Conventional thinking is fast becoming substandard care
Conventional thinking with regard to the care of chronic non-healing wounds such as pressure ulcers, venous stasis ulcers, diabetic ulcers and arterial ulcers is detrimental to the patients well-being. For example, physicians and other practitioners who maintain that a non-healing foot ulcer in a diabetic is irreversible are unaware of electromagnetic stimulation and its benefits. This lack of awareness is unacceptable given the plethora of peer review medical literature (see references below), published from decades of research around the world, showing that the Diapulse Wound treatment system stimulates healing even in people with poor peripheral circulation with non-thermal, pulsed high frequency, high peak power electromagnetic energy.
Buy New $12.95!
by Thomas A. Sharon R.N., M.P.H.
Therefore, any physician, hospital, clinic or nursing facility that provides conventional treatment for chronic wounds that proves ineffective to the point of requiring amputation without at least informing the patient that there is a safe, non-invasive treatment that will provide a risk-free reasonable chance of complete healing, is committing gross malpractice. The reason is that when treatment is provided in a timely manner, the amputation becomes unnecessary. Currently, about 250,000 people with diabetes undergo leg amputation each year. With the availability of Electromagnetic stimulation with Diapulse, which is now covered by Medicare under HCPCS code # G0329 (electromagnetic therapy), such amputations have all become avoidable.
Here's how it Works:
The human body is as electrical as it is chemical. Although poor peripheral circulation occurs from a variety of causes (the most common of which is a complication of diabetes) the mechanics are the same. The smaller arteries and capillaries become sclerosed (narrowed due to fatty deposits) depriving the skin fatty tissue, muscle, nerves and bone of blood circulation. The resulting ischemia (loss of blood circulation) reduces or eliminates the capacity to heal from even minor trauma or thermal injury. The ischemic cells also become edematous (swollen), which further hampers the ability to heal. In such cases a mere scratch can rapidly deteriorate to gangrene. Even in a conventional treatment center with hyperbaric pressure, such an individual has little chance of healing without electromagnetic therapy.
The Diapulse treatment immediately restores the electrical potential of the cell thereby reducing tissue edema (swelling). It also polarizes the red and white blood cells causing them to form pearl-like chains while passing through the electromagnetic field. This allows more of the blood cells to enter the narrowed vessels, because they are moving single file rather than bouncing randomly like billiard balls during a fast break. Thus the once ischemic tissue is now receiving the necessary blood flow for the body to regenerate small arteries, veins capillaries, nerves and various tissues for complete healing.
Decades of Research
Many double blind studies have been done all over the world over the past four decades with the same result: chronic wounds treated with Diapulse healed all of the wounds at a faster rate and the placebo group (not treated) healed at a slower rate with many remaining unhealed at the end of the study period. For example, Salzberg, et al (21) studied the effects of non-thermal pulsed electromagnetic energy (Diapulse) on wound healing of pressure ulcers in patients with spinal cord paralysis. They found that the treated group healed twice as fast with all other contributing factors (nutritional status, nursing care, etc.) equalized.
Moreover, there are many prospective studies published showing that people with chronic pressure ulcers unhealed for years have achieved complete healing with Diapulse. Itoh, et al (14) tested the device on a group of patients with pressure ulcers on various parts of the body at stage II (full skin loss) and Stage III (exposure of fatty tissue and muscle). The wounds had been present and unhealed from three weeks to three years. The patients in this group had conditions that made them susceptible to pressure and difficult to heal such as diabetes, multiple sclerosis, spinal cord paralysis and stroke, etc. The complete healing rate was 100%.
As of July 1, 2004 the Centers for Medicare and Medicaid Services (CMS) has evaluated the effectiveness of pulsed electromagnetic therapy and decided to cover it for chronic stage III or IV pressure ulcers, arterial ulcers, venous ulcers and diabetic ulcers not demonstrating measurable signs of healing after 30 days of conventional therapy. This coverage decision makes the Diapulse Wound treatment system readily accessible throughout the United States as state Medicaid systems and private insurances usually follow along with CMS coverage decisions.
Therefore, when a chronic wound is not healing and the patient is facing a catastrophic conclusion the health care provider has a moral and legal obligation to either provide pulsed electromagnetic therapy or at least inform the patient that a Medicare-covered device exists that offers a risk-free reasonable chance for complete healing. To not do so will result in severe pain, amputation or death and could eventually be construed as a wanton disregard of the patient's safety and well-being.
Thomas A. Sharon, R.N., M.P.H.
Please note that as/of this writing the author does not own any stock in the Diapulse Corporation of America and has not received any payment from them for this article nor have they asked him to write it.
1. ARONOFSKY DH: Reduction of dental post surgical symptoms using non-thermal pulsed high-peak power electromagnetic energy. Oral Surgery, Oral Medicine, Oral Pathology, 32(5):688-696, Nov 1971 (Independent statistical analysis available, unpublished). Dallas, Texas.
