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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

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.


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