An effective case of combination therapy with exercise and Waon therapy for below-knee lesions which were unable to recanalize

Abstract

We reported a 64-year-old case with intermittent claudication and ischemic ulceration of right 1^st-toe. His right distal superficial femoral artery was totally re-occluded and we decided the vascular re-canalization therapy was impossible. PGE₁ was administrated about 2 weeks, and the combination therapy with exercise and Waon therapy were continuous performed about 10 months. After 10 months, right ABI was significantly increased from 0.44 to 0.80, and walking distance was increased from 250 m to more than 1000 m. SPP (dorsal/plantar)was improved to 29/24 from 9/14 and ulceration of toe was completely healed. The combination therapy with exercise and Waon therapy was useful to improve the ischemic ulceration of lower extremity.