Multidisciplinary Care for Chronic and Non-Healing Wounds
Patients with diabetes, poor circulation, traumatic injury, cancer or other serious conditions can develop chronic wounds that do not heal over weeks, months or even years. Longstanding, open wounds can cause severe pain, lead to amputation and greatly impact the patient’s quality of life and psychosocial behavior. Treating the wound is key in order to improve mobility, manage pain and avoid amputation.
Call to Schedule an Appointment Today
If you have a chronic or non-healing wound, early and aggressive treatments are essential for optimal outcomes. Call 216-844-3800 today to schedule an appointment with a wound care expert.
Wound Care Expertise Offered Across NE Ohio
Studies have shown that dedicated wound treatment facilities can improve outcomes for patients suffering from non-healing and chronic wounds.
The clinical wound care program at University Hospitals offers convenient locations and experienced wound care specialists throughout Northeast Ohio. Our priority is to identify patients with chronic, hard-to-heal wounds as early as possible so that comprehensive treatments may begin with the goal of optimal healing. Early intervention with effective treatments can prevent wound worsening, promote healing and, in some cases, prevent the need for amputation of the affected limb or extremity.
The wound care specialists at University Hospitals offer the most advanced care for all types of wounds, including:
- Bone Infections
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Bacteria from infected tissue or an open wound can sometimes cause an infection in the bone. Symptoms vary greatly and can range from an open wound with exposed bone, to swelling, bone pain and lower extremity warmth and/or tenderness.
Our wound experts offer therapies and procedures to treat the infection and encourage healing of the wound to lessen the risk of further complications.
- Burns
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Serious, widespread burns require highly specialized care and are best treated at a dedicated burn center or trauma unit. After the initial healing however, the damaged tissues may be subject to the development of hard-to-heal wounds. This is when wound care experts can help with procedures and treatments to help prevent infection and promote healing. Treatment will often include debridement – the removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue.
- Diabetic and Neuropathic Ulcers
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Neuropathy is a condition caused by nerve damage or dysfunction and is characterized by weakness, numbness, tingling and pain, usually in the hands or feet. It often occurs in people with diabetes but it can also be caused by injuries and infections. As it worsens, neuropathy can lead to a total loss of sensation in the affected extremity.
Without sensations of pain, people with cuts or breaks in the skin – particularly in the feet – may be unaware of the injury. This can result in delayed treatment and lead to chronic wounds or ulcers that may be susceptible to complications like infection and gangrene.
Untreated, diabetic and neuropathic ulcers can become a severe health threat and may lead to a need for surgical amputation. Anyone with diabetes and/or peripheral neuropathy should examine their feet daily and consult their doctor immediately if there is any sign of skin damage or injury.
- Lymphatic Ulcers
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The lymphatic system is comprised of hundreds of lymph nodes found throughout the body, connected to each other by lymph vessels. The lymph nodes contain lymphocytes (white blood cells) that help the body fight infection and disease. The lymphatic system helps to maintain fluid levels in our body tissues by removing excess fluids that leak out of our blood vessels. If there is a problem with the lymphatic system, caused by obstruction, inflammation after trauma, cancer surgery to remove lymph nodes or radiation therapy, it can lead to excess fluid accumulating in an area of the body, usually an arm or a leg. The swelling that results is called lymphedema.
Chronic lymphedema can lead to many complications, including ulcers in the skin over the affected area due to inadequate drainage and blood flow and the resultant swelling (edema).Treatment will typically include appropriate dressing changes, compression therapy and elevation of the affected limb.
- Pressure Ulcers
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Pressure ulcers (also known as bedsores) are injuries to the skin and underlying tissue that occur when there is constant external pressure on any part of the body. The prolonged pressure reduces blood, oxygen and nutrients to the tissues, which can lead to open sores and, if untreated, tissue death. The most common locations for pressure ulcers are the lower back, buttocks, tail bone, heels and back of the head.
Pressure ulcers are most common in people confined to bed or a wheelchair for a long period of time. There are many complications that can develop if pressure ulcers are not promptly and effectively treated, including sepsis – a potentially life-threatening condition that occurs when the body's response to an infection causes widespread inflammation and damage to its own tissues.
The best treatment for pressure ulcers is prevention. Bedridden or wheelchair-bound people should be frequently turned or moved to avoid prolonged pressure on any one area of the body. If sores develop, they should be treated promptly by a wound care expert.
- Radiation-Related Wounds
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Radiation therapy is a highly effective and often-used treatment for many different types of cancer. Unfortunately, when the radiation kills the cancer cells it may also cause some damage to the healthy surrounding soft tissue. The radiated tissue has a reduced ability to heal, therefore the damage can persist for months or years if not properly treated. This condition is called soft tissue radionecrosis.
Wounds may develop at the site of treatment or in the nearby soft tissue that may have been damaged during the course of treatment. Wounds may also develop if there is minor trauma to the area or if a surgical incision is necessary on or near to the radiated tissue.
- Vascular Wounds
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Vascular wounds occur as the result of decreased blood flow, particularly in the legs and feet. When blood flow is reduced, the tissues are deprived of oxygen and other nutrients, which ultimately results in tissue death and the formation of open wounds.
Also called ischemic ulcers or arterial ulcers, vascular wounds are typically slow to heal and, therefore, susceptible to infection. This type of wound is common in patients with a history of swelling in their legs, varicose veins and blood clots, any of which may be due to existing peripheral artery disease (PAD) or chronic venous insufficiency.
Advanced Treatment Options for all Wound Types
Regardless of the type and/or cause of a non-healing wound, University Hospitals offers the most advanced diagnostic and treatment options available.
We encourage anyone with a chronic, non-healing wound to seek an expert evaluation and not delay their care. Our team has the advanced training and expertise to develop an effective, personalized treatment plan just for you – even if previous treatments haven’t worked.
Make an Appointment
If you have a chronic or non-healing wound, early and aggressive treatments are essential for optimal outcomes. Call 216-844-3800 today to schedule an appointment with a wound care expert.