2. BARCLAY V, COLLIER RJ, JONES A: Treatment of various hand injuries by pulsed electromagnetic energy (Diapulse). Physiotherapy, 69(6):186-188, Jun 1983
3. BENTALL RHC, ECKSTEIN HB: (a) Klinische aspekte einer therapeutischen untersuchung beiorchidopexierten kindern. Aktuelle Urologie, 6(4) (Stuttgart) (in German), Oct 1974 (b) A trial involving the use of pulsed electromagnetic therapy on children undergoing orchidopexy. Zeitschrift Fur Kinderchirurgie, 17(4):380
4. BOWDEN REM, RAJI ARM: Effects of high peak pulsed electro-magnetic field on the degeneration and regeneration of the common peroneal nerve in rats, The Journal of Bone and Joint Surgery;65B(4):478-492, 1983
5. CAMERON BM: Experimental acceleration of wound healing. American Journal of Orthopedics, 3(11):336-343 Nov 1961
6. CAMERON BM: A three-phase evaluation of pulsed high frequency, radio short waves (Diapulse), 646 patients. American Journal of Orthopedics, 6(3):72-78, March 1964. Methodist and St. Lukes Hospital, Houston , Texas.
7. COMOROSAN, S., The Effects of Diapulse Therapy on The Healing of Decubitus Ulcers, Rom. J Physiol, 1993, 30, 1-2p. 41-45
8. DUMA-DRZEWINSKA A, BUCZYNSKI ZA, WEISS M: Pulsed high frequency currents (Diapulse) applied in treatment of bedsores. Polski Tygodnik Lekarski, XXXIII(22):885-887, in Polish
9. ERDMAN WJ: Peripheral blood flow measurements during app-lication of pulsed high frequency currents. American Journal of Orthopedics, 2:196-197, Aug 1960. University of Pennsylvania, School of Medicine, Philadelphia.
10. FENN J: Effect of pulsed electromagnetic energy (Diapulse) of experimental hematomas. The Canadian Medical Association Journal, 160:251-254 Feb 1969
11. GOLDIN J: The effects of Diapulse on the healing of wounds: A double-blind randomized controlled trial in man. British Journal of Plastic Surgery, 34:267-270, 1981
12. IONESCU A: Study of efficiency of Diapulse therapy on the dynamics of enzymes in burned wound. The Bulletin and Clinical Review of Burn Injuries, I(II):25-26, Apr 1984
13. IONESCU D, IONESCU A: Results of microsurgical suture in 200 nerves. Chirurgiae Plasticae, 26(3):166-183.
14. ITOH M, MONTEMAYOR JS, MATSUMOTO E, EASON A, LEE MHM: Accelerated wound healing of pressure ulcers by pulsed high peak power electromagnetic energy (Diapulse). Decubitus, 4(1):24-25,29-34, 1991
15. JAYAKUMAR K, RAJAGOPLAN T, SAMBASIVAN, BAI S. Effect of pulsed electromagnetic field (PEMF) in cerebral oedema. Neurology India 1986; 34:241-247
16. KAPLAN EG, WEINSTOCK RE: Clinical evaluation of Diapulse as adjunctive therapy following foot surgery. Journal American Podiatry Association, 58(5):218-221, May 1968
17. KIWERSKI J, CHROSTOWSKA T, WEISS M: Clinical trials of the application of pulsating electromagnetic energy in the treatment of spinal cord lesions. Narz. Ortop, Pol., 45(3):273-277, 1980
18. PENNINGTON GM, Danley DL, et al (1993). Pulsed Non-Thermal, High Frequency Electromagneitc Energy (Diapulse) in the Treatment of Grade I and Grade II Ankle Sprains. Military Medicine 158(2): 101-104.
19. RAJI ARM. Effects of high peak pulsed electromagnetic field on degeneration of the common peroneal nerve in rats. Lancet 1982;444-445
20. RHODES LC: The adjunctive utilization of Diapulse therapy (pulsed high peak power electromagnetic energy) in accelerating tissue healing in oral surgery. The Quarterly of the National Dental Association, 39(4):166-175, Jul 1981 and 40(1):4-11, Oct 1981
21. SALZBERG CA, Cooper-Vastola SA, et al (1995). The Effects of Non-Thermal Pulsed Electromagnetic Energy (Diapulse) on Wound Healing of Pressure Ulcers in Spinal Cord-Injured Patients: A Randomized Double-Blind Study. Wounds 7(1): 11-16
22. SHERMAN, RICHARD A., Treatment of Migraine With Pulsing Electromagnetic Fields: A Double-Blind, Placebo-Controlled Study, (Headache 1999; 39:567-575)
23. SILVER H: Reduction of capsular contracture with two-stage augmentation mammaplasty and pulsed electromagnetic energy (Diapulse therapy). Plastic and Reconstructive Surgery, 69(5):802-805, May
24. TUNG S, (July, 1995). The Application of Diapulse in the Treatment of Decubitus Ulcers: Case Reports. Contemporary Surgery. 47(1): 27-32.
25. WILSON DH: Treatment of soft-tissue injuries by pulsed (high frequency) electrical energy. British Medical Journal, 2(29: 269-270, Apr 1972
26. WILSON DH, JAGADEESH P, NEWMAN PO, HARRIMAN DGF: The effects of pulsed electromagnetic energy on peripheral nerve regeneration. Annals of the New York Academy of Sciences, 238:575-580, Oct 1973. (Presented: Electrically mediated growth mechanisms in living systems. Sept 1973)
27. WILSON DH, JAGADEESH P: Experimental regeneration in peripheral nerves and the spinal cord in laboratory animals exposed to a pulsed electromagnetic field. Paraplegia, 14: 12-20 (England), 1976
28. YOUNG W: Pulsed electromagnetic fields (Diapulse) alter calcium in spinal cord injury. Abstracts: The First International Symposium on Central Nervous System Trauma: Restoration, Plasticity, Regeneration, 127-128 (San Francisco, CA), May 1984