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DESCRIPTION
Ulcers are open sores that develop on deteriorated patches of skin and can occur on any area of the body and have may causes. Ulcers occur when the skin breaks down allowing air and bacteria to get into the underlying tissue. They usually form as scabs or open wounds with redness and swelling of the surrounding area, most commonly on the lower legs and/or feet.
CAUSES OF LEG ULCERS
The usual causes of leg ulcers are not a problem with the skin itself, but rather with the underlying blood supply to the skin. When poor circulation in the legs restricts blood flow, the skin tissue begins to erode making it more susceptible to the development of an open sore. The broken skin can be very slow to heal. Leg ulcers are more likely to develop in people with poor circulation, thrombophlebitis, and/or varicose veins. Diabetes, rheumatoid arthritis, and hypertension are diseases associated with circulation problems. Leg and foot ulcers can also be worsened by secondary bacterial and viral infections and be associated with surrounding eczema. Ulcers are also commonly associated with depressed or lowered immune systems.
Leg ulcers may be caused by medical conditions such as:
- Poor circulation, often caused by arteriosclerosis.
- Venous insufficiency (a failure of the valves in the veins of the leg that causes congestion and slowing of blood circulation in the veins).
- Other disorders of clotting and circulation that may or may not be related to atherosclerosis.
- Diabetes.
- Renal (kidney) failure.
- Hypertension (treated or untreated).
- Lymphedema (a buildup of fluid that causes swelling in the legs or feet).
- Inflammatory diseases including vasculitis, lupus, scleroderma or other rheumatological conditions.
- Other medical conditions such as high cholesterol, heart disease, high blood pressure, sickle cell anemia, bowel disorders.
- History of smoking (either current or past).
- Pressure caused by lying in one position for too long.
- Genetics (ulcers may be hereditary).
- A malignancy (tumor or cancerous mass).
- Infections.
- Certain medications.
VENOUS STASIS ULCERS
Venous stasis ulcers are leg ulcers related to a condition known as venous stasis, in which leg veins cease to function as they should. Blood pools in the veins, resulting in inflammation of the overlying skin that leads to the development of ulcers. Venous ulcers are usually situated on the lower third of the leg, below the knee and above the ankle. The base of a venous ulcer is usually red. It may be covered with yellow fibrous tissue or there may be a green or yellow discharge if the ulcer is infected. Fluid discharge can be significant. The borders are usually irregularly shaped and the surrounding skin is often discolored and swollen. It may even feel warm or hot to the touch. The skin may appear shiny and tight, depending on the amount of swelling (edema) in the tissues.
Venous stasis ulcers are common in people who have a history of leg swelling, a history of blood clots in either the superficial or the deep veins of the legs, or varicose veins. Ulcers may affect one or both legs. Venous ulcers affect 500,000-600,000 people in the United States every year and account for 80-90 percent of all leg ulcers.
ARTERIAL ULCERS (ISCHEMIC ULCERS)
Arterial ulcers occur when an artery or arteries serving the leg fail to deliver an adequate blood supply, which in turn may be caused by atherosclerotic plaque or by an embolism blocking the proper flow of blood. These ulcers usually occur on bony areas around the feet and ankles and often occur on the heels, tips of toes, between the toes where the toes rub against one another or anywhere the bones may protrude and rub against bed sheets, socks or shoes. Arterial ulcers also occur commonly in the nail bed if the toenail cuts into the skin or if the patient has had recent aggressive toe nail trimming or an ingrown toenail removed.
The base of an arterial or ischemic ulcer usually does not bleed. It has a yellow, brown, grey, or black color. The borders and surrounding skin usually appear as though they have been punched out. If irritation or infection are present, there may or may not be swelling and redness around the ulcer base. There may also be redness on the entire foot when the leg is dangled; this redness often turns to a pale white/yellow color when the leg is elevated.
Arterial ulcers are typically very painful, especially at night. The patient may instinctively dangle his/her foot over the side of the bed to get pain relief. The patient usually has prior knowledge of poor circulation in the legs and may have an accompanying disorder.
DIABETIC ULCERS (NEUROTROPHIC)
Diabetic / Neurotrophic ulcers can be result of peripheral neuropathy or insufficient blood supply to the surface of the skin. They normally occur around the feet and are usually located at increased pressure points on the bottom of the feet. However, neurotrophic ulcers related to trauma can occur anywhere on the the foot. They occur primarily on people with diabetes, although they can affect anyone who has an impaired sensation of the feet.
The base of the ulcer is variable, depending on the person's circulation. It may appear pink/red or brown/black. The borders of the ulcer are punched out, while the surrounding skin is often calloused.
Neuropathy and peripheral artery disease often occur together in people who have diabetes. Nerve damage (neuropathy) in the feet can result in a loss of foot sensation and changes in the sweat-producing glands, increasing the risk of being unaware of foot calluses or cracks, injury or risk of infection. Symptoms of neuropathy include tingling, numbness, burning or pain. It is easy to understand why people with diabetes are more prone to foot ulcers than other patients. This is why people with diabetes need to inspect their feet and their shoes daily and wear appropriate footwear. People with diabetes should never walk barefoot.
