Conditions We Treat

NexGen Wound Care » Conditions We Treat

Advanced outpatient care for chronic and complex wounds with debridement, compression, offloading, grafts, and infection control.
feet

Pressure Injuries

Pressure injuries develop when unrelieved pressure or shear damages skin over bony areas such as the sacrum or heels. Immobility, poor nutrition, and moisture increase risk.

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Symptoms / What it looks like
● Red, non‐blanching skin that may progress to open ulcers
● Pain or tenderness over bony prominences
● Darkened or boggy skin
● Drainage or odor in the advanced stages

Our Approach
We reduce pressure with consistent offloading, optimize moisture balance, and debride nonviable tissue when indicated. To prevent recurrence, we provide positioning plans, support surfaces, and caregiver education.

When to Seek Urgent Care: Rapidly worsening wounds, systemic symptoms, or exposed bone require urgent assessment.

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Traumatic & Laceration Wounds

Contamination, tissue loss, or underlying conditions can complicate injuries from cuts, crushes, or accidents. Good early care reduces infection and scarring. We do not treat acute lacerations. We can take care of non-healing/infected wounds.

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Symptoms / What it looks like
● Lacerations with irregular edges or contamination
● Bruising, swelling, or pain around the site
● Foreign bodies or embedded debris
● Limited movement due to pain or swelling

Our Approach
We clean and debride the wound, manage moisture, and protect it with appropriate dressings when indicated. We coordinate tetanus updates and imaging if necessary.

When to Seek Urgent Care: Severe bleeding, suspected fracture, or loss of function requires emergency care.

wound

Infected Wounds & Cellulitis

Infection can slow or reverse healing. Identifying organisms and controlling bioburden are essential to protect tissue and prevent spread.

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Symptoms / What it looks like
● Increasing redness, warmth, swelling, or tenderness
● Pus or malodor
● Fever or chills
● Streaking redness or a rapidly enlarging area

Our Approach
We obtain cultures when appropriate, start local and systemic treatment as indicated, and adjust based on response. We also address the underlying drivers like pressure, edema, and glucose control.

When to Seek Urgent Care: Fever with rapidly spreading redness or severe pain can signal a serious infection. Seek immediate care.

bandage

Atypical & Inflammatory Wounds

Some wounds result from autoimmune or vascular inflammation. These require careful diagnosis and collaboration with specialists.

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Symptoms / What it looks like
● Painful ulcers with undermined or violaceous borders
● Multiple lesions with irregular progression
● Association with systemic symptoms or known autoimmune disease
● Limited response to typical wound care

Our Approach
We evaluate for underlying causes, obtain appropriate labs or biopsies when indicated, and coordinate with dermatology and rheumatology. Local care focuses on gentle handling, moisture balance, and protection.
When to Seek Urgent Care:  Rapidly multiplying lesions, severe pain, or systemic symptoms require prompt escalation.

wound

Diabetic Foot Ulcers

Diabetic foot ulcers often form on pressure points like the ball of the foot or heel. Nerve damage can reduce pain, so ulcers may go unnoticed and deepen. Edema, poor circulation, and high glucose further delay healing and increase infection risk.

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Symptoms / What it looks like
● Open sore on the foot with callus or undermined edges
● Drainage, odor, or signs of infection such as warmth, redness, swelling
● Reduced sensation or tingling in the feet
● Foot deformities or areas of high pressure

Our Approach
Combines sharp or conservative debridement, moisture‐balanced dressings,
culture‐guided infection control, and strict offloading.

When to Seek Urgent Care
Spreading redness, fever, foul odor, or deep tissue exposure
warrants urgent evaluation or an ER visit.

Related Services
Debridement, moisture balance, and advanced dressings; infection
management when indicated.

cramp

Venous Leg Ulcers

These ulcers occur with long‐standing venous insufficiency and edema. The skin becomes
fragile, often above the ankle, and healing stalls without consistent compression.

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Symptoms / What it looks like
● Shallow ulcer with irregular edges, often around the medial ankle
● Leg swelling, heaviness, or aching that worsens during the day
● Skin discoloration and thickened, itchy skin
● Fluid drainage that soaks dressings or socks

Our Approach
Compression therapy is central. We select the right compression level, manage
moisture, and treat dermatitis or infection if present. Elevation, calf‐pump activation, and edema
control strategies are reinforced at each visit.

When to Seek Urgent Care
If pain is severe, the foot becomes cold or pale, or swelling increases rapidly, seek urgent care to rule out arterial compromise or acute DVT.

Related Services
Compression therapy, edema control, advanced dressings, debridement
when indicated, and skin substitutes for stalled ulcers.

Legs

Arterial / Ischemic Ulcers

Arterial ulcers arise from reduced blood flow. They are often painful and occur on toes, heels, or pressure points. Healing requires timely vascular assessment alongside local wound care.

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Symptoms / What it looks like
● Punched‐out, dry wound with pale or necrotic tissue
● Cool skin, hair loss on the lower leg or foot
● Leg pain at rest or when walking
● Weak or absent pulses

Our Approach
Local care focuses on gentle debridement only when safe, moisture balance,
and pressure protection. Pain control and risk‐factor optimization are addressed in parallel.

When to Seek Urgent Care
A sudden cold, numb foot with severe pain, or a color change is an emergency. Go to the ER immediately.

Related Services
Protective dressings and moisture balance; offloading; selective debridement when appropriate.

medical

Post‐Surgical & Dehisced Wounds

Some surgical incisions reopen or fail to progress due to tension, edema, infection, or systemic factors. Early intervention prevents deeper complications.

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Symptoms / What it looks like
● Wound edges separating or persistent drainage
● Increasing redness or tenderness around the incision
● Fever or malaise
● Visible sutures with gapping

Our Approach
We control bioburden, manage moisture, and remove nonviable tissue. We coordinate with your surgeon and use adjuncts like skin substitutes to advance healing.

When to Seek Urgent Care
Redness that spreads with fever, sudden incision opening, or deep tissue exposure requires urgent attention.

Related Services
Advanced dressings; debridement; skin substitutes; infection management.

burn-hand

Burns & Skin Tears

Thin, fragile skin or thermal injuries need gentle handling to preserve viable tissue and minimize scarring.

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Symptoms / What it looks like
● Painful red skin or blisters from burns
● Flaps of fragile skin for skin tears
● Oozing or bleeding with minimal trauma
● Sensitivity to dressings or adhesives

Our Approach
We protect and align flaps when possible, choose low‐adherence dressings,
manage moisture, and monitor closely for infection. For burns, we stage severity and coordinate specialty referral if needed.

When to Seek Urgent Care
Large burns, facial burns, or burns from electrical or chemical exposure require emergency assessment.

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