There are a total of 5 study visits including the initial baseline visit were they will be randomized into one of the 2 groups (comparison or treatment). At the baseline visit the following will be collected; history of the patient, physical examination of the patient including:, digital imaging of the DFU that is input into WoundMatrix™ software, and the patient will be asked to complete a quality of life questionnaire. They will also be provided with teaching regarding diabetes, footwear, and wound care. Patients will return for study visits 2-5 on weeks 4, 8, 12, 16. At study visit 2-5 the research staff will collect digital imaging of the ulcer and at study visit 5 the patient will be asked to complete the quality of life questionnaire. These visits will be correlated with their regular scheduled visit at the CWC. If their wound heals before the end of the study, they will be asked to return for study visit 5 (week 16). The patient will complete the at home treatments, including the 90 minute treatment, 4 consecutive days a week, 3 day of no treatment). The patient will have the study personnel come to their home to provide supplies, teach, and give support for the TO device. The study personnel will also go to the patient's home weekly to give support for the treatments.