MoonDragon's Health & Wellness: Diabetes
PRESSURE ULCERS / DERMAL ULCERS (BED SORES)
Pressure-dermal ulcers have been included here, even though they are usually not considered to be "leg ulcers" but they still form because of restricted circulation to skin and underlying tissues.
Bedsores, also known as pressure sores, pressure ulcers, or dermal ulcers, are deep ulcers that form when pressure is exerted over bony areas of the body, restricting circulation and leading to the death of cells in the overlying tissue. When pressure cuts off blood flow, the skin area starved for oxygen first becomes red and inflamed, then sore. Even when the blood flow is only partially interrupted, friction and other kinds of damage to the outer skin layer can cause ulcers. Ill-fitting clothing, wrinkled bedding, or shoes rubbing against the skin may contribute to skin injury.
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PREVENTION
Controlling risk factors can help you prevent ulcers from developing or getting worse. Here are some ways to reduce your risk factors:
Quit smoking.
Manage your blood pressure.
Control your blood cholesterol and triglyceride levels by making dietary changes and taking medications as prescribed.
Limit your intake of sodium.
Manage your diabetes and other health conditions, if applicable.
Lose weight if you are overweight.
Ask your health care provider about aspirin therapy to prevent blood clots.
Activate your calf muscles regularly by walking and exercising. Get on a regular exercise program as recommended by your health care provider.
Reduce the amount of fat in your food. Eat more fruit and vegetables.
Sit with your legs raised whenever you have the opportunity. Raise them above heart level if possible.
Avoid sitting with your legs crossed. This impairs blood circulation.
If your work requires a lot of standing or sitting, try to vary your stance as much as possible. Walk about from time to time, if you can.
If you have to stay seated for a long time, move your feet up and down occasionally. Get up and walk around to get circulation going again, especially if your chair seat tends to cut off circulation in your legs.
Support stockings or venous bands may be useful, but talk to your health care provider. Venous bands may require a prescription from your health care provider.
DIAGNOSIS
First, the patient's medical history is evaluated. A wound specialist will examine the wound thoroughly and may perform tests such as X-rays, MRIs, CT scans and non-invasive vascular studies to help develop a treatment plan.
TREATMENT
Patients are treated by a health care provider proficient in the lower extremity wounds. The cause of the problem is determined and development of an individualized treatment program is put into effect. The goals of treatment are to relieve pain, speed recovery and heal the wound. Each patient's treatment plan is individualized, based on the patient's health, medical condition and ability to care for the wound.
Treatment options for all ulcers may include:
- Antibiotics, if an infection is present.
- Anti-platelet or anti-clotting medications to prevent a blood clots.
- Topical wound care therapies.
- Compression garments.
- Prosthetics or orthotics, available to restore or enhance normal lifestyle function.
Venous ulcers are treated with compression of the leg to minimize edema or swelling. Compression treatments include wearing compression stockings, multi-layer compression wraps, or wrapping an ACE bandage or dressing from the toes or foot to the area below the knee. The type of compression treatment prescribed is determined by the health care provider, based on the characteristics of the ulcer base and amount of drainage from the ulcer.
The type of dressing prescribed for ulcers is determined by the type of ulcer and the appearance at the base of the ulcer. Types of dressings include:
- Moist to moist dressings.
- Hydrogels/hydrocolloids.
- Alginate dressings.
- Collagen wound dressings.
- Debriding agents.
- Antimicrobial dressings.
- Composite dressings.
- Synthetic skin substitutes.
Arterial ulcer treatments vary, depending on the severity of the arterial disease. Non-invasive vascular tests provide the health care provider with the diagnostic tools to assess the potential for wound healing. Depending on the patient's condition, the health care provider may recommend invasive testing, endovascular therapy or bypass surgery to restore circulation to the affected leg.
The goals for arterial ulcer treatment include:
- Providing adequate protection of the surface of the skin.
- Preventing new ulcers.
- Removing contact irritation to the existing ulcer.
- Monitoring signs and symptoms of infection that may involve the soft tissues or bone.
Treatment for neurotrophic ulcers includes avoiding pressure and weight-bearing on the affected leg. Regular debridement (the removal of infected tissue) is usually necessary before a neurotrophic ulcer can heal. Frequently, special shoes or orthotic devices must be worn.
WOUND CARE AT HOME
Patients are given instructions to care for their wounds at home. These instructions include:
- Keeping the wound clean and dry.
- Changing the dressing as directed.
- Taking prescribed medications as directed.
- Drinking plenty of fluids.
- Following a healthy diet, as recommended, including eating plenty of fruits and vegetables.
- Exercising regularly, as directed by a health care provider.
- Wearing appropriate shoes.
- Wearing compression wraps, if appropriate, as directed.
FOOT & SKIN CARE GUIDELINES
The treatment of all ulcers begins with careful skin and foot care. Inspecting your skin and feet is very important, especially for people with diabetes. Detecting and treating foot and skin sores early can help you prevent infection and prevent the sore from getting worse.
