Integrative Approaches in the Management of Diabetic Foot Ulcers: A Comparative Study of Conventional and Alternative Therapies
Integrative Approaches in Diabetic Foot Ulcer Therapy
DOI:
https://doi.org/10.69750/dmls.01.02.027Keywords:
Diabetic Foot Ulcers, Integrative Treatment, Conventional Therapy, Alternative Therapies, Herbal Remedies, Phototherapy, Acupuncture, Wound Healing, Patient SatisfactionAbstract
Background: Diabetic foot ulcers (DFUs) can be considered as some adverse outcomes of diabetes, associated with high rates of morbidity and recurrent nature even with the usage of the existing standard therapies.
Objective: the goal of understanding more about the efficacy of conventional treatments aimed at treating DFUs to integrative treatment plans that feature conventional and CAM therapies.
Methodology: 200 participants with stage 2 or 3 DFUs were enrolled in this study, of which 90 were assigned to conventional treatment only and the others were given other treatment modalities. Statistical analysis was performed using SPSS software. Continuous variables were compared using t-tests or ANOVA, while categorical variables were analysed with Chi-square tests. Kaplan-Meier curves were used to analyse time-to-healing, and a log-rank test was performed to compare curves across treatment groups.
Results: Integration treatment, significantly higher rates of healing and significantly lower rates of infection compared with conventional treatment only. The phototherapy group had the overall successful healing rate of 85%, and infection rate of 15% was recorded. The herbal remedies had a healing rate of 80% percent, and an infection rate of twenty percent. After the study had been performed, it was noted that while 75% of the patients in the acupuncture group were healed; 25% developed infection. There was an improvement in the conventional therapy group heeling rate of (60%) and infection rate of (30%).
Conclusion: Integration results in enhanced healing and patient satisfaction Democratic foot ulcers implemented as integrative types of treatment that include both the traditional approaches and complementary therapies. These findings could indicate potential approaches by implementing these approaches into routine care practices.
Downloads
References
Shindhe PS, Kale AP, Killedar RS. Integrative management of diabetic foot ulcers–A case series. Journal of Ayurveda and Integrative Medicine. 2023;14(5):100770. https://doi.org/10.1016/j.jaim.2023.100770
Kumar S, Bharali A, Sarma H, Kushari S, Gam S, Hazarika I, et al. Traditional complementary and alternative medicine (TCAM) for diabetic foot ulcer management: A systematic review. Journal of Ayurveda and Integrative Medicine. 2023;14(4):100745.https://doi.org/10.1016/j.jaim.2023.100745
Rayate AS, Nagoba BS, Mumbre SS, Mavani HB, Gavkare AM, Deshpande AS. Current scenario of traditional medicines in management of diabetic foot ulcers: A review. World journal of diabetes. 2023;14(1):1.https://doi.org/10.4239%2Fwjd.v14.i1.1
Ramirez-Acuña JM, Cardenas-Cadena SA, Marquez-Salas PA, Garza-Veloz I, Perez-Favila A, Cid-Baez MA, et al. Diabetic foot ulcers: current advances in antimicrobial therapies and emerging treatments. Antibiotics. 2019;8(4):193.https://doi.org/10.3390/antibiotics8040193
Hajtalebi H, Khani-Iurigh H, Hajtalebi H-R. Treatment of Diabetic Foot Ulcer in a 58-year-old Turkman patient based on iranian traditional medicine. Traditional and Integrative Medicine. 2016:151-9.https://jtim.tums.ac.ir/index.php/jtim/article/view/63/77
Beckmann KH, Meyer-Hamme G, Schröder S. Low level laser therapy for the treatment of diabetic foot ulcers: a critical survey. Evidence-Based Complementary and Alternative Medicine. 2014;2014.https://doi.org/10.1155/2014/626127
Saeed H, Al-Athari AJH, Elgendy MO. Effect of Chinese herbal medicine as an adjunctive technique to standard treatment for people with diabetic foot ulcers: A meta-analysis. AL-Mustaqbal Journal of Pharmaceuticals and Medical Sciences. 2023;1(1).
