Supplementary Material for: Chronic Diabetic Foot Ulcer treated with Homoeopathy as adjuvant in an Integrative Management Model: An Evidence-based case report

Abstract:
Introduction: Diabetic foot ulcers (DFUs), among the most severe complications associated with diabetes, impose a substantial economic and public health burden due to their significant prevalence (15–25%). In India, the escalating incidence of DFUs has markedly increased the frequency of lower-limb amputations. This case seeks to examine the potential wound healing efficacy of homeopathic medicines as part of an integrative approach to DFU management, demonstrated through evidence-based case reports.
Case presentation: Patient presenting with DFUs classified as Wagner grade 2 and with a 12-year history of diabetes were managed using individualized homeopathic treatment. Alongside homeopathic intervention, patients continued their prescribed oral hypoglycemic agents for glycemic control and adhered to routine wound-dressing protocols. DFU was monitored until complete healing using the Leg Ulcer Measurement Tool (LUMT). Neuropathic involvement was evaluated via the 10g monofilament tactile test, while the Modified Naranjo Criteria for Homeopathy Inventory (MONARCH) tool was employed to determine the probability of a causal relationship between the observed clinical improvement and the homeopathic treatment. Within 12 weeks, the DFU demonstrated notable healing, reflected in a significant reduction in LUMT scores. The MONARCH tool assessment yielded a score of +8, strongly suggesting a causal link between the observed therapeutic outcomes and the homeopathic intervention. The homeopathic remedies administered were found to contribute effectively to the patient’s recovery.
Conclusion: Adjuvant Homeopathic treatment appeared to play a supportive role in expediting the healing process of DFUs within a clinically acceptable timeframe.