6. Effectiveness of conventional treatment and herbal treatment in diabetic foot ulcer using Texas and Wagner wound scale
6.1 Introduction In any diabetic foot ulcer the wound should be classified before any interventions. University of Texas wound classification of stage and grading scale helps to categories the wound for the purpose of treatment outcome. This classification explains the advancement in the treatment of DFU. This scale is frequently used with good outcome with stage and grade of wounds. The wound with ischemia goes for gangrene; Charcot foot ends up with amputation. In this study there is improvement in wound healing effect in herbal treatment and in conventional treatment but the herbal treatment seems to be much better and cheaper on the economic burden of the patient. (Jain, 2012)
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In the conventional treatment group and in the herbal treatment group the stages were assessed in the pre-test and in the post-test, the post test 1 after 15 days and post test 2 after 30 days. There were significant changes in wound stage from ischemia and infection, and there was no ischemia and no infection. 2 analysis showed significant difference (P < 0.023). This clearly showed that the herbal treatment was better than the conventional treatment. In Texas grading system of the wound, there was indication of improvement (marginally significant (P < 0.09) in the second visit and there was a highly significant change in the second visit after 30 days of post test (P < 0.001). The Wagner scale of wound grading system the wound was classified in pre-test and post test one after 15 days and post test two after 30 days. The result showed there was no significant change in all three visits of both treatment groups. This Wagner tool result showed herbal treatment to be better but statistically not very