This paper tells that there are a number of studies that have been taken to focus on the chronology of treatment and care of diabetic foot ulcer. In one such study by Vyas and Vasconez, the history of diabetic foot ulcer was related to the overall history of wound care where it was found that management of wound can be traced as far back to prehistory era before modern medicine. Before modern medicine, Scott indicated that most of the approach to wound care was through natural healing. This means that no special medications or specialized professional management approaches were rendered.
This was largely due to the scarcity of knowledge in the area of wound healing processes. There was also the scarcity of equipment and technology that could be used to facilitate the management of wounds, including diabetic foot ulcers. The inefficiency of natural healing has clearly been acknowledged by Jø rgensen who mentioned that in most cases of diabetic foot ulcer, natural healing is the impossibility. With time, Vyas and Vasconez observed that there was a shift in wound care to focus on the use of herbal remedies.
The use of herbal remedies was common in ancient history where the necessity of hygiene and approaches aimed at the halting of bleeding became a major focus. Ignaz Philipp Semmelweis is associated with the first advancement in wound care in the 19th century as he focused on the use of hand washing and cleanliness for the prevention of maternal deaths. Into the 20th century, knowledge of diabetic foot ulcer management increased with the discovery of several wound dressing techniques and approaches. Some of the techniques and approaches used in the 20th century that remain useful today are absorptive fillers, hydrogel dressings, and hydrocolloids.
Sohn lamented that a major limitation associated with 20th-century wound dressing techniques was lack of proper studies and research on dressings and creams containing silver. The place of alginate dressing has also been confirmed not to have been properly researched in the 20th century as part of techniques for wound dressing.
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