Here are some guidelines:1. Gently wash the affected area on your leg and your feet every day with mild soap (Ivory Snow or Dreft) and lukewarm water. Washing helps loosen and remove dead skin and other debris or drainage from the ulcer. Gently and thoroughly dry your skin and feet, including between the toes. Do not rub your skin or area between the toes.
2. Every day, examine your legs as well as the tops and bottoms of your feet and the areas between your toes. Look for any blisters, cuts, cracks, scratches or other sores. Also check for redness, increased warmth, ingrown toenails, corns and calluses. Use a mirror to view the leg or foot if necessary, or have a family member look at the area for you.
3. Once or twice a day, apply a lanolin-based cream to your legs and soles and top of your feet to prevent dry skin and cracking. Do not apply lotion between your toes or on areas where there is an open sore or cut. If the skin is extremely dry, use the moisturizing cream more often.
4. Care for your toenails regularly. Cut your toenails after bathing, when they are soft. Cut toenails straight across and smooth with a nail file.
5. If you have diabetes, it is important to see a podiatrist regularly.
6. Do not self-treat corns, calluses or other foot problems. Go to a podiatrist to treat these conditions.
7. Don't wait to treat a minor foot or skin problem. Follow your health care provider's guidelines.
OTHER SELF-CARE TIPS
Weight loss is important if you are overweight and regular exercise to promote good circulation.
Body Detox can also help to purify the blood and cleanse the system. Treatment for leg ulcers greatly depends on the factors that cause the ulcer or have prevented healing.
Once the causes of leg ulcers are under control, (for example the blood sugar level in diabetes) the ulcer should heal by itself. Treatment may involve wound cleansing, anti-inflammatory treatment and application of dressings. So long as there is no arterial disease, venous leg and foot ulcers will benefit from elevation and compression dressings.
If an underlying disease is one of the causes of leg ulcers, it is important that the disease is treated (e.g., hardening of the arteries).
Leg and foot ulcers have a tendency to recur in elderly people, and sometimes may require years of therapy.
DIETARY & HOLISTIC RECOMMENDATIONS
RECOMMENDATIONS
Go on a diet of raw foods with lightly steamed vegetables for one month to help the healing process.
Eat dark green leafy vegetables to obtain Vitamin K.
Include plenty of fresh garlic and onions in your diet. These promote circulation and healing, and also contain the trace element germanium, which boosts the immune system and improves tissue oxygenation.
Following a fasting program as outline in the following link.
To speed healing, apply vitamin E oil to the sore and bandage it lightly with a sterile gauze pad. Change the bandage daily until the sore is healed.
Herbal Remedies: Vitamin E Oil, 80% Mixed Tocopherols, Vegetarian, NOW Foods, 4 fl. oz.
Herbal Remedies: Vitamin E Oil, D-Alpha, Vegetarian, 100% Natural, 32,000 IU, NOW Foods, 1 oz.
Keep the ulcer clean and germ-free to prevent infection.
See your health care provider if you have a medical problem. Sometimes antibiotics are necessary for the sores to heal.
If you must take antibiotics, be sure to take acidophilus liquid or tablets. You can also obtain acidophilus from yogurt and soured milk products.
Herbal Remedies: Acidophilus Supplement Powder, Non-Dairy, 3 oz. Bulk
Herbal Remedies: Acidophilus, 3 Billion, NOW Foods, 90 Tabs
Herbal Remedies: Lactobacillus Acidophilus Supplement, Non-Dairy, 100 Caps
Herbal Remedies: Lactobacillus Acidophilus, Kosher Liquid, All Natural, Vegetarian Medium, Lactose Free, Apple Strawberry Flavor, Dynamic Health, 16 fl. oz.
CONSIDERATIONS
Dimethylsulfoxide (DMSO) can be applied topically to the sores. It helps to relieve pain and promote healing. Caution: Use only DMSO from a health food store. Commercial grade DMSO such as found in hardware stores is not suitable for healing. The use of DMSO may result in a temporary garlicky body odor, which is not a cause for concern.
DMSO General Information
Dimethyl sulfoxide, or DMSO, is an all-natural substance derived from wood pulp. Through the normal decomposition of plants DMSO is produced. Fresh and marine algae give off DMSO. Milk even contains a small amount. DMSO has the same characteristics of a solvent. It can mix with water and oil. DMSO can penetrate the skin barrier and travel through the body quickly. Health care providers use DMSO to carry other medical substances into the body quickly, which, in turn makes them much more effective. DMSO has been widely used for many years in sports medicine for a variety of problems and conditions. Since it can be used for many conditions, some say this is the aspirin of our time. MSM is also derived from DMSO.
DMSO USES & SCIENTIFIC EVIDENCE
Viruses lack genetic material of their own, they can only multiply within a cell and some viruses, once in the cell, are protected by the protein coating of the cell making most antiviral drugs ineffective. One of the most important attributes of DMSO is its ability to enter the cell itself. DMSO is a death sentence for viruses because it contains oxygen. Viruses cannot exist in a highly oxygenated environment. When DMSO is applied properly it enters the cell and kills the virus. This has shown to be particularly effective in the treatment of the herpes virus. DMSO is also excellent for healing deep tissue, muscle injuries, burns, and other wounds. The FDA has approved DMSO for interstital cystitis, but health care provider can prescribe DMSO in the U.S. for many other health conditions as well. Some studies have shown it to be effective with arthritis and other inflammatory conditions due to its collagen softening and pain relieving properties, which is also good for treating scleroderma.
