Resumo

Objectives: 1. Discuss treatments for hyperhidrosis with clinical trials to support the different theoretical backgrounds. 2. Evaluate different procedures for second and third degree burns. 3. Assess different therapies for skin lesions, especially diabetic neuropathic wounds which is one of the most difficult to treat, with high levels of reoccurrence and a substantial increase with aging. Introduction: Diabetic wounds result in expensive hospitalizations, often resulting in an amputated lower limb. We explored a variety of methods such as RF, low-level laser, monochromatic near-infrared treatment, TENS, acupuncture and pulsed electromagnetic fields that demonstrated inconclusive, limited or temporary wound repair with minor or short-term improvements. We also explored low energy technologies that seemed to offer long lasing results with no re-occurrence. Materials / method: Research conducted by ultra-low energy technologies also reports a fast improvement in hyperhidrosis, burns and pain relief. Medical research reports a reduction of inflammation as a result of anti-oxidant electron donation transforming free radicals into stable molecules. We report the results of clinical studies on burns and hyperhidrosis and a randomized double-blind one-year-long longitudinal clinical study on skin lesions. Hyperhidrosis patients experience fast relief from their symptomatology with no side effects. Results: Burns patients reported significant improvement and no scarring. The statistically significant results on wound repair and pain analgesia and improvement in neuropathic symptomatology were not age contingent. This contradicted past research postulating that age-accumulated inflammation and endothelial dysfunction can further exacerbate diabetic neuropathy. Importantly, a method offering age-independent, cost-effective, long-term neuropathic pain relief and increased mobility, fast relief from hyperhidrosis and substantial skin healing after severe burns has major implications Conclusion: by offering a solution that enhances quality of life. 1. In hyperhidrosis, getting rid of the sweat glands that eliminate the symptom expose the patients to possible health deterioration due to the inability to sweat during the course of physical illness. Safe modalities that take into consideration the patient’s health must be considered. 2. Evaluation of different methodologies for wound healing should consider the degree of relief and symptom reoccurrence after treatment completion 3. Trauma-based tech may not be indicated for lesions or burns due to additional inflammation + complications