Nittur A, Pavan B, Ganapathy R, Dorai VK, Singhal S. Pranic Healing as a Complementary Therapy in Diabetic Foot Ulcer Management: A Randomised, Controlled, Double-Blind Trial. Global Advances in Integrative Medicine and Health. 2023;12:27536130231183429. https://doi.org/10.1177/27536130231183429
Ponnam HB. Facilitating Healing in Diabetic Foot Ulcers Using Homeopathy in a Multi-Disciplinary Integrative Approach: Two Evidence-Based Case Reports. Homeopathy. 2024.10.1055/s-0044-1779723
Bhandari M, Rao PN, BJ G, Gudasi D. An integrated approach for the management of diabetic foot ulcer: a case report. Journal of Complementary and Integrative Medicine. 2019;16(3):20180126.
Salih ME, Alrizqi H, Hussain M, Alshumrani A, Alhasani I, Alkhamisi A, et al. Use of Topical Complementary and Alternative Medicines (CAM) in Diabetic Septic Foot Disease in Makkah Region, Western of Saudi Arabia, an Exploratory Study. Journal of Biosciences and Medicines. 2024;12(3):245-58.https://doi.org/10.4236/jbm.2024.123021
Sari Y, Purnawan I, Kurniawan DW, Sutrisna E. A comparative study of the effects of Nigella sativa oil gel and Aloe vera gel on wound healing in diabetic rats. Journal of evidence-based integrative medicine. 2018;23:2515690X18772804.https://doi.org/10.1177/2515690X18772804
Wang Y, Cao H-J, Wang L-Q, Lu C-L, Yan Y-Q, Lu H, et al. The effects of Chinese herbal medicines for treating diabetic foot ulcers: A systematic review of 49 randomized controlled trials. Complementary Therapies in Medicine. 2019;44:32-43.https://doi.org/10.1016/j.ctim.2019.03.007
Hajtalebi H, KHANI IH, Hajtalebi HR. TREATMENT OF DIABETIC FOOT ULCER IN A 74-YEAR-OLD FEMALE PATIENT BASED ON IRANIAN TRADITIONAL MEDICINE IN BOJNURD (CASE REPORT). 2017.10.22040/ajcrtam.2017.24881
Jayalakshmi MS, Thenmozhi P, Vijayaraghavan R. Plant leaves extract irrigation on wound healing in diabetic foot ulcers. Evidence-Based Complementary and Alternative Medicine. 2021;2021:1-9.https://doi.org/10.1155/2021/9924725
Shuo C, Jianwei M, Limei X, Tianhui N, Jing D, Wenjun L, et al. Safety and effectiveness of Traditional Chinese Medicinal herbs for diabetic foot: a systematic review and Meta-analysis. Journal of Traditional Chinese Medicine. 2017;37(6):735-45.https://doi.org/10.1016/S0254-6272(18)30036-0
Newre AB, Jejurkar AS, Pagar AS, Gavali AS, Kawde RM. A Comparative Study of Diabetic Treatment–Allopathy vs. Ayurveda. International Journal of Pharmaceutical Sciences. 2023;1(10):1-.10.5281/zenodo.10073506
Patton D, Avsar P, Wilson P, Mairghani M, O'Connor T, Nugent L, et al. Treatment of diabetic foot ulcers: review of the literature with regard to the TIME clinical decision support tool. Journal of wound care. 2022;31(9):771-9.https://doi.org/10.12968/jowc.2022.31.9.771
Wante M, Tejasvi K, Rawat I. Cost Effective Treatment In Diabetes Mellitus, A Comparative Study Of Superoxidised Solution Against Povidine Iodine. Journal of Pharmaceutical Negative Results. 2022:8737-45.https://doi.org/10.47750/pnr.2022.13.S09.1025
Hussain Z, Thu HE, Shuid AN, Katas H, Hussain F. Recent advances in polymer-based wound dressings for the treatment of diabetic foot ulcer: an overview of state-of-the-art. Current drug targets. 2018;19(5):527-50.https://doi.org/10.2174/1389450118666170704132523
Shahid MN, Munir M, Raza H, Waheed A, Ashraf H, Javed U, et al. Management of Diabetes Type-2 in our Population with Nutrition & Dietetics A Cross-Sectional Clinical Study. Pakistan Journal of Medical & Health Sciences. 2023;17(03):591-.https://doi.org/10.53350/pjmhs2023173591
PlumX Metrics
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
©The Author(s) . Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/public domain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
