Using Hyperbaric Oxygen Therapy to Treat Diabetic Foot Ulcers

Diabetic foot ulcers are a common and serious complication of diabetes, representing a leading cause of limb amputation. Managing these ulcers effectively is crucial for improving patient outcomes and quality of life. Hyperbaric Oxygen Therapy (HBOT) has emerged as a valuable adjunctive treatment for diabetic foot ulcers, offering a means to enhance healing and reduce the risk of complications. At Revivo, our integration of advanced therapies like HBOT into patient care plans underscores our commitment to employing innovative solutions to complex health issues. This post delves into the application of HBOT for treating diabetic foot ulcers, highlighting its benefits and the mechanism by which it promotes healing.

The Challenge of Diabetic Foot Ulcers

Diabetic foot ulcers arise due to a combination of factors, including poor circulation, neuropathy (nerve damage), and high blood sugar levels, which impair the body’s natural healing process. These ulcers can become chronic wounds, susceptible to infection and further complications that can lead to amputation.

How HBOT Works

HBOT involves breathing 100% oxygen at pressures higher than atmospheric levels in a pressurized chamber. This process significantly increases the amount of oxygen dissolved in the bloodstream, which can then be delivered to the ulcer site, promoting healing through several mechanisms:

  • Enhanced Oxygenation of Tissue: Increased oxygen levels in the blood enhance the oxygenation of ischemic, or poorly perfused, tissues, which is crucial for wound healing.
  • Stimulation of Angiogenesis: HBOT encourages the formation of new blood vessels, improving blood flow to the affected area, which is often compromised in individuals with diabetes.
  • Reduction of Edema and Inflammation: The therapy helps reduce swelling and inflammation around the wound, creating a more conducive environment for healing.
  • Increased Collagen Production: Oxygen is a key component in collagen synthesis, and HBOT can stimulate the production of collagen, which is essential for wound repair.
  • Enhanced Antibacterial Activity: The high levels of oxygen delivered during HBOT have an antimicrobial effect, reducing the risk of infection in the ulcer.

Clinical Evidence and Guidelines

Research supports the use of HBOT for diabetic foot ulcers, showing that it can lead to improved healing rates and reduce the likelihood of amputation. Clinical guidelines, including those from the Undersea and Hyperbaric Medical Society (UHMS) and the Wound Healing Society, endorse HBOT as an adjunctive treatment for certain cases of diabetic foot ulcers, particularly those that are chronic or have not responded to conventional treatments.

Integrating HBOT into Comprehensive Care

At Revivo, the inclusion of HBOT in the treatment plan for diabetic foot ulcers is carefully considered within the context of comprehensive wound care management. This approach also encompasses infection control, optimization of blood glucose levels, offloading of the wound, and nutritional support, ensuring a holistic strategy aimed at promoting healing and preventing recurrence.

Patient Experiences

Patients who have undergone HBOT for diabetic foot ulcers often report not only improved wound healing but also enhanced overall well-being. Success stories highlight the therapy’s potential to change the trajectory of recovery, offering hope and improved outcomes to those facing the possibility of amputation.


Hyperbaric Oxygen Therapy represents a significant advancement in the treatment of diabetic foot ulcers, providing a powerful tool for enhancing healing and reducing the risk of limb-threatening complications. At Revivo, our dedication to embracing state-of-the-art treatments like HBOT reflects our holistic approach to patient care, aiming to improve outcomes and quality of life for those we serve. By integrating HBOT with comprehensive wound care strategies, we offer a path to healing for individuals with diabetic foot ulcers, supporting them through recovery and beyond.

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