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The purpose of this study was to investigate the immediate effects of self-Thai foot massages (STFMs) on the foot skin blood flow, the foot skin temperature, and range of motion (ROM) of the foot and ankle in type 2 diabetic patients with peripheral neuropathy. A randomized crossover study. Twenty five diabetic patients with peripheral neuropathy were recruited. Participants were randomly assigned to either STFM or Thai foot massage (TFM) performed by a massage therapist; then, they were switched to the other group after a 1-week washout period. In both groups, the foot massage was performed in a seated position on the dominant lower leg and foot for 25 min. Before and immediately after treatment, foot skin blood flow, foot skin temperature, and ROM of the foot and ankle were evaluated. Heart rate was measured throughout the treatment. After a single treatment of the massage, foot skin blood flow and ROM of the foot and ankle significantly improved in both groups ( < 0.05). Foot skin temperature did not change in STFM, whereas it significantly increased in TFM. Heart rate significantly increased in STFM, whereas it tended to decrease in TFM. Both STFM and TFM by a massage therapist could improve foot skin blood flow and ROM of the foot and ankle in diabetic patients with peripheral neuropathy. An STFM could be a promising alternative treatment that patients can perform at home.
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http://dx.doi.org/10.1089/acm.2019.0328 | DOI Listing |
Front Endocrinol (Lausanne)
September 2025
Department of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.
Background: Diabetic foot ulcers (DFU) are a prevalent complication of diabetes, leading to significant morbidity, mortality, and amputation rates. Chronic non-healing DFU often result from peripheral neuropathy, microvascular issues, and infection, with poor blood and oxygen supply being critical factors in delayed healing. The development of new treatments to promote blood supply and accelerate ulcer healing is a significant area of research for DFU management.
View Article and Find Full Text PDFSemin Vasc Surg
September 2025
Division of Vascular and Endovascular Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY; Comprehensive Wound Care Healing and Hyperbaric, Department of Surgery, Northwell Health System, 270-05 76(th) Avenue, New Hyde Park, NY 11040. Electronic address:
Nonhealing wounds are increasingly prevalent, present in 1% to 2% of the global population, with higher incidence in geriatric patients. These chronic wounds pose challenges to older adult patients owing to physiologic changes that hinder healing, common medical comorbidities that promote inflammation and damage microcirculation, poor nutritional status and mobility, and psychosocial barriers to receiving care. In this literature review, the epidemiology, pathophysiology, systems costs, and management of chronic venous leg ulcers, arterial ulcers, and diabetic foot wounds in older adult patients are investigated.
View Article and Find Full Text PDFCureus
August 2025
General Surgery, Sree Balaji Medical College and Hospital, Chennai, IND.
Background Diabetic foot ulcers (DFUs) are a major complication of diabetes, posing significant challenges due to impaired wound healing, increased infection risk, and frequent need for surgical intervention. Optimal wound care is essential to reduce morbidity, hospital stay, and healthcare costs. While povidone iodine is a common antiseptic dressing, Metrogyl (metronidazole) targets anaerobic bacteria and may offer superior outcomes in chronic, infected wounds.
View Article and Find Full Text PDFJ Surg Case Rep
September 2025
Department of Plastic Surgery and Hand Surgery, HOCH, Kantonsspital St Gallen, Rorschacherstrasse 95, 9007 St Gallen, Switzerland.
Vascularized reconstruction of bone defects in the foot after osteomyelitis is a complex procedure that requires an orthoplastic collaboration. This case demonstrates the successful use of a free osteocutaneous fibula flap with a perforator-based skin island to reconstruct the medial midfoot following a late-onset infection after fusion for osteonecrosis. A 63-year-old woman presented after osteonecrosis and failed surgeries, including talonavicular and naviculocuneiform arthrodesis complicated by infection.
View Article and Find Full Text PDFJ Surg Case Rep
September 2025
Department of Dermatology, Zealand University Hospital, Sygehusvej 10, Roskilde 4000, Denmark.
Schwannomas are benign peripheral nerve sheath tumors commonly found on the head, neck, and extremities, but they rarely occur on the feet and toes. Here, we present a case report of a 70-year-old woman with an ulcerated tender mass with an uncommon location on the lateral aspect of the left fifth toe. The tumor was initially misdiagnosed as hyperkeratosis, delaying correct treatment.
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