Sharp Debridement
Sharp debridement uses multiple surgical tools for aggressive removal of dead tissue. This removal of bacteria and dead tissue gets down to the level of healthy bleeding tissue and promotes wound healing.
Synthetic Skin Grafts
Wound coverings created through combining various types of living and/or non-living cells and growth factors to aide in faster wound healing.
Platelet-rich Plasma (PRP)
We simply draw a patient’s blood, separate the platelets that are rich in growth factors, and apply it to the wound. This process accelerates recovery, allowing the body to heal itself.
Negative Pressure Wound Therapy (Wound Vac)
A procedure that uses a vacuum dressing to assist in increasing blood flow to the wound and drawing out excess fluids while stimulating new tissue growth.
Ultrasonic Debridement
A technology that transmits low-frequency energy through sound waves to gently remove bacteria and dead tissue without damaging healthy tissue and aids in accelerated healing.
Total Contact Cast
A total contact cast is a specialty cast designed to take the weight off certain parts of the foot. It is most used in Diabetic patients with foot ulcers and is the gold standard for offloading pressure.
HBO
Hyperbaric Oxygen (HBO) therapy delivers pure oxygen in a pressurized chamber to boost healing. It improves oxygen flow to damaged tissue, helping chronic wounds heal and reducing inflammation. For traumatic brain injury (TBI), HBO may aid recovery by enhancing brain oxygenation and reducing swelling.
MolecuLightDX
The MolecuLightDX advanced imaging device detects and visualizes bacteria in wounds using fluorescence imaging, enhancing wound healing by enabling precise, targeted interventions and minimizing the uncertainty in identifying infections.
Compression Therapy
Compression therapy is often ordered to reduce swelling and edema in the lower extremities. There are various types of compression garments that your wound medicine provider may order. Compression should be snug but should NOT cause pain.
Medical Grade Honey from New Zealand
Seaweed Wound Dressings
Pressure Offloading
To offload your wound means to reduce the pressure that is on and around the wound. When you have pressure on the wound, it reduces blood flow to the wound and prevents healing. Your wound care team will discuss specific ways for you to offload your specific wound. Common offloading strategies include:
- Turn or reposition every 2 hours or sooner.
- Use pillows, wedges (Carpenter Cushion), specialty wheelchair cushions or other special devices like boots and shoes to lift the wound off hard surfaces.
- Alternating Low Air-loss Mattress may be ordered (ALAL).
- Special dressings can reduce wound pressure.
Nutritional Evaluation
Poor nutrition can be another factor that slows wound healing. Glucose — an important energy source — is vital in helping the body create new tissue. Proteins, certain fatty acids, and vitamins are just a few of the building blocks the body needs to repair itself.
Vascular Screening
A Vital Step in Wound Healing: Successful wound healing begins with adequate circulation. In wound medicine, we believe comprehensive vascular screening is crucial. The vascular system plays a critical role in delivering the oxygen and nutrients necessary for tissue repair and wound healing. Identifying underlying circulatory concerns early allows our providers to make informed clinical decisions, individualize treatment plans, and address potential barriers to healing.
Our vascular assessment capabilities include:
- Bedside Ankle-Brachial Index (ABI) Testing: A noninvasive screening tool used to assess arterial circulation in the lower extremities and identify potential peripheral arterial disease.
- Handheld Doppler Assessment: Allows providers to evaluate blood flow signals and identify potential circulatory abnormalities.
- Near-Infrared Tissue Oxygenation Imaging: Advanced, noninvasive technology that allows our providers to visualize and assess superficial tissue oxygenation in real time, providing valuable insight into local tissue perfusion and potential healing challenges.
- Advanced Vascular Studies: When additional evaluation is indicated, patients may be referred for venous Doppler ultrasound, venous duplex imaging, or comprehensive arterial studies to further investigate underlying vascular conditions.
Looking Beyond the Wound: A wound is often more than a surface-level problem. Underlying arterial or venous disease may contribute to delayed healing, recurrent wounds, and complications. By incorporating routine vascular screening into our lower-extremity wound assessments, we look beyond the visible wound to evaluate the circulatory factors that may be affecting recovery.