DMSO DOSAGE INFORMATION
It is important that you use the highest quality DMSO (99.9% pure) without impurities. DMSO is to be used as a solvent only. It is best to consult your health care provider before using this product and to follow their recommendations for the treatment of your symptoms.
DMSO SAFETY & INTERACTION INFORMATION
Since DMSO is a carrier, it could conceivably carry a toxic material from your skin into your body. It is rare to have toxic material on your skin, but for example, if you have been working with a pesticide, wash the skin thoroughly before applying DMSO. People with sensitive skin may experience a temporary itching or slight irritation but can be easily remedied by reducing the 99.9% pure solution to a 70% solution. DMSO can produce a garlic like odor that can last up to 4-6 hours after application. Safety in young children, pregnant or nursing women, or those with severe liver or kidney disease is not known.
Herbal Remedies: DMSO (Dimethylsulfoxide) Liquid & DMSO Cream Products
Laser therapy has not proved beneficial for venous leg ulcers. There may be some benefit in combining laser and infrared light therapy, but more research is needed to prove this conclusively.
CircAid Medical Products makes adjustable bands specifically for venous stasis and venous ulcer conditions.
CircAid Medical Products, Inc.
9323 Chesapeake Drive
Suite B2
San Diego, CA 92123
Phone: 1 (800) CIRCAID; 1 (800) 247-2243; (858) 576-3550
Fax: (858)-576-3555
Email: info@circaid.com
CircAid Medical Products does not distribute directly to patients at this time. If you are a patient who is interested in their products, please contact them for more information.
Leg ulcers often do not cause much pain, so if you have diabetes or circulatory problems, it is advisable to examine your lower legs and feet often.
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HERBS
Alfalfa, taken in capsule, tablet or liquid form, is a good source of Vitamin K.
Herbal Remedies: Alfa Max, Alfalfa Extract, Nature's Way, 525 mg, 100 Caps
Herbal Remedies: Alfalfa Powder Whole Food Supplement, NOW Foods, 1 lb.
Herbal Remedies: Alfalfa Leaves, Nature's Way, 405 mg, 100 Caps
Herbal Remedies: Alfalfa, NOW Foods, 650 mg, 500 Tabs
Herbal Remedies: Alfalfa Tincture, 2 fl. oz.
Red Clover tea or capsules are also beneficial.
Herbal Remedies: Red Clover (Trifolium Pratense) Herb Powder, 4 oz. Bulk
Herbal Remedies: Red Clover Herb, Nature's Way, 500 mg, 100 Caps
Herbal Remedies: Red Clover Tincture, 100% Organic, 2 fl. oz.
Comfrey made into a tea and used as a compress is helpful. Soak a clean cloth in the tea and apply it to aching, inflamed leg ulcers. Note: Comfrey is recommended for external use only except under the supervision of a health care provider.
Herbal Remedies: Comfrey Leaf / Herb Skin Poultice, 2.5 oz.
Herbal Remedies: Comfrey Leaf Powder, 4 oz. Bulk
Echinacea improves immune function and aids healing.
Herbal Remedies: Echinacea Immune Support Tea, Yogi Tea, Certified Organic, 16 Tea Bags
Herbal Remedies: Echinacea Tea, Caffeine Free, NOW Foods, 100% Natural, 30 Tea Bags
Herbal Remedies: Echinacea Root Complex, Nature's Way, 180 Caps
Herbal Remedies: Echinacea Tincture For Children, Orange Flavor, Alcohol Free, 100% Organic, 1 fl. oz.
Herbal Remedies: Echinacea Root Tincture, 100% Organic, 2 fl. oz.
Herbal Remedies: Echinacea Extract, Standardized, Nature's Way, 340 mg, 60 Caps
Herbal Remedies: EchinaGuard Echinacea Tincture Supplement, Nature's Way, 1 fl. oz.
Herbal Remedies: Echinacea Herb, Nature's Way, 400 mg, 180 Caps
Goldenseal is a natural antibiotic and promotes healing. It can be taken in tea or capsule form. It can also be used as a poultice. Moisten a piece of gauze with alcohol-free goldenseal extract and use this to cover the ulcer. CAUTION: Do not take Goldenseal on a daily basis for more than one week at a time, and do not use it during pregnancy. If you have a history of cardiovascular disease, diabetes, or glaucoma, use it only under a health care provider's supervision.
Herbal Remedies: Goldenseal Root Tincture, 100% Organic, 2 fl. oz.
Herbal Remedies: Goldenseal Root, Nature's Way, 570 mg, 100 Caps
Herbal Remedies: Goldenseal Herb, Nature's Way 400 mg, 180 Caps
Herbal Remedies: Echinacea Goldenseal Tincture, Nature's Way, Alcohol Free, 1 fl. oz.
