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Learn moreChronic Non-Healing Wounds
Chronic Non-Healing Wounds
A wound that has not healed over several weeks despite dressings is called a chronic non-healing wound, and it usually means something is interfering with healing — most often diabetes, poor blood supply, infection or pressure. Treatment at Om Sai Piles Care starts by identifying that reason, because dressings alone rarely resolve such a wound.
Overview
Wounds normally heal in a predictable sequence. When healing stalls, the wound sits in a prolonged inflammatory state, and repeated dressing changes without addressing the underlying cause make little difference.
In this region, uncontrolled diabetes is one of the most frequent contributors, along with reduced blood supply, persistent local infection and continuous pressure on the same area. Nutritional deficiency and smoking also slow healing considerably.
The assessment therefore looks beyond the wound surface: the patient's sugar control, circulation, wound depth and any dead tissue all influence what treatment is appropriate.
Common symptoms
- A wound that has shown little or no improvement over several weeks
- Persistent discharge, sometimes with an odour
- Surrounding skin that is red, dark, thickened or fragile
- Pain that is either increasing or, in some patients, absent because of nerve involvement
- Repeated breakdown of a wound that appeared to have healed
- Swelling of the affected limb or area
Common causes
- Diabetes with poor blood-sugar control
- Reduced arterial blood supply to the area
- Venous insufficiency, particularly in leg wounds
- Persistent local infection or dead tissue in the wound
- Continuous pressure on one area in patients with limited mobility
- Smoking, poor nutrition and low protein intake
How it is assessed
- Assessment of the wound's size, depth, base and edges
- Review of blood-sugar control and other medical conditions
- Evaluation of circulation to the affected area
- Assessment for infection, including whether deeper tissue is involved
- Blood tests or imaging where they are needed to guide treatment
Treatment approach
- Correction of the underlying factor wherever possible, including referral for better diabetes control
- Removal of dead tissue so that healthy tissue can heal
- Appropriate dressing selection matched to the wound's stage, changed as the wound progresses
- Infection control with treatment guided by clinical assessment rather than routine antibiotics
- Offloading, pressure relief and nutritional guidance as part of the plan
- Regular review to confirm the wound is genuinely improving
When you should consult a doctor
- A wound that has not improved in two to four weeks
- Any wound in a patient with diabetes, however small it appears
- Increasing pain, spreading redness, foul discharge or fever
- Blackened tissue at or around the wound
- A wound that heals and repeatedly breaks down
FAQ
Questions about chronic non-healing wounds
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Talk to our team about piles, fissure, fistula, pilonidal sinus or a wound that is not healing. Main clinic consultation hours are 9:00 AM to 9:00 PM.