A chronic wound is a wound that fails to progress through the normal stages of healing in a timely manner. Unlike the typical acute wound, which generally heals within a predictable amount of time, chronic wounds linger for an extended period, often persisting for several months or more. If left untreated, chronic wounds can lead to serious infections, tissue damage, and in some cases, amputation. Common types of chronic wounds include diabetic foot ulcers, arterial ulcers, venous ulcers and pressure ulcers.

There are several factors that can contribute to a wound not healing, including:

• Inadequate wound management
• Underlying health conditions
• Poor circulation
• Infections
• Improper offloading
• Need for surgical repair of a deformity

Preventing and managing chronic wounds involves a comprehensive approach, including effective wound care, adopting healthy lifestyle habits, and addressing underlying health conditions. Prioritize foot care as part of your daily routine by inspecting your feet for wounds, keeping your toenails clean and trimmed and wearing supportive footwear.  If you suffer from diabetes, you may be more at risk for developing wounds, so it is crucial to exercise caution and schedule regular appointments with a healthcare professional.

If you notice any of the following symptoms, you should consult a healthcare professional as soon as possible:

• Increased pain at the site of the wound
• Excess drainage
• Redness or swelling
• Odor or discoloration
• Fevers and chills
• Nausea or vomiting

Treatment for a chronic wound depends on various factors including the type, size, severity and location of the wound, as well as the individual’s overall health and medical history. Treatment options may include:

• Wound Cleaning/Dressing
• Debridement
• Skin grafts
• Wound VAC
• Topical medications
• Hyperbaric Oxygen Therapy

Your physician will conduct a thorough assessment of the wound and prescribe the most effective course of action.

Dr. Ian Hersh of the Seaview Orthopaedics Foot & Ankle Team has been providing top-level care for patients in Central Jersey for over 10 years. He specializes in conditions and injuries of the foot and ankle with a special interest in diabetic care and limb salvage. If you are suffering from a chronic wound that is impacting your daily life, Dr. Hersh can provide you with accurate and efficient care needed to get back to quality living.