Herbal Remedies: Echinacea Goldenseal Supplement, Nature's Way, 180 Caps
Many herbal and homeopathic remedies have been formulated with specific ingredients to promote and improve circulation throughout the body.
Ginkgo Biloba is an extremely effective herb used to restore the functioning of the circulatory system and improve peripheral blood flow to the extremities.
Ginger (Zingiber officinalis) is another herb known as a strong anti-inflammatory and pain reliever, while Rosemary (Rosmarinus officinale) can help to dilate and strengthen blood vessels.
HOMEOPATHICS
For skin health, Natrium muriaticum (Natrum Mur), Kalium muriaticum (Kali Mur) and Kalium sulphate (Kali Sulph) are three homeopathic ingredients hailed for their ability to cleanse blood and lymph, help eliminate waste in the blood and act as a natural anti-inflammatory. Furthermore, by providing essential oxygen to inflamed or infected cells, Kali. sulph. effectively assists healing, reduces inflammation and removes infected or dead cells. Ferrum phos. is another well known biochemic tissue salt to promote the supply of oxygen rich blood to all cells of the body and will also prove helpful at the first signs of an infection.
NUTRITIONAL SUPPLEMENTS
Unless otherwise specified, the following recommended doses are for adults over the age of 18. For a child between 12 and 17 years, reduce the dose to 3/4 the recommended dose. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended dose.
NUTRIENTS Supplement Suggested Dosage Comments Important Coenzyme Q-10 60 mg daily. Increases resistance to leg ulcers by increasing tissue oxygenation. Improves circulation and stabilizes blood sugar.
CoQ10, Vegetarian Coenzyme, NOW Foods, 30 mg, 60 VCaps,
CoQ10, Now Foods, 400 mg, 60 SoftgelsCoenzyme A As directed on label. Supports the immune system's detoxification of many dangerous substances. Facilitates the repair of RNA and DNA. Can streamline metabolism, ease depression and fatigue, and increase energy. Works well with CoQ10.
Pantethine (Coenzyme A Precursor), Highly Active Form of Vitamin B-5, 300 mg, NOW Foods, 60 Softgels,Dimethylglycine (DMG) As directed on label. Enhances oxygen utilization to improve blood flow to the legs.
DMG Supplement N,N Dimethyl Glycine, NOW Foods, 125 mg, 100 CapsGarlic (Kyolic) 2 capsules 3 times daily or as directed on label. Decreases and stabilizes blood sugar levels. Enhances immunity, improves circulation and aids in the healing process. Pycnogenol
Or
Grape Seed ExtractAs directed on label.
As directed on label.Contains powerful antioxidants that prohibits free radical damage, enhances the activity of vitamin C and strengthens connective tissue, including that of the cardiovascular system.
Pycnogenol W/ Vitamin E, 100% Natural, Nature's Way, 50 mg, 30 Tabs, Grape Seed (Grapeseed) (Vitus vinifera), 100% Pure, NOW Foods, 16 fl. oz.Shark Cartilage
(Benefin)As directed on label. To improve blood vessel integrity.
Shark Cartilage, NOW Foods, 750 mg, 100 Caps,Ultra Connexin
(American Biologics)As directed on label. Supports wound healing and blood vessel wall health.
Shark Cartilage, NOW Foods, 750 mg, 100 Caps,Vitamin C With Bioflavonoids 5,000-10,000 mg daily, in divided doses. Improves circulation and aids in the healing process. Essential in immune function and tissue repair. Also keeps infection in check. Deficiency may lead to vascular problems in people with diabetes.
Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.,
Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps,
The Right C, Nature's Way, 1000 mg, 120 TabsVitamin E 200-400 IU daily. Helps the body to use oxygen efficiently and speeds healing. Improves circulation and prevents complications through its antioxidant properties. Use d-alpha-tocopherol emulsion form for easier assimilation and greater safety at higher doses.
Ester E Natural Vitamin E, California Natural, 400 IU, 60 Softgels,
Vitamin E, 400 IU, 100% Natural, NOW Foods, 100 Gels,
Vitamin E-1000, NOW Foods, 1000 IU, 100 Gels,
Vitamin E, d-alpha-tocopherol, 400 IU, 100 Softgels
Helpful Colloidal Silver Take orally and apply topically to the affected area as directed on label. A broad spectrum antiseptic that promotes rapid healing and subdues inflammation.
Colloidal Silver Liquid, SilvaSolution, 10 ppm, 16 fl. oz.,
Colloidal Silver Liquid, SilvaSolution, Super Strength Pro 50, 8 fl. oz.,
Colloidal Silver Pump Spray, SilvaSolution, 2 fl. oz.,
Colloidal Silver, Trace Minerals, 30 ppm, 8 fl. oz.Flax Seed Oil
Or
Ultimate Oil
(Nature's Secret)2 teaspoons daily.
As directed on label.To minimize clot formation and help keep veins soft and pliable. Speeds healing.
Ultimate Oil, Essential Fatty Acids Supplement, Nature's Secret, 90 SoftGels,
Essential Fatty Acids For Baby & Children, Organic, 8 fl oz.,
Barlean's Flax Oil, 100% Highest Lignan Content, Organic, Pesticide & Herbicide Free, 16 fl. oz.,
Barlean's Flax Oil, Highest Lignan, 1000 mg, 250 CapsFree-Form Amino Acid Complex As directed on label. Promotes healing and tissue repair.
