Use of Electrotherapy

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William Bloat is a 53 year old male with a BMI of 30 classifying him as obese (WHO, 2014), and is diagnosed with type II diabetes mellitus. William is leading a sedentary lifestyle, and occupation as a crane driver. The greatest treatment priority for this patient is the small wound on his foot. It is likely that the delayed healing is associated with his diabetes as wound repair is dysregulated, characterized by reduced collagen synthesis and deposition, decreased wound breaking strength, and impaired leukocyte function (Kaviani et al, 2011, Houreld & Abrahamse, 2010). This is priority as it is prevents William from participating in physical activity, increasing his risk of disease and disability (WHO, 2014). By increasing physical activity the patient will be able to eliminate or reduce his co-morbidities, lowering his BMI to an acceptable range and resolving his diabetes. William is currently taking amitriptyline, a tricyclic antidepressant with analgesic effects at low doses. There are minimal side effects with this drug but may include dizziness, drowsiness, dry mouth, nausea and constipation (Pain Concern, 2013).
William can control his conditions through the use of electrophysical devices and an exercise programme, which coincide to provide chronic pain relief and wound healing. Consequently, William will be able to participate in more activities and allow him to work painfree. According to Colberg et al. (2010), an exercise programme consists of resisted exercise performed at a moderate to vigorous intensity, using five to ten major muscle groups at least two to three days per week. Additionally, more than 150 minutes of moderate to vigorous aerobic exercise spread out over at least three days a week can improve glycemic...

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