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Symptoms & Treatment

Wound care for hard-to-heal wounds involves specialized treatments and medical interventions designed to promote healing in chronic or complex wounds that do not respond to standard treatments. These wounds may result from conditions like diabetes, poor circulation, infections, pressure ulcers, or post-surgical complications.

Chronic Wound Management

Symptoms:

  • Early Symptoms
    Delayed healing (wound remains open for over 4 weeks)
  • Persistent pain or tenderness around the wound
  • Swelling or redness that does not improve
  • Drainage or pus from the wound

Signs of Infection or Complications

  • Foul odor coming from the wound
  • Increased warmth around the affected area
  • Blackened or dead tissue (necrosis)
  • Excessive swelling or redness spreading beyond the wound
  • Fever or chills (indicating a systemic infection)
  • Wound breakdown after initial healing progress

Treatment:

  • Wound Cleaning and Debridement
  • Infection Control
  • Advanced Wound Dressings
  • Hyperbaric Oxygen Therapy (HBOT)
  • Compression Therapy
  • Skin Grafts or Tissue Substitutes
  • Controlling Underlying Conditions

Diabetic Foot Ulcers

Symptoms:

  • Redness or swelling in the affected area
  • Pain or tenderness (though some may not feel pain due to neuropathy)
  • Skin breakdown or an open sore that does not heal
  • Drainage or pus from the wound
  • Odor from the foot

Signs of Infection

  • Increased warmth around the wound
  • Swelling and redness spreading beyond the ulcer
  • Yellow, green, or foul-smelling discharge
  • Fever or chills
  • Blackened tissue (gangrene), indicating dead tissue

Severe Symptoms

  • Exposed bone, muscle, or tendons in deep ulcers
  • Numbness or tingling in the foot due to nerve damage
  • Difficulty walking or balancing

Treatment:

  • Wound Cleaning and Debridement
  • Offloading (Reducing Pressure)
  • Infection Management
  • Advanced Wound Dressings
  • Negative Pressure Wound Therapy (NPWT)
  • Hyperbaric Oxygen Therapy (HBOT)
  • Skin Grafts and Tissue Substitutes
  • Controlling Blood Sugar
  • Amputation (Last Resort)

Schedule an Appointment Today

Healing is a journey, and our team is here to support you every step of the way. From initial assessment to complete recovery, we are dedicated to empowering patients with education, resources, and compassionate care.

844-Wound-Doc

Pressure Ulcers

Symptoms:

Stage 1: Early Warning Signs
  • Redness or discoloration (on darker skin tones, it may appear blue, purple, or ashy)
  • Skin feels warm or cool to the touch
  • Mild pain, itching, or tenderness
  • No open wound, but the skin does not blanch (turn white when pressed)
Stage 2: Skin Breakdown
  • Blisters, open sores, or shallow craters
  • Skin may look damaged or scraped
  • Pain and tenderness increase
  • Surrounding skin may be red, swollen, or warm
Stage 3: Deep Tissue Involvement
  • Wound extends deeper into the skin layers
  • A crater-like sore appears with visible fat
  • Drainage (pus, fluid) may be present
  • Possible foul odor due to infection

Signs of Infection

  • Increased pain, swelling, or redness
  • Pus or foul-smelling drainage
  • Fever or chills
  • Skin around the ulcer turns dark or becomes necrotic (black tissue)

Treatment:

  • Relieving Pressure
  • Wound Care and Dressing
  • Infection Management
  • Debridement (Removing Dead Tissue)
  • Advanced Treatments
  • Nutritional Support

Burn Care

Symptoms:

First-Degree Burns (Superficial)
  • Redness and mild swelling
  • Pain and tenderness
  • No blisters
  • Skin may peel after a few days
Second-Degree Burns (Partial-Thickness)
  • Blisters (fluid-filled bubbles on the skin)
  • Severe pain and redness
  • Swelling
  • Skin appears wet, shiny, or weepy
  • May leave scarring
Third-Degree Burns (Full-Thickness)
  • Skin appears white, charred, leathery, or blackened
  • No pain in the burned area (due to nerve damage)
  • Swelling and fluid loss
  • High risk of infection and scarring