AMINO 1000 Complete, NOW Foods, 120 Caps,
Branched Chain Amino Acid Powder, NOW Foods, 12 oz.,
Amino 1500, Chewable Blend of 20 Amino Acids, Predigested, NOW Foods, 150 Tabs,
Branched Chain Amino Acids, Free Form, 120 Caps,Iron
Or
Floradix Iron Plus Herbs
(Salus Haus)As directed by a health care provider. Take with vitamin C for better absorption. Important for cell growth and healing. Caution: Do not take iron unless anemia is diagnosed. Floradix Iron Plus Herbs is a natural and non-toxic source of iron.
Iron Ionic Mineral Supplement, Fully Absorbable, 20 +/- ppm, 16 fl oz.,
Ionic Iron Supplement With ConcenTrace, Trace Minerals, 2 oz.,
Alive Whole Food Energizer Multi-Vitamin & Mineral With Iron Added, Nature's Way, 90 VCaps,
Iron Complex With Vitamins & Herbs, Vegetarian, NOW Foods, 250 Tabs,Multi-Vitamin & Multi-Mineral Complex As directed on label, with meals. All nutrients are needed in balance for healing, protection of tissues and tissue repair. Essential for normal cell division and function. Necessary to prevent nutritional deficiencies.
Super Multi-Vitamin & Multi-Mineral, Pure Vital Earth, 32 fl. oz. (98% Bio-Available for Absorption), Damage Control Master Formula, High Potency, Multi-Vitamin & Mineral, 60 Packets (30 Day Supply)Spirulina
Or
Spiru-tein from Nature's PlusAs directed on label. Take between meals. To supply protein, needed to build and repair tissue. Also acts as an appetite stimulant.
Spirulina, 100% Organic, NOW Foods, 500 mg, 120 VCaps,
Spirulina Powder, 100% Natural, NOW Foods, 1 lb.
Spirulina Natural, Earth Rise, 500 mg, 180 Tabs,
Spirulina Natural Green Super Food For Longevity, Earth Rise, 500 mg, 360 Tabs
Vitamin A 25,000 IU daily for 1 month. If you are pregnant, do not exceed 10,000 IU daily. Necessary for healing and protection of tissues. Use emulsion for more rapid and complete assimilation.
Vitamin A, 10,000 IU, 100% Natural, Nature's Way, 100 SoftgelsPlus
Natural Beta-Carotene
Or
Carotenoid Complex (Betatene)25,000 IU daily.
As directed on label.An antioxidant and precursor of vitamin A. Needed by all cells for protection, healing, repair and rebuilding of tissues.
Beta Carotene (Natural Dunaliella Salina), Nature's Way, 100% Natural, 25,000 IU, 100 Softgels,
Multi-Carotene Antioxidant, Nature's Way, 60 SoftgelsVitamin B Complex As directed on label. B vitamins work best when taken together. Use a high potency formula.
Ultimate B (Vitamin B Complex), Nature's Secret, 60 Tabs,
Vitamin B-100 Complex, w/ Coenzyme B-2, Nature's Way, 631 mg, 100 CapsVitamin B-12 1,000-2,000 mcg daily. Allows proper tissue enzyme function for healing. Helps to prevent anemia. Use a lozenge or sublingual form.
Vitamin B-12 Complex Liquid, NOW Foods, 2 fl. oz.,
Vitamin B-12, Nature's Way, 2000 mcg, 100 Sublingual Lozenges,
Vitamin B-12 Liquid Supplement, 50 mcg, With Vitamin B-9 (Folic Acid), 400 mcg, 1 oz.
Vitamin B-12, California Natural, 1000 mcg, 60 Tabs,
Vitamin B-12 LipoSpray, NOW Foods, 2 fl. oz.And
Folic Acid400 mcg 3 times daily, plus injections (under a health care provider's supervision) twice weekly or as prescribed by a health care provider. Vital for proper utilization of protein during the healing process.
Vitamin B-9 (Folic Acid), 100% Natural, Nature's Way, 800 mcg, 100 CapsVitamin K
Or
Alfalfa
Fresh Wheatgrass Juice
Such as Kyo-Green from WakunagaAs directed on label. Vitamin K is needed for blood clotting and healing. Wheatgrass and alfalfa contain chlorophyll, a natural source of vitamin K and other important nutrients. See "Green Drinks"
Full Spectrum Vitamin K, Allergy Research Group / Nutricology, 90 Softgels,
Alfalfa, NOW Foods, 650 mg, 500 Tabs,
Wheat Grass Powder, Organic, 10 oz.,
Wheat Grass Powder, Single Serving Packets, 15 Packets,Zinc 50 mg daily. Do not exceed a total of 100 mg daily from all supplements. Aids in the healing of ulcers and boosts the immune system. Use zinc gluconate lozenges or Optizinc for best absorption.
Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
Colloidal Silver & Zinc Lozenges, Silva Solution, 90 Lozenges,
Zinc Lozenges W/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges,
Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 Caps
LEG ULCER SUPPLEMENTAL PRODUCTS
Information, products and supplements for leg ulcers, a condition related to poor circulation in the legs resulting in tissue erosion.
Alfa Max, Alfalfa Extract, Nature's Way, 525 mg, 100 Caps
Nature's Way Alfa Max Alfalfa Extract capsules is a 10X extract of fresh green alfalfa leaves.Aloe Vera Juice, Pure Aloe Force, Organically Grown, Unprocessed, Whole Raw Aloe Vera, 33.8 fl. oz.
The magnificent Aloe plant, that is designed to be self-sufficient & thrive in the desert, feeds us in unique ways with its 250+ naturally occurring constituents including: enzymes, amino acids, essential fatty acids, vitamins, minerals, glycoproteins, sterols, growth factors, & all sizes of uniquely complex Aloe polysaccharides and mannans.Aloe Vera Juice, Herbal Aloe Force, Organically Grown, Unprocessed, Whole Raw Aloe Vera, 33.8 fl. oz.
Herbal Aloe Force Re-Natures the cells, tissues, glands, organs and all systems of the body to function as originally designed.Alpha Lipoic Acid W/ Rosemary, Nature's Way, Pharmaceutical Grade, 50 mg, 60 Caps
Alpha Lipoic Acid is central to recycling other antioxidants like Vitamin E, Vitamin C, and GSH glutathione. By "sparing" their destruction, Alpha Lipoate extends their antioxidant power. Being both water and fat soluble, lipoic acid is the "universal" antioxidant that can easily function in both cellular membranes and fluid media within and outside the cell.Alpha Lipoic Acid, NOW Foods, 250 mg, 60 Caps
Alpha-Lipoic Acid is a versatile water and fat soluble metabolic antioxidant. Another benefit is that it also acts as a potent free radical quencher and aids other vitamins in their antioxidant activities.Comfrey Leaf Powder, 4 oz. Bulk
One of the most well-known healing plants, especially for its ability to heal tissue and bone.Diabetic Foot Bath Oil, With Organic Alpine Herbs, (Oel Fussbad), 100 ml
This Diabetic Foot Oil Bath, is an ideal cleanser and moisturizer for dry, calloused, sensitive skin.DMG Supplement N,N Dimethyl Glycine, NOW Foods, 125 mg, 100 Caps
NOW Foods DMG Supplement is a methylated amino acid found in all cells. DMG is an antioxidant and methyl donor that has a number of beneficial effects. It has shown to have potential in increasing immune response to the flu and salmonella.Echinacea With Goldenseal Root, Nature's Way, 450 mg, 100 Caps
Echinacea with Goldenseal supports the immune system.Flax Protein / Fiber / Lignan Cold Milled Powder Plus Omega 3, Certified Organic, Nature's Way, 16 oz.
With 6 g Fiber/300 mg Lignan/5 g Protein (including 18 amino acids) per serving, Nature's Way EFAGold is one of nature's richest sources of protein, fiber & essential fatty acids.Flax Seed, Whole, Certified Organic, 1 lb. Bulk
Flax Seeds are an important source of polyunsaturated fatty acids, including Omega-3, plus Magnesium, Zinc and dietary fiber. Flax oil from flax seeds is the richest known source of linolenic acid.Garlicin Cholesterol Control, Odor Free, Nature's Way, 350 mg, 90 Enteric-Coated Tabs
In clinical studies garlic has been shown to lower serum cholesterol and help maintain circulatory efficiency. The greatest effect resulted from garlic products with standardized amounts of allicin release in doses of 5,000 mcg per day.Garlicin HC, Healthy Circulation Formula With Odor Free Garlic, Nature's Way, 90 Enteric-Coated Tabs
Garlicin HC garlic supplement supports cardiovascular health with the help of Hawthorn, Cayenne and Vitamin E.Ginkgo Biloba Extract Standardized, Nature's Way, 60 mg, 120 VCaps
Supports circulation to the brain as well as the extremities. This is achieved by maintaining healthy blood vessel tone and reducing blood viscosity. Additionally, Ginkgo biloba is a proven free radical scavenger and antioxidant.Grape Seed Extract, Standardized, Nature's Way, 100 mg, 30 Caps
Nature's Way Standardized Grape Seed Extract is a technically and scientifically advanced herbal product.Leg Veins Formula With Tru-OPC's, Nature's Way, 435 mg, 120 VCaps
Leg Veins Formula Vein Supplement with Tru-OPC's represents the powerful synergy of current scientific research and traditional herbal medicine.Multi-Vitamin & Multi-Mineral for Diabetics, Completia Diabetic Vitamin Formula, Iron Free, All Natural, Nature's Way Vegetarian, 90 Tabs
Twice daily multivitamin formula for diabetics, with Alpha Lipoic Acid, Fenugreek and GTF Chromium for daily support. Specially balanced nutritional supplement. Extra support with Alpha Lipoic Acid, Chromium, L-Carnitine, Quercetin Taurine and Vanadium. Plus an herbal blend of Fenugreek, Cinnamon and Neem.Myrrh Tincture, 2 fl. oz.
