Diabetic foot ulcer with osteomyelitis, successfully treated with the holistic approach of multiple ayurvedic treatment modalities - A case report
Authors
Swapna Bopparathi
Associate Professor, Department of Shalya Tantra, National Institute of Ayurveda, deemed to be University, Amer Road, Jaipur, Rajasthan, India
Narasimha KV
Associate Professor, Department of Shalya Tantra, National Institute of Ayurveda, deemed to be University, Amer Road, Jaipur, Rajasthan, India
Keywords:
Amputation, Case report, Diabetic foot, Hirudo medicinalis, Osteomyelitis, Triphala
Abstract
Introduction
Diabetic foot ulcer (DFU) with osteomyelitis is the devastating condition, which is a challenge to surgeons in saving the limb of the patient and in many circumstances ends up with amputation, which leaves physical and psychosocial trauma for both the patient and patient's family.
Presentation of case
A 48-year-old female patient with uncontrolled type 2 diabetes presented with swelling and gangrenous deep circular ulcer of size approx. 3 × 4 cm on plantar aspect of great toe of her left foot with involvement of first webspace from last three months. Plain X ray showed disrupted and necrotic proximal phalanx suggestive of diabetic foot ulcer with osteomyelitis. Despite using antibiotics and antidiabetic drugs for past three months she didn't get significant response and was suggested for toe amputaion. Hence, she approached our hospital for further treatment. We successfully treated the patient with the holistic approach of surgical debridement, medicinal leech therapy (MLT), irrigation of the wound with triphala decoction, jatyadi tail dressings, oral ayurvedic antidiabetic drugs to control blood sugar levels and a mixture of herbo mineral drug which is having antimicrobial property.
Discussion
DFU may lead to infection, gangrene, amputation, death of the patient. Hence it is the need of the hour to look for limb salvage treatment modalities.
Conclusion
The holistic approach of these ayurvedic treatment modalities are effective and safe in treating DFUs with osteomyelitis and in preventing amputation.
Keywords: Amputation, Case report, Diabetic foot, Hirudo medicinalis, Osteomyelitis, Triphala
Author Biographies
Swapna Bopparathi, Associate Professor, Department of Shalya Tantra, National Institute of Ayurveda, deemed to be University, Amer Road, Jaipur, Rajasthan, India
Professor, Department of Kaya Chikitsa, Jyoti Vidyapeeth Ayurvedic University, Jaipur, Rajasthan, India
Narasimha KV, Associate Professor, Department of Shalya Tantra, National Institute of Ayurveda, deemed to be University, Amer Road, Jaipur, Rajasthan, India
Professor, Department of Kaya Chikitsa, Jyoti Vidyapeeth Ayurvedic University, Jaipur, Rajasthan, India
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