Chronic Diabetic Foot Ulcer Treated with Homoeopathy as Adjuvant in an Integrative Management Model: An Evidence-Based Case Report.

INTRODUCTION: Diabetic foot ulcers (DFUs), among the most severe complications associated with diabetes, impose a substantial economic and public health burden due to their significant prevalence (15-25%). In India, the escalating incidence of DFUs has markedly increased the frequency of lower-limb amputations. This case sought to examine the potential wound healing efficacy of homeopathic medicines as part of an integrative approach to DFUs management, demonstrated through evidence-based case reports.

CASE PRESENTATION: Patient presenting with DFU classified as Wagner grade 2 and with a 12-year history of diabetes were managed using individualized homeopathic treatment. Alongside homeopathic intervention, patients continued their prescribed oral hypoglycemic agents for glycemic control and adhered to routine wound-dressing protocols. DFU was monitored until complete healing using the Leg Ulcer Measurement Tool (LUMT). Neuropathic involvement was evaluated via the 10 g monofilament tactile test, while the Modified Naranjo Criteria for Homeopathy Inventory (MONARCH) tool was employed to determine the probability of a causal relationship between the observed clinical improvement and the homeopathic treatment. Within 12 weeks, the DFU demonstrated notable healing, reflected in a significant reduction in LUMT scores. The MONARCH tool assessment yielded a score of +8, strongly suggesting a causal link between the observed therapeutic outcomes and the homeopathic intervention. The homeopathic remedies administered were found to contribute effectively to the patient's recovery.

CONCLUSION: Adjuvant Homeopathic treatment appeared to play a supportive role in expediting the healing process of DFU within a clinically acceptable timeframe.