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Extracorporeal shock wave therapy as a treatment of a non-healing chronic leg ulcer.
MedLine Citation:
PMID:  23322179     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
M Stieger; J-P Schmid; S Bajrami; T Hunziker
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-17
Journal Detail:
Title:  Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete     Volume:  -     ISSN:  1432-1173     ISO Abbreviation:  Hautarzt     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372755     Medline TA:  Hautarzt     Country:  -    
Other Details:
Languages:  GER     Pagination:  -     Citation Subset:  -    
Affiliation:
Klinik für Dermatologie, Universitätsklinik Inselspital, Universität Bern, Freiburgstr. 3, 3010, Bern, Schweiz, marco.stieger@insel.ch.
Vernacular Title:
Extrakorporale Stoßwellentherapie eines komplizierten chronischen Ulcus cruris venosum.
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