Treatment:

Minor Burns
  • Cool the burn: Hold under cool (not ice-cold) running water for 10-15 minutes.
  • Apply aloe vera or moisturizer to soothe the skin.
  • Take over-the-counter pain relievers (ibuprofen, acetaminophen) if needed.
  • Avoid applying butter, oils, or ice as these can worsen the burn.
  •  Seek medical help if the burn covers a large area or affects the face, hands, feet, or genitals.
Second-Degree Burns
  • SEEK MEDICAL HELP
  • Do NOT apply water – this can cause shock.
  • Cover the burn with a clean, dry cloth or sterile dressing.
Third-Degree Burns (Severe Burns – Medical Emergency)
  • Call 911 Immediately
  • Do NOT apply water – this can cause shock.
  • Cover the burn with a clean, dry cloth or sterile dressing.
  • Do not remove burned clothing stuck to the skin.
  • Keep the person warm and monitor breathing until medical help arrives.

Venous Stasis Ulcers /Venous Ulcers

Symptoms:

Early Symptoms
  • Swelling (edema) in the lower legs, ankles, and feet
  • Skin discoloration (brown, red, or purplish patches)
  • Itchy, dry, or hardened skin (stasis dermatitis)
  • A feeling of heaviness or aching in the legs
  • Visible varicose veins
Ulcer Development Symptoms
  • Shallow, open wound on the inner ankle or lower leg
  • Irregular wound edges with red, yellow, or pink tissue inside
  • Oozing fluid or pus (can be clear or yellowish)
  • Foul odor (if infection is present)
  • Pain or burning sensation in or around the wound

Signs of Infection

  • Increased redness, warmth, or swelling around the ulcer
  • Pus or green/yellow drainage with a foul smell
  • Fever, chills, or worsening pain
  • Spreading red streaks from the ulcer (a sign of cellulitis or sepsis)

Treatment:

  • Compression Therapy (Main Treatment)
  • Wound Care & Dressing Changes
  • Infection Management
  • Elevating the Legs
  • Medications for Circulation & Healing
  • Advanced Therapies
  • Treating Underlying Venous Insufficiency

Arterial Ulcers

Symptoms:

Early Symptoms
  • Shiny, tight, or thin skin around the wound
  • Cold feet or toes due to poor circulation
  • Reduced or absent pulses in the legs or feet
  • Pain in the legs or feet when walking (claudication), which improves with rest
Ulcer Development Symptoms
  • Deep, round wounds with “punched-out” edges
  • Yellow, brown, gray, or black wound bed (necrotic tissue may be present)
  • Minimal bleeding when touched
  • Severe pain, especially at night or when legs are elevated

Signs of Infection

  • SEEK MEDICAL ATTENTION
  • Increased redness, warmth, or swelling around the ulcer
  • Pus, foul-smelling drainage, or increased pain
  • Fever or chills
  • Blackened skin (gangrene), indicating tissue death

Treatment:

  • Improving Blood Circulation
  • Wound Care & Dressing Changes
  • Pain Management
  • Infection Control
  • Lifestyle Changes & Home Care

Radiation-Induced Ulcers

Symptoms:

Early Symptoms
  • Redness and skin irritation at the radiation site
  • Dry, peeling, or thinning skin (radiation dermatitis)
  • Persistent swelling and stiffness
  • Increased sensitivity or burning sensation in the area
Ulcer Development Symptoms
  • Open sores with irregular edges
  • Painful, deep wounds that do not heal
  • Thickened, fibrotic (hardened) skin around the ulcer
  • Minimal bleeding but slow tissue regeneration
  • Poor circulation in the affected area

Signs of Infection

  • Redness and swelling spreading beyond the wound
  • Pus, foul-smelling discharge, or increased drainage
  • Fever, chills, or worsening pain
  • Blackened tissue (necrosis), indicating severe damage

