Maggot therapy, also known as Maggot Debridement Therapy, MDT, or Larval therapy, has a long history in medicine and has gained recent recognition for its unique ability to save limbs. This biotherapy involves placing disinfected maggots, often the larvae of the greenbottle blowfly, on wounds, such as diabetic foot ulcers, to debride necrotic tissues. It is particularly effective when antibiotics fail to combat bacterial infections in non-healing wounds, potentially preventing limb amputations. Maggots work by secreting special enzymes, which break down necrotic tissue, making it easier to digest and absorb. They also produce antibiotic-like agents and release ammonia to inhibit bacterial growth in the wound. Administration involves placing sterile maggots within a dressing on the wound for 48 to 72 hours. This therapy has broad applications, including diabetic ulcers, vascular ulcers, pressure ulcers, and even malignant wounds. Studies have shown that maggot therapy accelerates wound healing, reduces necrotic tissue, and decreases wound odor. While this therapy is highly effective, it should not be used for wounds near vital organs or blood vessels and in septic patients. Additional research can further expand the applications of this therapy, however, it saves 40 to 50 percent of limbs when used as a last resort. If you have a non-healing diabetic foot wound and would like alternative treatments for healing, it is suggested that you make an appointment with a podiatrist to discuss this further.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Jill Einhorn, DPM and James Einhorn, DPM. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our offices located in Brooklyn and Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.