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Oxygen Chambers Help Heal Foot Ulcers

Chambers Speed Up Healing of Stubborn Diabetic Foot Ulcers
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WebMD Health News

Aug. 7, 2003 -- A new study shows high-pressured oxygen chambers may speed the healing of diabetic foot ulcers -- chronic, nonhealing ulcers that people with diabetes commonly develop on their feet and ankles.

Hyperbaric oxygen chambers are often used to get over "the bends" or decompression sickness in divers and in some cases of carbon monoxide poisoning. But this study shows that these chambers can also help diabetic people with these often hard-to-treat ulcers heal faster. The findings appear in the August issue of Diabetes Care.

Researchers evaluated 28 diabetes patients for the study. The volunteers averaged 60 years old; 87% of them had type 2 diabetes, and all had foot ulcers that did not respond to standard treatment after three months of therapy. Most patients in the study showed poor circulation around the ulcer. Fifteen were treated in the oxygen chambers and 13 served as a comparison group.

The oxygen group sat in the oxygen chambers twice a day, five days a week, for two weeks. Each session lasted an hour and a half. One patient dropped out of the study after complaining of ear pressure problems.

Results in Just Two Weeks

Researchers compared how big the diabetic foot ulcers were before and after oxygen treatments. After two weeks, there was improvement in the oxygen group's conditions: the size of the oxygen-treated ulcers significantly decreased compared with the group not receiving oxygen. Two patients even showed complete healing four weeks after the study started, but no one in the comparison group did.

Foot ulcers are a common and troubling problem for diabetes sufferers. They are slow to heal because of vascular disease common to diabetes. In severe cases of vascular disease, poor circulation can cause gangrene -- the death of tissue -- and the need to amputate the lower extremity. The National Institutes of Health reports that more than half of lower limb amputations are caused by complications from diabetes.

The study researchers say the oxygen chambers doubled the average healing rate of some diabetes patients suffering from diabetic foot ulcers. Future use of hyperbaric oxygen chambers could possibly shorten long hospital stays typically associated with treatment.

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