Chronic Wound Treatment Options

Your course of treatment depends on what type of sore (called wound or ulcer) you have and where it is located. During your first visit, our staff will evaluate you and review your medical history. You may also need special tests that give us information about circulation to the area around the open sore. This will then help to determine what course of treatment you will need.

Since the majority of patients seen in our centers have diabetic foot ulcers, our teams are designed around the needs of those patients. Depending on your needs, specialists and consultants could include:

  • Podiatrist (foot doctor)
  • Vascular specialist (circulation doctor)
  • Infectious disease specialist (for infections)
  • Plastic/reconstructive surgeon (sometimes used to put a skin graft or flap to close the wound)
  • Hyperbaric oxygen therapy specialist
  • Diabetologist/Endocrinologist (diabetes doctor)
  • Physical therapist
  • Diabetes educator nurse and dietician
  • Orthotists/pedorthists (technicians who make special splints, boots or other devices to help alleviate pressure on legs or feet)

This is not a full list. Other doctors and healthcare providers may be involved in your treatment.

Since each patient’s condition is different, you may receive some or all of the treatments below. The specific treatments that we may use to assess and heal your wound can include:

  • Diagnostic tests, including blood work, x-rays, scans, and test of circulation
  • Antibiotics to control infection
  • Restoration of blood flow
  • Removal of dead or infected tissue, muscle or bone
  • Foot surgery, if indicated
  • Skin grafting to close the wound
  • Hyperbaric oxygen therapy for certain conditions
  • Specialized dressings
  • Cast or boot to keep pressure off of the foot ulcer area

Once a treatment plan has been prescribed, you will visit the clinic weekly or as ordered by your wound care doctor. You will have your wound measured, photographed, and any other treatments or x-rays performed as needed until you are healed.  The doctor and nurses will teach you what to do to avoid getting another wound.

Keeping appointments and following directions are critical to getting your wound healed.