Chronic wound causes and developing treatment

Recently, Dr. Azure G. AdkinsGeneral and Bariatric Surgeon at ARC, shared her expertise on wound care in a VeryWellHealth article about a portable ozone therapy device in development that is intended to help speed healing of chronic wounds.

This portable wound care system, being developed by the Purdue University researchers, involves applying ozone topically to chronic wounds to destroy wound bacteria and help increase oxygen delivery to the wound, accelerating the healing process.

How Chronic Wounds Are Usually Treated

“A wound can be considered ‘chronic’ if there are little to no signs of healing progress after 30 days,” says Dr. Adkins. “If that is the case, it is important to determine the underlying cause of why the wound is not healing.” She says once the cause is determined, such as an infection or poor blood flow, there may need to be changes made in treatment or lifestyle:

  • Starting or changing antibiotics
  • Controlling blood sugar levels
  • Getting a vascular procedure to improve blood flow to the wound
  • Smoking cessation

Sometimes, the wound care itself may be the problem. In this case, family and caregiver support is crucial. “For patients who live alone and have little mobility, it may be important for a home health nurse or a clinic to perform dressing changes more consistently to ensure the wound heals properly,” she says.

Risk Factors for Chronic Wounds

“Certain medical problems and wound factors will predispose patients to issues with healing, which leads to chronic wounds,” says Dr. Adkins. These factors include:

  • Cardiovascular and peripheral vascular disease
  • Diabetes
  • Obesity
  • Poor nutrition
  • Respiratory illnesses
  • Smoking

Dangers of Chronic Wounds

According to Dr. Adkins, an infected chronic wound can lead to serious complications, including:

  • Necrosis
  • Gangrene
  • Tissue Loss
  • Osteomyelitis (bone infection)

“If these complications occur, there may be a need for more invasive and extreme procedures for wound management, such as cutting away dead tissue or even amputation,” she says. Learn more about wound care.

If you would like to make an appointment with Dr. Adkins, call ARC Medical Plaza Specialty at 512-260-1581 or ARC Far West at 512-346-6611, or make an appointment online at

Tags: Bariatric Surgery , verywellhealth, wound care

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