Diabetic foot ulcers

Neuropathic foot ulcers are slow to heal and prone to infection. Larvae clear dead tissue and reduce bacteria alongside offloading, blood sugar control and standard care.

Venous leg ulcers

Sloughy ulcers caused by poor vein function. Trials show larvae clear slough faster than some standard dressings, usually alongside compression therapy.

Pressure ulcers

In a study of patients with spinal cord injury, larval debridement was quicker and more effective than conservative methods.

Traumatic and post-surgical wounds

Wounds that stall after injury or surgery. In one small study, no wound cleared with larvae before surgery became infected, compared with 6 of 19 that were not.

Is it right for the patient?

Larval therapy suits wounds that have dead tissue or slough, some blood supply and a moist wound bed. The final decision always sits with the treating clinician.

Clinical guidance commonly lists these as reasons for caution or for choosing another approach:

  • Wounds with exposed blood vessels or organs
  • Wounds that open into a body cavity
  • Dry wounds with little blood supply
  • Clotting disorders, or a known allergy to larvae or fly products
  • Wounds with Pseudomonas infection that has not been treated first

What patients notice

Most people tolerate the treatment well. Some feel a tickling or crawling sensation, and a few report more wound discomfort. Pain relief can be given, and any pain should be reported to the nurse.

Infected wounds still need antibiotics

Larvae work alongside, not instead of, antibiotics where infection is deep or spreading. Your clinician decides what else is needed.

Not sure if a wound qualifies?

Send us a message on WhatsApp describing the wound type, its approximate size and how long it has been present. We will explain what larval therapy involves and what a clinician will need to confirm.

Clinician in gloves examining a patient's forearm

Ready to order, or have a question?

Message us on WhatsApp at +254 793 935665. We reply with availability and next steps.

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