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MUSC MUSTCOOL: Prevent Ulcer Recurrence

Monitoring and Managing Newly Healed Chronic Leg and Foot Ulcer Skin Temperature: A Cooling Intervention (MUSTCOOL) to Prevent Ulcer Recurrence



The goal of this study is to test MUSTCOOL, a home-based self-monitoring and self-management ulcer prevention intervention for patients with newly healed chronic venous leg and diabetic foot ulcers. Almost 90% of ulcers recur within 3 months of healing. During the six-month randomized clinic trial, skin temperature will be monitored daily, a maintenance dose of cooling gel pack or placebo will be applied three times weekly to the affected skin, and a bolus dose of cooling will be applied for 5 consecutive days if skin temperature becomes elevated. Outcomes on the incidence of leg ulcer recurrence, pain, physical activity and quality of life will be measured.

Key Inclusion Criteria

For a patient to be eligible for participation in this study, all of the following criteria must apply.
  • Newly healed leg or diabetic foot ulcer within past 7 - 14 days
  • Ankle-brachial index 0.8- 1.3mmHg (rule out absence of arterial disease)
  • Willing to wear compression stockings and appropriate footwear
  • Working freezer

Key Exclusion Criteria

A patient will not be eligible for participation in this study if any of the following criteria apply.
  • Open leg or foot ulcers
  • Cognitive impairment: unable to recall 2 or more words or draw clock Mini-Cog™ for cognitive impairment
  • Chronic inflammatory or vascular conditions where blood flow of skin may be impaired such as Lupus erythematosus, Raynaud's, scleroderma, end-stage renal disease, chronic regional pain syndrome, multiple sclerosis, hypersensitivity to cold, on chemotherapy
  • Unable to perform required protocol activities without assistance (return demonstration to study staff)

Phase: II

Learn More


IRB Protocol Number

Clinical Trial Categories

  • Wound Healing - Infectious Disease
Medical University of South Carolina
Shannon Stancil, RN at 864-560-1036
How to Participate

Shannon Stancil



  • Gibbs Cancer Center & Research Institute – Spartanburg
    380 Serpentine Drive
    Spartanburg, SC 29303

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