When should I see a wound care specialist?

There is no single rule that says when to see a wound care specialist. A wound care center assesses a wound that is not healing by examining it, checking blood flow and working out why, and your own clinician is the right person to advise on your situation.

There is no single, agreed point at which a wound should be seen by a wound care specialist. What can be described is what a wound care center is, what its team does, and the signs that mean you should contact a clinician.

A wound care center is a medical facility for treating wounds that do not heal.

The team there examines and measures the wound, checks the blood flow in the area around the wound, works out why it is not healing, and creates a treatment plan. The team includes providers who oversee your care, nurses who clean and dress the wound and teach you how to care for it at home, and physical therapists who help with wound care and work with you to help you stay mobile.

Wounds commonly treated in these settings are pressure sores, surgical wounds, radiation sores, and foot ulcers due to diabetes, poor blood flow, chronic bone infection, or swollen legs.

A general rule of thumb for the public describes a wound as non-healing if it has not started to heal in two weeks, or has not completely healed in six weeks. That is general guidance. It is not The WISH Clinic’s definition, it is not a universal standard, and it is not a referral rule. What “non-healing” means, and why different cutoffs are used, is covered on its own Wound Wizard page.

What those numbers point to is the underlying idea rather than a deadline: a wound that is not progressing is the kind of wound these centers exist to assess. Whether that describes your own wound is a judgment for a clinician who can examine it.

What to watch for

This page can’t tell you whether your own wound needs specialist care. It can tell you the signs that mean you should contact a clinician.

Contact your provider if you notice signs of infection, such as redness, swelling, pus or bleeding from the wound, pain that gets worse, fever, or chills.

If you’re unsure whether a wound is progressing as it should, that uncertainty is itself a reason to ask. A wound care assessment is what answers the question.

Wound Wizard is general education and can’t assess your wound or your situation. Your own clinician is the right person to ask about your wound.

What we look at

  • Examining and measuring the wound
  • Checking the blood flow in the area around the wound
  • Determining why the wound is not healing
  • Creating a treatment plan

Sources

  1. Wound care centers — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000739.htm