Wound Care, our Specialty
Ulcers and chronic wounds are one of the most serious complications in diabetes and peripheral vascular disease patients. Although their cause is multifactorial, the general approach to treatment includes relief from mechanical pressure, optimization of blood flow, reduction of bacteria load, and careful regulation of blood glucose in a diabetic patient. Regardless of the many factors that contribute to the development of ulcers, treatment has historically centered on the use of protective shoe gear and local wound care including debridement and application of specialized dressings.
Studies indicate that wounds that fail to progress during the first month of treatment rarely progress to full closure unless more aggressive therapy is attempted. I use advanced biologics for various types of skin substitutes, such as Kerecis and DermaGraft which are used early in the treatment process to stimulate a healing response in a wound.
Today’s advanced wound care techniques involve the use of products, which essentially are skin substitutes or synthetic skin grown in a lab and applied directly to a wound to reinforce the body’s natural healing processes. These products are usually applied to a wound in an office setting. Even chronic wounds decades old can be healed within 2-12 weeks, depending on size and location of wound as well as health status of individual.
Surgical intervention is an additional tool used that may be needed to close a wound.