Adjunctive Therapies

Aletha Tippett MD's picture
technology-in-wound-care

By Aletha Tippett MD

In looking at technology that helps in wound care, how many know about—and use—lasers? Cold lasers have been used by physical therapists for years, but cosmetic lasers can also be used. I have had tremendous success using laser therapy on wounds. Healing is much improved (and faster), with less scarring. I am not a technocrat. I’m much more old-fashioned, but the laser is a wonder.

Janet Wolfson's picture
electrical stimulation therapy in wound healing

By Janet Wolfson, PT, CLWT, CWS, CLT-LANA

I know we have all had those patients with diagnoses that impair their wounds forming granulation tissue to fill wound depth. Perhaps there are comorbidities such as diabetes, peripheral artery disease or malnutrition. Skin flaps, cellular and/or tissue-based products for wounds, and hyperbaric oxygen therapy are alternatives, but not every patient can tolerate surgery or a hyperbaric chamber, has a shallow enough wound or enough arterial supply to make these other options successful.

Aletha Tippett MD's picture
laser therapy used in the treatment of wounds

By Aletha Tippett MD

It would be interesting to know how many people reading this blog have tried laser therapy for wound healing. I suspect not many, and that is unfortunate because laser therapy can be a wonderful adjuvant for wound healing.

Aletha Tippett MD's picture

By Aletha Tippett MD

Understanding Pathergy and Pyoderma Gangrenosum

Pathergy is an aberration of the skin’s innate reactivity from a homeostatic reactive mode closely coupled to tissue healing to an abnormal destructive/inflammatory mode. Pathergy is not well understood and the cause is unknown. It is a diagnostic criteria for Behcet's disease and there is even a Skin Pathergy Test to help with diagnosis. Pathergy has also been reported in Sweet’s syndrome and it is a hallmark of pyoderma gangrenosum.