What are my treatment options for my wounds?
Wound care begins with treating any underlying problems contributing to non-healing. This would include treating any vascular problems that could be impeding blood flow to the affected leg or arm. This may be done by angioplasty/stenting, endovascular, or bypass surgery. The goals of wound care are to alleviate pain, speed recovery, regain mobility, and heal the wound fully.
Wound care treatment after revascularization includes:
- Debridement: During this procedure, the dead or infected tissue of a wound is removed to reduce the number of microbes and substances that may be inhibiting healing.
- Antibiotics: Medications that may be used to treat an infection in a wound if present. These may be in topical or oral form.
- Topical wound care therapies: There are a multitude of applications to help heal a wound so it can heal from the inside out. The type will depend upon the type of wound, location, and extent of damage. They include moist to moist or moist to dry dressings, hydrogels/hydrocolloids, alginate, collagen wound dressings, topical debriding agents, antimicrobial dressings, composite dressings, and synthetic skin substitutes.
- Compression dressings: This therapy involves wearing multi-layer compression wraps or wrapping an ACE bandage. These are generally used for venous stasis ulcers to minimize swelling.
- Prosthetics or orthotics: These are devices available to help restore someone back to their normal lifestyle and level of functioning.
- Skin grafts: During this procedure, healthy skin from one part of the body or synthetic material is used to cover open wound areas. This can promote faster healing of a wound and help in restoring a more normal appearance.