Evidence map›Paper›PMID 42606792›Full record

ArticleWiener medizinische Wochenschrift (1946)2026

Extracorporeal shockwave therapy as a key component of interdisciplinary wound management in diabetic foot syndrome : A case report.

Richard Crevenna, Zoltan Vass, Michael Mickel, Michael Leutner, Shuren Li, Mohammad Keilani

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Article in Wiener medizinische Wochenschrift (1946), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Richard CrevennaDepartment of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, University Hospital General Hospital Vienna, Vienna Healthcare Group, Vienna, Austria. richard.crevenna@meduniwien.ac.at.ORCID http://orcid.org/0000-0002-9177-0101
Zoltan VassDepartment of Internal Medicine I, Infectiology, Medical University of Vienna, University Hospital General Hospital Vienna, Vienna Healthcare Group, Vienna, Austria.
Michael MickelDepartment of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, University Hospital General Hospital Vienna, Vienna Healthcare Group, Vienna, Austria.
Michael LeutnerDepartment of Internal Medicine III, Endocrinology and Metabolism, Medical University of Vienna, University Hospital General Hospital Vienna, Vienna Healthcare Group, Vienna, Austria.
Shuren LiDepartment of Radiology and Nuclear Medicine, Clinical Division of Endocrinology & Metabolism, Medical University of Vienna, University Hospital General Hospital Vienna, Vienna Healthcare Group, Vienna, Austria.
Mohammad KeilaniDepartment of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, University Hospital General Hospital Vienna, Vienna Healthcare Group, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA 57-year-old male patient presented with the first manifestation of severe type 2 diabetes mellitus in the setting of diabetic foot syndrome complicated by osteomyelitis.

methodsThe patient was treated conservatively within a multimodal interdisciplinary approach. In addition, focused extracorporeal shockwave therapy (fESWT) was performed according to International Society for Medical Shockwave Treatment (ISMST)-oriented principles.

resultsAfter five sessions of fESWT, local wound management resulted in extraction of a relevant bony sequestrum. Following sequestrum removal, a large wound cavity remained in the region of the right first toe (digitus I pedis), corresponding approximately to the size of an entire phalanx. Remarkably, within only 4 days, rapid and substantial granulation of the deep wound cavity was observed.

conclusionThe present case supports the hypothesis that focused ESWT may represent a clinically relevant adjunctive treatment option in selected patients with diabetic foot syndrome and complicated wound healing disorders. At the same time, it highlights the need for prospective randomized controlled trials.

Indexed as

Adjunctive regenerative physical therapyCase presentationDiabetic foot syndromeMechanotransductionWounds

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