Intended for healthcare professionals

Rapid response to:

Clinical Review

Management of venous ulcer disease

BMJ 2010; 341 doi: (Published 12 November 2010) Cite this as: BMJ 2010;341:c6045

Rapid Response:

Physiotherapy in Venous Ulcer Disease

The three continental authors have given us a quite excellent review
of venous ulcer disease. Giving credit to another continental
scource,Denmark,I would make a plea for more active physiotherapy as part
of the management.

Bisgaard,himself,as part of his regimen,used sessions of deep massage
around the ulcer with a suitable emollient cream. This reduced the oedema
and encouraged the ingrowth of new bloodvessels. It also benefitted the
patients by their association with an active physiotherapist.

Active massage was used by Falconer at the Western General in
Edinburgh, by Buchan at Bangour and myself in Hartlepool between 1948 and
1984. I wonder if this is historical and has the practice and usage of
massage in Physiotherapy changed?

Competing interests: No competing interests

21 November 2010
Gordon H McNaught
retired surgeon