Extracorporeal shock wave therapy as a treatment of a non-healing chronic leg ulcer

Stieger, Marco; Schmid, Jean-Paul; Bajrami, S.; Hunziker, Thomas (2013). Extracorporeal shock wave therapy as a treatment of a non-healing chronic leg ulcer. Hautarzt, 64(6), pp. 443-446. Springer-Verlag 10.1007/s00105-012-2527-4

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Extracorporeal shock waves are defined as a sequence of sonic pulses characterized by high peak pressure over 100 MPa, fast pressure rise, and short lifecycle. In the 1980s extracorporeal shock wave lithotripsy (ESWL) was first used for the treatment of urolithiasis. Orthopedic surgeons use extracorporeal shock wave therapy (ESWT) to treat non-union fractures, tendinopathies and osteonecrosis. The first application of ESWT in dermatology was for recalcitrant skin ulcers. Several studies in the last 10 years have shown that ESWT promotes angiogenesis, increases perfusion in ischemic tissues, decreases inflammation, enhances cell differentiation and accelerates wound healing. We successfully treated a non-healing chronic venous leg ulcer with ESWT. Furthermore we observed an improvement of the lymphatic drainage after application of ESWT. We are confident that ESWT is a non-invasive, practical, safe and efficient physical treatment modality for recalcitrant leg ulcers.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Dermatology
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Stieger, Marco; Schmid, Jean-Paul and Hunziker, Thomas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0017-8470

Publisher:

Springer-Verlag

Language:

English

Submitter:

Elisabeth Albertson

Date Deposited:

18 Aug 2014 11:33

Last Modified:

26 Jun 2018 15:14

Publisher DOI:

10.1007/s00105-012-2527-4

Uncontrolled Keywords:

Chronic wound, Physical therapy, Extracorporeal shockwave, Wound healing, Treatmen

BORIS DOI:

10.7892/boris.58079

URI:

https://boris.unibe.ch/id/eprint/58079

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