First of all we have to consider the anatomy.
There are some times when an injectable stimulant could be helpful. But we have to decide whether or not the patient is capable of responding to the stimulant.
Of course prior to applying any stimulant we need to make sure that the foundational systems are in place.
The most obvious that everyone will think of is the circulatory component. If there is no blood going to the area well that must be re established first. Otherwise no matter how many stimulants you put on the wound the patient will not respond.
The nutritional status we have mentioned numerous times and that needs to be in place also. Because if the bricklayer is present but there are no bricks you cannot rebuild a wound.
Once we get through with those prerequisites and we are ready to choose a stimulant the anatomy is very important.
All of these other things like infection control and circulation restoration and good nutrition. These are all precursors to the rebuilding phase. That is where these stimulants are applied. The amnion the stem cells the platelet rich plasma whatever it is that we are using.
It really does take someone who has experience in wound care to make sure that we apply attention to each and every one of these factors. Because all of them have a significant influence on the general outcome. And that is whether or not the patient can keep his leg.
And we like them to keep their legs.