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Wounds

What is a Wound?

What is a Chronic Wound?


What causes a Chronic Wound?

What are the complications of Chronic Wounds?

Wound healing

RAMS Therapy Centre and Wound
s

Wounds


What is a Wound?

A wound is an injury that causes a break in the skin. Everyone will have have had a wound at some time in their life, such as a cut, a graze, a surgical incision, a burn or a scald. These usually heal within a few days by keeping them clean and wearing a simple protective bandage. Not all wounds, however, heal easily; some take months to heal, while others can become seriously infected or gangrenous, leading to complications such as amputation and worsening of other health problems.

 

What is a Chronic Wound?

Wounds that are difficult to heal, also known as problem or chronic wounds are defined as any wounds or ulcers that have been present for 3-4 weeks duration and have not begun to respond to conventional therapies or those that have not healed completely within 8 weeks.

Chronic wounds or sores that won’t heal are painful and physically and emotionally distressing. For many people, they significantly affect their quality of life in terms of mobility, independence and ability to work as well as creating a huge financial burden.

Some common examples of chronic wounds are:-

  • Foot wounds resulting from diabetes

  • Leg ulcers due to poor circulation

  • Venous leg ulcers

  • Pressure ulcers

  • Non-healing surgical, trauma or radiation wounds

  • Burns

  • Cuts or other skin wounds that fail to show significant improvement in 4 weeks

  • Wounds involving tendon, ligament, bone and/or joint

 

What causes a Chronic Wound?

Difficult-to-heal wounds can result from traumatic injury, diabetes, peripheral vascular disease, vein abnormalities, complications following surgery, lymphoedema and many other conditions that compromise circulation.

There are basically 3 reasons why a wound won’t heal: blood circulation problems (Chronic Venous Insufficiency), oedema, or infection (such as cellulitis).

 

What are the complications of Chronic Wounds?

Some chronic wounds, if not well managed, can become seriously infected or gangrenous, leading to complications such as limb amputation and worsening of other health problems.

 

Wound Healing

Wounds are characterized by areas of tissue damage with poor circulation and reduced oxygen supply (ischemia and hypoxia). Usual complication is inflammation and infection that can reach through all the layers down to the bone (osteomyelitis). Research has shown that breathing and absorbing pure oxygen at increased pressures will facilitate wound healing and increase the body's ability to fight infections. 

 

Increasing the oxygen concentration in the body will start the growth of new blood vessels for better microcirculation, it will decrease inflammation and swelling, eliminate bacteria and provide oxygen for the body's immune defence response. Electrical stimulation will further promote the circulation of superoxygenated blood deeper in the wounded area and combined effect is magnified.

Oxygen initiates healing from within the body by mobilizing the growth factors and preparing the wound bed for the right combination of topical wound  therapy. Many of the chronic wounds are simply locked in a state of poor oxygen level, poor local circulation and increased local bacterial load and wound dressings are simply not penetrating deep enough to start the healing. Once the oxygen therapy has cleaned the wound surface from the bacterial load and prepared the wound bed the full potential of advanced wound dressings can be utilized. Clinical studies show that the combined effect of hyperbaric oxygen with wound care therapy is more successful than the effect of each therapy on its own.

 

 

Treatments

 

Treatments include wound dressings; drug therapies such as anti-inflammatories and painkillers; hyperbaric oxygen therapy; physiotherapy and massage; flowtron therapy; electromagnetic therapy; vibrotherapy and complementary approaches to improve blood flow and circulation, reduce swelling, pressure and pain, kill bacteria and prevent infection and to repair regenerate tissue.

 

 

 

RAMS Therapy Centre and Wounds

 

RAMS Therapy Centre provides a range of therapies, designed specifically for Wounds. Follow the links below for further information on these treatments. Therapies will be provided individually as stand-alone treatments or offered in combination. Each person will be assessed and advised on a suitable treatment programme.

Note: permission from your doctor or consultant is required before treatment begins.

 

 

                                                Hyperbaric Oxygen Therapy

             Physiotherapy

 

        Flowtron Therapy

 

              Electromagnetic Stimulation Therapy

 

               Vibrotherapy