Conservative Management of a Non-Healing Diabetic Foot Ulcer: A Case Report

Abstract

Background: Diabetic foot ulcers (DFU) are challenging complications of diabetes mellitus, often leading to infection, gangrene, and amputation. Despite advances in surgical and pharmacological wound care, non-healing ulcers continue to pose significant morbidity1.

Objective: To document the successful management of a chronic, non-healing diabetic foot ulcer using an Ayurvedic treatment protocol after repeated failures with conventional Allopathic management.

Methods: A 72-year-old male with type 2 diabetes presented with a necrotic, infected ulcer over the right foot. Following unsuccessful treatment with antibiotics, debridement, and partial amputations, the patient underwent a three-month Ayurvedic regimen comprising internal medications - Kaishore Guggulu DS, Sarivadyasava, Nishamalaki Choorna and external therapies - Udvartana, Jyathydhi Taila wound dressings2,3.

Results: Within three months, the ulcer showed progressive granulation, reduction in discharge, and eventual complete epithelialization. No recurrence or infection was noted, avoiding surgical grafting.

Conclusion: The case illustrates the potential of Ayurvedic interventions in managing complex diabetic ulcers where conventional modalities have failed.