Benefits of shockwave therapy for chronic venous ulcers

  • Research type

    Research Study

  • Full title

    Benefits of extracorporeal shockwave for the treatment of chronic venous ulcers:mechanism of healing

  • IRAS ID

    206297

  • Contact name

    Heather M Wilson

  • Contact email

    h.m.wilson@abdn.ac.uk

  • Sponsor organisation

    University of Aberdeen

  • Duration of Study in the UK

    0 years, 7 months, 1 days

  • Research summary

    Extracorporeal shockwaves (ECSW) are low energy shock waves which have been shown to promote tissue regeneration and aid wound healing. This treatment is currently used at Aberdeen Royal infirmary to aid the healing of chronic venous ulcer disease when conventional treatment fails. However, the mechanism of how this treatment works and whether it would be beneficial in other patient groups with ‘difficult to heal wounds’ is not clear. We are interested in the effect of this therapy on the properties of macrophages (important white blood cells) that are essential for many aspects of the healing process. We have published laboratory evidence that a similar therapy significantly increases the movement of macrophages into the wound and improves the healing properties of macrophages as well as enhancing their power to fight infection. This is a pilot/proof of concept study to determine if shock wave therapy changes the healing properties of macrophages. If so, shockwave therapy could benefit other conditions relating to non healing ulcers (e.g. diabetic ulcers) where macrophage properties play a significant role. Numbers are small but will maximise resources and potential of the work before committing to a larger study. Effects will be assessed by histological and immunohistological analysis of skin biopsies taken before and after routine ECSW therapy and assessment of wound exudate that is associated with this condition. \n\n

  • REC name

    North of Scotland Research Ethics Committee 1

  • REC reference

    16/NS/0062

  • Date of REC Opinion

    1 Jul 2016

  • REC opinion

    Favourable Opinion