of infection, and complications such as gangrene and septicemia (infection in your blood) are common.

Infrared Light Therapy can also be used to treat non-healing (chronic) wounds and venous ulcers.  The most common reason why wounds do not heal is from inadequate circulation.  Since most treatments are ineffective, many people live without any hope of curing their chronic wounds and ulcers.  A majority of these patients have severe chronic pain, and even with pain medications, the level of pain and suffering that they feel can be demoralizing.  The ultimate complication of a chronic wound is amputation.  In many cases when the patient’s condition does not improve, there will be few choices except to perform a limb amputation.  Infrared Light Therapy can, in many cases, prevent amputation, or at least save more tissue that would have otherwise been amputated.

Effects on Tissue Healing

–  Increases microcirculation
–  Stimulates collagen production
–  Stimulate energy production
–  Increase lymphatic system activity
–  Reduce the excitability of nervous tissue (decreases pain)
–  Increases the tissue temperature

If you are looking for diabetic neuropathy treatment or wound treatment in Singapore, then you have found the right office.  We treat neuropathy, diabetic ulcers, and non-healing wounds with a very high success rate.  Please make an appointment so that you can discuss your case with our doctor.