Myrrh is an antiseptic, antibiotic, antimicrobial, expectorant, and astringent.Noni Juice, Trace Minerals, 32 fl. oz.
Trace Minerals Noni Juice product may provide nutritional support for Bio-Electric Health and Body Mineral Balancing.NutriBiotic Skin Ointment, With Grapefruit Seed Extract & Lysine, 0.5 oz.
NutriBiotic Skin Ointment with GSE can be used topically for such things as scrapes, scratches and cuts. NutriBiotic Skin Ointment with GSE can also be used on the lips and in the mouth on cold sores and canker sores.Omega 3 Fish Oil Mood Aid, EFA Gold, Enteric Coated, 60 Softgels
Research suggests a correlation between consuming more omega-3 fatty acids from fish and better emotional health. MoodAid provides a convenient way to add an effective amount to your diet.Shark Cartilage, NOW Foods, 750 mg, 100 Caps
Shark cartilage is taken to ease the pain and inflammation of arthritis and other bone and joint ailments. Popular as an alternative treatment for cancer, shark cartilage is taken both to slow the growth of existing tumors and in smaller daily doses to prevent new cancers.Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps
Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.Vitamin E, Natural D-Alpha Tocopheryl, Nature's Way, 400 IU, 100 Softgels
Vitamin E has potent antioxidant activity, supplies oxygen to the blood, aids in strengthening capillary walls, and plays a beneficial role in cancer and cardiovascular disease prevention, anti-aging benefits, circulation, wound-healing, immune function, nervous system function, PMS, hot flushes, diabetes, vascular disease, eye health, tissue repair, athletic performance, leg cramps, skin and hair health, and alleviating fatigue.Vitamin E (D-Alpha Tocopheryl Acetate), 100% Natural, NOW Foods, 400 IU, 250 Softgels
Vitamin E is a major antioxidant and the primary defense against lipid peroxidation. It is particularly important in protecting the body's cells from free radical/oxidative damage.Zinc Lozenges w/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges
Nature's Way Zinc lozenge boosts cold season defense with zinc, widely recognized as an important nutritional support during the cold season, and echinacea pupurea, clinically shown to support the immune system, and Vitamin C, a vitally important vitamin for general health maintenance.
HerbalRemedies: Leg Ulcer Information
HerbalRemedies: Leg Ulcer Supplements & Products
HerbalRemedies: Diabetes Information
HerbalRemedies: Diabetes Supplements & Products
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
You or a family member have any symptoms of diabetes, thrombophlebitis, poor circulation or if your skin begins to erode.
You have symptoms that get worse, despite treatment.
You have any unexpected or unusual symptoms. Some people may have sensitivity, allergies, or other health conditions which would prevent them from using certain medications, herbs, or other treatments. Some medications may produce side effects.
FOR FURTHER INFORMATION ABOUT DIABETES
For more information on diabetes and its potential complications, contact the following organizations:American Diabetes Association
1701 North Beauregard Street
Alexandria, VA 22311
1-800-DIABETES
1-800-342-2383
Website: www.diabetes.org
Ask about state and local chapters.
American Heart Association
7272 Greenville Avenue
Dallas, TX 75231
1-800-AHA-USA1
1-800-242-8721
Website: www.americanheart.org
Ask about state and local chapters.
International Diabetes Center
3800 Park Nicollet Boulevard
Minneapolis, Minnesota 55416-2699
1-888-825-6315
1-952-993-3393
1-952-993-1302 (fax)
Website: www.parknicollet.com/diabetes/index.html
Joslin Diabetes Center
One Joslin Place
Boston, MA 02215
1-617-732-2400
Website: www.joslin.harvard.edu
Juvenile Diabetes Research Foundation International (JDRF)
120 Wall Street
New York, NY 10005-4001
1-800-533-CURE
1-800-533-2873
1-212-785-9595 (fax)
Website: www.jdrf.org
National Diabetes Information Clearinghouse (NDIC) 1 Information Way
Bethesda, MD 20882-3560
1-800-860-8747
1-301-654-3327
1-301-907-8906 (fax)
Website: www.niddk.nih.gov/health/diabetes/ndic.htm
National Eye Institute (NEI)
National Institutes of Health
2020 Vision Place
Bethesda, MD 20892-3655
1-301-496-5248
Website: www.nei.nih.gov
National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
Building 31, Room 9A04
31 Center Drive, MSC 2560
Bethesda, MD 20892-2560
1-301-496-3583
Website: www.niddk.nih.gov
HELPFUL ONLINE LINKS
CDC Diabetes Public Health Resource
WebMD Diabetes Health Center
Space Crystals Provide Hope For Diabetes
Diabetes Online GlaxoSmithKline: Diabetes Info, Diet and Recipes Children With Diabetes Online Community Lab Tests Online: Diabetes
MOONDRAGON'S RELATED LINKS
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HELPFUL PRODUCTS & FURTHER EDUCATION
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 2nd Edition
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 4th Edition
Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
-- by Phyllis A. Balch
The Complete Guide to Natural Healing
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