Wound Care

in Los Angeles

Arterial wound treatment

Nonhealing wounds will generally require specialist care to avoid increased complications and health risks. The team at ProVascularMD take an individualized approach to wound care. Using minimally invasive interventions and modern wound-healing techniques, we can provide a path back to complete healing for a range of wounds and lesions. As leading wound care specialists in Los Angeles, we ensure each patient receives an accurate diagnosis, an optimized treatment plan, and full care support.

Who Needs Wound Care?

The body can capably heal most wounds. However, many patients find that a wound will not improve over time, typically due to health conditions such as venous insufficiency, infection, or other issues. If a wound has not healed normally within a month of standard cleaning and dressing, you may need to begin working with a qualified wound specialist.

Arterial wound treatment specialist Dr. Michael Lalezarian in Los Angeles, California

Your Wound Care Team

Experienced Wound Care Specialists

Contact ProVascularMD to schedule a consultation with one of our advanced wound care specialists in Los Angeles.

5-star arterial wound care in Los Angeles
“I was referred to ProVascularMD after an ultrasound showed serious issues in my leg. I was at the point where I could only walk a few feet. Dr. Lalazarian’s staff was friendly and professional. Doc himself was straightforward with me with his diagnosis and changed my life. The surgical staff was amazing. It was the first surgery I ever had and I was nervous as all get out. But they made me feel comfortable and confident. Dr. Lalazarian was everything I could have asked for as a surgeon. Today I can walk again. Hallelujah!”

Michael G, May 2024

Why Involve a Wound Specialist?

When a wound fails to heal, there is always some underlying issue. A wound care specialist is essential for diagnosing the problem and building an evidence-based approach to foster eventual healing. Working with a wound specialist allows for:

  • Determining the best treatment for the type, location, and severity of the wound
  • Avoiding further worsening of the wound and associated complications (e.g., infection, gangrene)
  • Receiving full support from an experienced care team
  • Fostering a steady improvement in wound healing and reduction in symptoms

Types of Wounds We Treat

Any type of wound can become susceptible to improper healing under certain circumstances. From minor cuts to complex wounds, we deliver personalized wound care that looks at each situation’s unique elements and addresses the underlying cause.

Types of wounds we treat include:

Acute Wounds

  • Surgical Wounds: Post-operative incisions, drainage wounds, excisional wounds
  • Traumatic Wounds: Wounds due to injuries, such as cuts, abrasions, punctures, and crush injuries
  • Burns: Lesions due to thermal, chemical, or electrical exposure

Chronic Wounds

  • Pressure Ulcers: Also called bedsores, typically caused by prolonged immobility
  • Diabetic Foot Ulcers: Wounds due to poor circulation and neuropathy caused by diabetes
  • Venous/Aterial Leg Ulcers: Ulcers formed due to impaired blood flow, often in the lower extremities

Infected or Complicated Wounds

  • Abscesses: Wounds that have become infected
  • Necrotizing Wounds: Wounds that involve dead (necrotic) tissue

Specialty Wounds

  • Radiation: Wounds resulting from cancer treatment
  • Bites: Animal or human bite wounds
  • Amputation: Sites of limb removal that do not heal
  • Graft Wounds: Skin graft or flap sites that require specialized care

Your Partner in Wound Care

Wound Care in Los Angeles

Wound Care Treatment Elements

Wound care involves a complete assessment of what is preventing the wound from healing. From there, your wound specialist will often utilize multiple treatment elements to facilitate healing. The type of treatment involved will depend on the type and severity of your wound, as well as any underlying medical conditions that may impact wound healing.

With extensive experience and a hand-picked staff, the team at ProVascularMD have helped countless patients recover from wounds using advanced modern techniques.

Core Therapies

  • Wound Cleaning: Focuses on gentle irrigation or applying antiseptic solutions to remove debris and bacteria.
  • Debridement: Targets dead or infected tissue, removing it from the wound. Debridement techniques include surgical, enzymatic, mechanical, and autolytic methods.
  • Infection Management: Eliminates bacterial presence via topical or systemic antibiotics, antimicrobial dressings, and culture-based therapy.
  • Moisture Balance: Use of specialized dressings aims to keep a wound optimally moisturized (but not overly wet). Includes use of hydrocolloids, foams, alginates, and hydrogels.
  • Dressings & Bandages: Creates a physical barrier between the wound and the external environment.

