Extracorporeal Shockwave Therapy For Diabetic Foot Wounds - Version 1

  • Research type

    Research Study

  • Full title

    Extracorporeal Shockwave Therapy (ECSWT)for Diabetic Foot Wounds A cohort study comparing extracorporeal shockwave therapy to standard wound treatment for diabetic foot wounds

  • IRAS ID

    233543

  • Contact name

    George Smith

  • Contact email

    georgeedsmith@gmail.com

  • Sponsor organisation

    Hull and East Yorkshire Hospitals

  • Duration of Study in the UK

    0 years, 6 months, 1 days

  • Research summary

    Diabetes affects around 3.5 million people in the UK. A tenth of the patients will develop a diabetic foot wound, which over one third will not heal. Diabetes is the leading cause of non-traumatic amputation. Diabetic foot wounds have a poor healing rate post operatively, predisposing patients to further complications and chronic wounds.

    Current treatment of diabetic foot wounds involves regular dressing changes, offloading the foot, debridement and larvae therapy. Complex therapies include bioengineered skin equivalents. New potential therapies include hyperbaric oxygen therapy, bone marrow derived stem cells and extracorporeal shockwave therapy.

    Extracorporeal shockwave has shown improved wound healing in chronic diabetic lower limb ulcers, chronic venous ulcers and burns. Extracorporeal shockwave therapy is a non-invasive, safe and effective treatment for improving wound healing. Currently there is equivocal evidence of the benefits of shockwave therapy and therefore evidence base in diabetic wound care.

    The study aims to investigate effect on wound volume of extracorporeal shockwave therapy in diabetic foot wounds post operatively and investigate tolerability of the treatment. The study will also record amputation rate, infection rate, tissue perfusion and effect on patient's pain and quality of life.

  • REC name

    Yorkshire & The Humber - Leeds East Research Ethics Committee

  • REC reference

    17/YH/0334

  • Date of REC Opinion

    30 Oct 2017

  • REC opinion

    Further Information Favourable Opinion