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Decubitus Ulcers
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We are frequently asked if the SpaCapsule® can be used by individuals who suffer from various skin lesions or pressure sores.

The following discussion should be used as an aid to understanding of skin lesion, their development and possible treatment. This is not an exhaustive study of the subject. You are encouraged to consult your physician for a recommendation and treatment options.

These days lawyers are bringing frequent litigation against Nursing Homes, Hospitals, and ALFs for pervasive issues associated with Decubitus ulcers or bed sores. Search Google for the term “Decubitus Ulcer” and see how many ads for an attorney come-up.

Decubitus ulcers, pressure sores, pressure ulcers, or bed sores have troubled people since antiquity. Unfortunately, approximately 1.5 to 3 million Americans are affected by pressure ulcers, with a higher incidence for those in nursing homes (33%), orthopedic wards (31%), and general hospitals (17%) 1 . The U.S. economic impact is estimated to be more than $3 billion per year 2 .

What are Pressure Ulcers?

As suggested by the name, these are skin and underlying tissue ulcers caused by prolonged pressure that cuts off blood supply to the local tissue, resulting in cell injury and cell death 3,4 . The ulcers are often painful, and the sources of aggravation both for the patient and the caretaker.



How Decubitus Ulcers, Bed Sores and Pressure Ulcers are Treated?

Basic techniques that facilitate wound healing are used in treatment of bed sores. Healing is accelerated by restoring blood supply to the injured area, wet wound dressing, removing dead tissue, and preventing infection. In advanced cases treatment may consist of skin grafts or myocutaneous flaps.

Use of SpaCapsule®.

Given that pressure ulcers are more common in the elderly and those with diminished mobility, SpaCapsule® massage can play an important role in the well-being of those at risk.

SpaCapsule® Massage improves circulation and moves venous blood and lymph toward the heart, thereby propelling re-oxygenated blood to the tissue. The warmth of the water jet increases blood flow to the tissue. Most of all, SpaCapsule® massage coupled with aromatherapy and audio/video stimulation improves the overall sense of well-being.

Certain precautions should be taken before using SpaCapsule® Massage with patients who suffer from bed sores:
  • Consult a Physician
  • Start SpaCapsule® at the lowest pressure and increase gradually while at all times making sure that the patient remains comfortable
  • Covering the pressure sores with an extra layer of protection so not to exacerbate the injury
  • Because massage tends to lower blood pressure, clients with severe orthostatic hypotension, or who have been on prolonged bed rest, have to be warned against changing positions abruptly.

SpaCapsule® Massage Advantage.

  • Constant availability (no dependencies on personnel)
  • Always warm water (promotes healing)
  • Patient remains dressed (excessive movement and undressing makes patients agitated and uncomfortable; it creates another source of embarrassment and discomfort)
  • Controlled massage technique (controlled pressure and pulsation means that the patient gets exactly what the doctor orders)
  • SpaCapsule® eliminates possibility of sore infections and re-injury.
  • … and many other advantages.We encourage you to call us to discuss your particular cases and applications.

Dr. Ilya Spivak
SpaCapsule® Inventor


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[1] Pressure Ulcers. In: Grimley EJ, Franklin WT, Lynn BB, Michel JP, Wilcock GK ed. Oxford Textbook of Geriatric Medicine. Oxford: Oxford University Press, 2000.
[2] Braddock M, Campbell CJ, Zuder D. Current therapies for wound healing: electrical stimulation, biological therapeutics, and the potential for gene therapy. International Journal of Dermatology 1999,38:808-817.
[3] Resnick NM, Dosa D.Geriatric Medicine.Kasper DL, Fauci AS, Longo DL et al. editors. Harrison's Principles of Internal Medicine. 16th Ed. New York: McGraw Hill, 2005.
[4] European Pressure Ulcer Advisory Panel. Pressure Ulcer Treatment Guidelines. Available at www.epuap.org/gltreat ment.html. Accessed 2003.
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