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PODIATRY

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Podiatry

Hyperbaric oxygen therapy can be used as a complementary treatment for your patients in order to help speed healing of non-healing diabetic wounds.

Hyperbaric Oxygen Therapy is indicated for patients with Wagner grade 3 diabetic foot ulcers, chronic osteomyelitis, acute crush injury, and non-healing arterial foot ulcers status post-surgical revascularization or angioplasty.

Referral Criteria for HBOT Diabetic Foot Ulcer

Insurance regulations mandate the following:

  • History and Physical

  • Operative report describing a non-healing, infected deep ulceration; must have evidence of bone, joint or tendon involvement or presence of abscess in the lower extremity of a diabetic patient.

  • Unresponsive to at least one month of documented meticulous wound care

  •  
    *Diagnosis of osteomyelitis requires x-ray, MRI or positive bone culture*

How your patients will benefit from HBOT

  • Enhances fibroblast proliferation and collagen synthesis, decreasing fibrosis

  • Enhances leukocyte oxidative killing

  • Has a potent anti-inflammatory effect reducing swelling and edema

  • Stimulates angiogenesis

  • Synergistic effect of HBOT plus antibiotics by enhancing bacterial cell wall penetration and direct toxic effect of HBOT on anaerobic organisms

  • Enhances stem cell proliferation from the bone marrow and migration to the area of injury

  • Reduces intravascular leukocyte adherence in crush injury (reperfusion injury)

If the above criteria are met, the following is required from your office:

  • Dated photo (with ruler) of wound

  • Documentation of wound measurements

  • Wound Documentation needs to include:

    • Vascular status with test results including any corrections made
    • Optimization of nutritional status (pre-albumin) 
    • Optimal Glycemic Control 
    • Debridement Documentation
    • Maintenance of a clean moist bed with appropriate dressing
    • Documentation of appropriate off-loading

While undergoing hyperbaric treatment:

  • An updated podiatric note is required at least every 30 days

MAKE A REFERRAL FOR HBOT

Rsearch & Studies

Contact us with any questions you may have about HBOT or our facilities. You deserve the best – our mission is to achieve patient success through personalized, innovative, and compassionate care that enhances your healing potential.

For more information contact us or fill the form to the right to get started with Hyperbaric Oxygen Therapy and learn how it can help you accelerate healing and achieve optimal health!

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