Wound care

Treatment for Chronic Wounds Below the Knee

If you’re suffering from an chronic wound on your foot, ankle or leg, ANP Foot & Ankle Clinic can help. Chronic wounds on the lower extremities are often complex and challenging to heal. It takes a dedicated foot and ankle specialist to assess each individual patient and come up with a personalized treatment plan for each wound. Dr. Gupta has been practicing for over 33 years and has a 100% success rate in healing chronic wounds and avoiding amputation.

We start by identifying the underlying cause of the wound and any factors that may be impeding the wound from healing. We then treat these risk factors and educate each patient on what they can do to promote healing at home.

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UltraMIST

UltraMIST therapy is an innovative treatment applied directly to the chronic wounds.

In this FDA-approved technology, a low energy ultrasound-generated mist promotes healing by controlling inflammation and reducing bacteria in the wound bed while increasing angiogenesis. To further promote healing, it increases perfusion through vasodilation, ultimately increasing oxygen and nutrients to the tissue, typically eliminating any need for hyperbaric oxygen therapy.

Benefits of UltraMIST

Accelerated Healing.

UltraMIST enhances oxygenation and speeds up the healing process.

Non-Invasive.

A painless treatment that is ideal for patients unable to undergo more aggressive treatments.

Proven Efficacy.

ANP Foot & Ankle Clinic has achieved outstanding results with UltraMIST. Our team is trained in the latest protocols to provide personalized and effective care.

Near-Infared Imaging

NIR is a near-infrared (NIR), reflectance-based technology that measures tissue oxygen saturation (StO2).

Using wavelengths of NIR light, it measures relative amounts of oxygenated and deoxygenated hemoglobin in the microcirculation where oxygen exchange is happening. The device provides users with a tissue oxygenation map that can be used for assessing therapeutic efficacy, tracking and trending wound healing, and evaluating tissue viability to help improve medical decision-making.

Cellular Tissue Products

Cellular Tissue Products (CTPs) are skin grafts used to support tissue regeneration and healing chronic wounds.

‍These grafts are derived from fish, porcine, and human placental cells. CTPs have successfully treated countless patients around the world. These skin grafts have prevented many amputations, helping improve each patient’s quality of life.

Intended use

Skin grafts are indicated for the management of wounds, including:
  • Partial and full thickness wounds
  • Pressure Ulcers
  • Venous Ulcers
  • Chronic Vascular Ulcers
  • Diabetic Ulcers
  • Trauma Wounds (abrasions, lacerations, second-degree burns, skin tears)
  • Surgical wounds (donor site/grafts, post-surgery, wound dehiscence)
  • Draining wounds

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Vaporox with VHT

Vaporox with VHT is the new standard in wound care. This FDA-approved and patented technology treats DFU’s, VLU’s, post-surgical wounds and more through a hydrating vapor that gently surrounds the wound. It is clinically validated as a safe and effective treatment for open wounds. ANP Foot & Ankle Clinic provides this painless, one-hour treatment twice a week in the comfort of our office.

Cellular Tissue Products

Cellular Tissue Products (CTPs) are skin grafts used to support tissue regeneration and healing chronic wounds. These grafts are derived from fish, porcine, and human placental cells. CTPs have successfully treated countless patients around the world. These skin grafts have prevented many amputations, helping improve each patient’s quality of life.

Intended use

Skin grafts are indicated for the management of wounds, including:
  • Partial and full thickness wounds
  • Pressure Ulcers
  • Venous Ulcers
  • Chronic Vascular Ulcers
  • Diabetic Ulcers
  • Trauma Wounds (abrasions, lacerations, second-degree burns, skin tears)
  • Surgical wounds (donor site/grafts, post-Mohs surgery, post-laser surgery, podiatrist, wound dehiscence
  • Draining wounds

What is a chronic wound?

A chronic wound is any wound that either takes a long time to close, or never seems to improve. A wound is considered chronic if it has not healed within 30 days.

Types of Chronic Wounds

A diabetic foot ulcer (DFU) is an open wound that is located on the heel, toes, or top or bottom of the foot. DFUs usually develop as a result of poor circulation or higher pressures due to loss of sensation in the foot.

Venous leg ulcers (VLUs) are the most common type of ulcers occurring in the lower legs and are often the result of poor circulation.

Decubitus ulcers or pressure wounds or bed sores are caused by excessive or abnormal pressure. 

Other types of chronic wounds can occur as well, such as wounds that don’t fully close after surgical procedures and wounds from traumatic injury to a part of your body.

Tips for taking care of your wound

For best results care and healing of your wound, always follow all of the instructions provided to you and:

  • Nutrition: Maintain a balanced diet
  • Off-loading: Avoid long periods of sitting or standing to relieve pressure on your wound.
  • Compression: If you have compression dressings, do not remove them. Try to elevate your leg as often as possible. If you are unsure whether or not you have compression dressings, please ask your doctor’s office.
  • Compliance: Keep all your scheduled wound care appointments.
  • Adverse Events: Call our office if you experience any adverse events or if you have any concerns
  • Keep the entire area surrounding your wound completely dry at all times. When bathing, keep your wound and dressings out of the water.

Preventing Your Wound from Reopening

If you take care of your wound as directed by your doctor, there will be less potential for your wound to reopen or become infected. If you have diabetes, you must be certain to monitor your blood glucose and maintain a healthy diet and lifestyle.

Reducing the Risk of Getting Another Wound

To prevent another chronic wound, follow the guidelines about changing your eating habits and lifestyle, including not smoking. 

Ask your doctor or healthcare professional for recommendations on minimizing pressure on specific areas of your feet and be sure to check your feet on a regular basis for cuts and broken skin.

Full care through the healing process

Dr. Gupta administers your treatments throughout the entire recovery journey. Experience consistent care and support.

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Fill out the form or call our office to schedule a consultation about any open wounds or sores. We are here to help.