| Summary: | This article explores the integration of a muscle pump activation (MPA) device (the geko® device) into University Hospitals Coventry and Warwickshire community wound healing team's (CWHT's) wound care treatment model as an adjunctive intervention for complex and non-healing wounds. The CWHT specialist service temporarily assumes care for patients with wounds which are not healing, focusing on individualised plans to assess healing potential or support quality of life. In 2025, the team introduced the geko device for patients whose wounds were not progressing with standard care. The cases described here highlight its impact, i.e. demonstrating significant healing, reduced pain, and improved mobility and quality of life. This device, which enhances circulation via neuromuscular electrostimulation (NMES), proved effective when used alongside advanced wound care. These outcomes support the value of specialist services incorporating adjunctive therapies to optimise care, relieve pressure on community teams, and achieve meaningful outcomes for patients with complex wounds.
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