Advanced Therapies

  • Negative Pressure Wound Therapy (NPWT): Uses vacuum-assisted devices to remove fluid, reduce swelling, and foster tissue growth.
  • Revascularization: Vascular wound care reestablishes adequate blood flow through arteries so that ulcerations can heal.
  • Skin Substitutes & Grafts: Uses customized grafts (bioengineered tissue, autografts, or allografts) to supplement local healing.
  • Growth Factors & Biologics: Unique solutions that can stimulate new tissue formation and accelerate healing.
  • Hyperbaric Oxygen Therapy (HBOT): This staple of wound care involves the patient breathing pure oxygen in a pressurized chamber. HBOT enhances oxygen delivery to tissues, which promotes better healing. If patients could benefit from this method, we can refer patients to trusted specialists who provide it.

Supportive Care

  • Pain Management: Provides symptom relief during the wound healing process (e.g., local anesthetics, pain-relievers).
  • Edema & Circulation Control: Use of compression garments to help control circulation to target areas.
  • Nutritional Support: Key recommendations for nutritional intake (vitamins, proteins, & minerals) involved in tissue repair.
  • Patient Education: You are your own best friend in wound care. We provide full educational support so that you can stay involved in your at-home healing.

Your Partner in Wound Care

Wound Care in Los Angeles

Wound Care FAQs

What types of wounds do you treat?

We treat a broad range of wounds, with the most common being surgical wounds, diabetic foot ulcers, pressure ulcers, and cuts.

How do I know if my wound needs professional care?

Look out for key warning signs, including:

  • Increasing redness
  • Swelling and edema around the wound
  • Pus or other discharge
  • Foul odor
  • Worsening pain
  • Delayed healing (> 1 month)

How should I care for my wound at home before my appointment?

Basic steps you can take include:

  • Gently cleaning the wound
  • Keeping the wound covered
  • Avoiding harsh antiseptics
  • Monitoring for infection

What happens during a wound care appointment?

Wound care begins with identifying and evaluating your situation. From there, your specialist will build a wound care plan. Depending on your situation, this may involve starting with cleaning or debridement and dressing the wound.

How often should wound dressings be changed?

This will depend on the type of wound and dressing used. Your specialist will provide you with individualized instructions for your situation.

Can chronic wounds really heal with treatment?

Yes! We always look for the underlying cause of poor healing and build a plan around these factors. With the right approach, patients should see notable improvements as their wound care progresses. Many patients see complete healing of their wound.

What are the risks of leaving a wound untreated?

Untreated, a nonhealing wound tends to only worsen over time, leading to increased risks. Untreated wound risks range from persistent pain to the potential for gangrene. Even small wounds that do not heal can lead to severe issues when left untreated.

How long does it take for a wound to heal?

Healing time will depend on factors like wound size, depth, location, and underlying conditions. Simple cases may resolve within a couple of weeks. More complex or severe cases can take several weeks to months to fully resolve. At the outset of your wound care treatment, your specialist will provide an estimated timeline for wound recovery that factors in your individual situation.

Will my insurance cover wound care treatment?

Most insurance plans provide coverage for medically necessary wound care. You can check with your provider to see what coverage your plan provides.

What can I do to speed up wound healing?

Effective wound healing is always a gradual process. However, taking certain steps can help facilitate steady improvements. These include:

  • Maintaining good nutrition
  • Managing chronic conditions like diabetes
  • Avoiding smoking
  • Following wound care instructions at home

When should I go to the ER instead of a wound clinic?

Visit the emergency department of your nearest hospital for wounds that:

  • Will not stop bleeding
  • Are very deep
  • Exhibit signs of severe infection

Your Partner in Wound Care

Wound Care in Los Angeles

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Los Angeles Vascular Specialist Dr. Michael Lalezarian

Vascular Specialist in Los Angeles

Learn more about Los Angeles Vascular Specialist Dr. Michael Lalezarian.

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