Time Does Not Heal All Wounds
Courtesy Lifecare Technology, Northshore LIVING WELL Magazine
Although most skin wounds heal normally, there are millions in the U.S. with problem wounds that do not heal. Most occur on the legs or feet and are associated with problems such as diabetes, peripheral arterial disease (reduced circulation), peripheral neuropathy (reduced sensation) and chronic leg edema (swelling). Each of the above can contribute to the development of sores and wounds, as the result of trauma, or even spontaneously and then can fail to improve, or become worse over time.
Leg ulcers associated with chronic edema affect over 600,000 in the U.S. and account for over 80% of all leg ulcers. Edema can result from congestive heart failure, varicose veins, prior episodes of infection (cellulitis), surgery or prior deep blood clots.
Diabetic foot ulcers are the leading cause of leg amputations. Nearly 100,000 occur each year. These numbers are increasing as diabetes and cardiovascular disease rise. Other causes exist for leg ulcers; however, the two issues of chronic edema and diabetes alone are significant sources of serious pain, disability from amputation, and even death.
Because non-healing wounds are a challenge for most medical providers, a relatively new specialty is emerging to help address these issues. Certified wound care specialists with advanced training are typically available in populated areas where they direct “Wound Care Centers.” The physician will examine and evaluate the varied issues impeding the healing process and initiate and direct a plan for treatment. The wound specialist directs a “team approach,” engaging other specialists to assist with improving conditions affecting healing.
This relatively new and emerging specialty has evolved primarily from the “burn units” of major medical centers over the past few decades. Experience and research have greatly advanced the ability to heal problem wounds and prevent amputations. Along with many new and advanced dressing materials, some other recent developments are skin substitutes that are cultured in a laboratory and used much like a skin graft to help “close” a long-standing wound.
Reach Lifecare Technology Medical Supply at 985-649-3019.