Treatment:

  • Wound Care and Dressing Management
  • Hyperbaric Oxygen Therapy (HBOT)
  • Negative Pressure Wound Therapy (NPWT)
  • Infection Control
  • Skin Grafts or Tissue Reconstruction
  • Pain and Inflammation Management
  • Lifestyle and Nutrition Support

Surgical Wounds

Symptoms:

Signs of Complications

1. Surgical Site Infection (SSI)

  • Increased redness, warmth, and swelling around the wound
  • Thick, yellow, green, or foul-smelling drainage
  • Worsening pain that doesn’t improve with time
  • Fever, chills, or flu-like symptoms
    Skin around the wound feels hot to the touch
  • 2. Wound Dehiscence (Reopening of the Wound)
  • Gaps or opening along the incision
  • Increased bleeding from the wound
  • Visible underlying tissue or sutures loosening
  • A pulling or tearing sensation at the surgical site

3. Wound Necrosis (Tissue Death)

  • Dark or blackened skin around the incision
  • Foul odor from the wound
  • Dead tissue forming in the wound bed

4. Excessive Scarring or Keloid Formation

  • Thick, raised scars that extend beyond the incision
  • Itchy or uncomfortable scar tissue

Treatment:

  • Proper Wound Care
  • Dressing and Wound Management
  • Infection Prevention and Treatment
  • Pain and Swelling Management
  • Preventing Wound Dehiscence (Reopening)
  • Skin Grafts or Wound Closure (For Severe Cases)

Schedule an Appointment Today

Healing is a journey, and our team is here to support you every step of the way. From initial assessment to complete recovery, we are dedicated to empowering patients with education, resources, and compassionate care.

844-Wound-Doc

Sacral Ulcerations

Symptoms:

Signs of Complications

Early Symptoms (Stage 1)

  • Red or discolored skin that does not turn white when pressed
  • Mild swelling and tenderness
  • Skin feels warm or cool to the touch
  • Pain or itching in the affected area

Moderate Symptoms (Stage 2-3)

  • Blisters, open sores, or shallow craters
  • Visible damage to the top layers of skin (epidermis and dermis)
  • Increased pain and tenderness
  • Oozing fluid or pus from the wound

Severe Symptoms (Stage 4 – Deep Tissue Damage)

  • Deep wounds exposing muscle, bone, or tendons
  • Blackened or necrotic (dead) tissue around the ulcer
  • Foul-smelling drainage (sign of infection)
  • Fever, chills, or spreading redness (indicating systemic infection or sepsis)

Treatment:

  • Relieving Pressure on the Sacral Area
  • Wound Cleaning and Dressing Changes
  • Infection Management
  • Advanced Wound Healing Therapies
  • Pain and Inflammation Control
  • Nutritional Support
Testimonials

"The team at NYC Wound Care Center truly changed my life. After months of struggling with a stubborn wound that wouldn’t heal, I finally found relief. Their caring staff and advanced treatments had me back on my feet in no time. I’m so grateful for their expertise and compassion!"
-Mark R.

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"I was dealing with a diabetic foot ulcer that left me in constant pain and unable to walk comfortably. NYC Wound Care Center not only treated my wound but also taught me how to manage my condition to avoid future issues. Their personalized care and dedication were beyond my expectations."
Jennifer O.
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"After a surgery complication left me with a serious wound, I thought I’d never recover. But the specialists at NYC Wound Care Center provided advanced wound care and the emotional support I needed to heal completely. Thank you for giving me my confidence back!"
Maria T.
Contact us today

Healing is a journey, and our team is here to support you every step of the way. From initial assessment to complete recovery, we are dedicated to empowering patients with education, resources, and compassionate care.

  • 18-10 College Point Blvd
    Flushing, NY 11356
  • 2108 1st Ave.
    New York, NY 10029
  • 1379 54th St
    Brooklyn, NY 11219
    2nd floor/Entrance on 14th Ave

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