Treatments & interventions for chronic wounds vary depending on the kind of wound. In many cases, underlying factors must first be addressed before wound healing is possible. People with diabetes need to improve their diet and cardiovascular health and both ulcer and diabetic ulcers will need offload for that affected area to heal. Surgery is not always the best intervention for a diabetic wound as this may lead to other complications. Checkout Baltimore Chronic Wound Care.
For some wounds like those in the carpel tunnel or ankle, the main goal of surgery is to remove whatever is causing the blockage and to free the joint from stress so that it can heal. But most of the time, surgery is followed by wound care that includes controlling the infection and reducing the chance of secondary infections. If a diabetic does not undergo conservative wound care, the ulcer can easily recur because the wounds are very sensitive and cover more area than usual. Poor management of chronic wounds can even lead to amputation of some tissues, which is not only painful but also dangerous.
Wound care usually starts with a consultation with a wound specialist who will examine the site of the chronic wounds. After the initial assessment, the specialist may order tests to confirm that the wounds are indeed chronic and may also order tests to assess the extent of the injury. Some tests ordered for chronic wounds include arterial and venous blood analysis, coagulation profile, clinical presentation, CT scan, MRI and bone densitometry. Blood cultures may also be ordered to help in identifying any bacteria that might have caused the wound infection. Chemotherapy and antibiotics are usually administered for this purpose.
In most cases, once the initial wound healing process is over, the patient will experience rapid progression in the rate of tissue repair. Thereafter, wound care focuses on slowing the process of tissue repair, thus, slowing the progress of the disease and in turn the speed of the healing process. This is done by reducing the inflammation, swelling, pain, edema and deformity of the chronic wounds. This also delays the onset of permanent disabilities that occur as a result of the infection and other complications of the wounds.
Surgical techniques such as laser and wound-saving laser surgery, chemoepilation, radiofrequency ablation and fractional laser treatment are used for healing purposes. When treating a chronic wound, surgery is an option to implement in order to accelerate the healing process. Depending on the severity of the wound and its location, a surgical procedure is either suggested by the physician or performed by a specialist. When a surgical procedure is performed, it is performed under general or local anesthesia to minimize the risks of complications. A postoperative recovery period is common for all surgical procedures, including those that involve incisions and lymph node removal.
Chronic wound care should be combined with proper diet and physical activity, stress management techniques, adequate pain management and the use of specific therapies, such as acupuncture and herbal medicines. These promote the healing process by improving the immune system, stimulate the body’s natural healing process and allow it to better defend itself from infections. In addition, these treatments help in the prevention of further injuries or complications. The sooner the chronic wounds are cared for, the less stress is placed on them and the faster they heal.
Center for Vascular Medicine – Catonsville
1001 Pine Heights Ave. Ste. 202, Baltimore, MD 21229
Phone No: (301) 486-4690