Hyperbaric Oxygen Therapy for non-healing diabetic foot lesions
Subject: The patient was a 62-year-old man with diabetes and a previous medical history of congestive heart failure. A heavy smoker, he was blind in his left eye due to a traumatic injury as a child, and he had a history of cataract and diabetic retinopathy in his right eye.
Diagnosis: The patient presented with three non-healing diabetic foot lesions, including two plantar and a lateral ulcer all on the right foot. The wounds were deep, probing to bone, with moderate amounts of nonviable fat tissue and underlying osteomyelitis. His wounds were assessed as Grade III on the Wagner Classification of Diabetic Foot Ulcers.
Treatment: The patient was evaluated by Kialing Perez, MD, Medical Director of the Hyperbaric Center at PeaceHealth Sacred Heart Medical Center at RiverBend. Dr. Perez ordered a 40-treatment course with 2.4 atmospheres with 90 minutes of oxygen and two air breaks of five minutes each in addition to antibiotic treatment with ertapenem. The patient returned for weekly follow up appointments. After treatment session 26, Dr. Perez noted remarkable progress in wound healing and ordered an end to antibiotic treatment.
Outcome: By session 38, all three wounds appeared to be nearly healed and were superficial in depth. By session 40 the ulcers had completely healed over. The patient had no erythema, tenderness, fluctuation, dehiscence or discharge. Dr. Perez attributed hyperbaric therapy to preventing amputation for the patient. The patient was referred to a podiatrist for monitoring of some hyperkeratonic tissue on the plantar aspect of the foot.
Click here for a fact sheet about Hyperbaric Oxygen Therapy at PeaceHealth Sacred Heart Medical Center. (PDF)
Click here to read another HBOT case study.
Click here to watch a video about HBOT at PeaceHealth Sacred Heart Medical Center.