Effectiveness of Conventional and Herbal Treatment on Diabetic Foot Ulcer Using Texas and Wagner Wound Scales

In type2 diabetic mellitus(DM) complication can occur in the micro vascular and macro vascular blood vessels. Diabetic foot ulcer is one of the most complicated problem leads to gangrene and can extend to the level of amputation. The aim of this study is to compare the effectiveness of conventional and herbal treatment in diabetic foot ulcer. A total of 160 diabetic patients with foot ulcer were selected randomly and divided into conventional and herbal treatment groups(n=80 each). Wound measurement was done using Texas wound measurement scale and Wagner wound grading scale. In conventional treatment group and in herbal treatment group the stage and grade were assessed in pre-test and post test 1 after 15 days and post test 2 after 30 days. There are significant changes found in wound stage ischemia and infection(D), ischemia(C) infection present (B), and no infection or ischemia (A). The Texas scale stage χ²analysis showed significant difference.(p<0.023) This showed that the herbal treatment is better thanconventional treatment. In Texas grading system of the wound there is indication of improvement (marginally significant (p< 0.09) in the second visit and there is a highly significant change in the third visit after 30 days of post test. (p <0.001) The wagner grading system for diabetic foot infections, grading scale herbal treatment was better than conventional treatment but statistically not significant.(P=0.363)