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Acute and chronic wound care specialist
Condition We Treat · San Antonio

Acute & ChronicWound TreatmentSan Antonio

Whether your wound is recent or has been present for months, our physician-led team in San Antonio provides advanced, evidence-based wound care to identify what may be slowing healing and build a treatment plan around the wound, the patient, and the underlying cause.

All Wound Types TreatedMedicare AcceptedAdvanced Wound TherapiesSeen Within 48 Hours
Why It Matters

Non-Healing Wounds Are Different.They Require Specialist Care.

Wounds that fail to heal are almost never a skin problem alone. When a wound is not improving, primary care alone may not be enough. A wound specialist can help identify the underlying barriers to healing and guide more advanced treatment when needed.

Without identifying and treating the root cause, a wound will not close — no matter how many dressings are applied. Specialist wound care is built around finding that cause, removing barriers to healing, and applying the right advanced therapies in the right sequence.

Warning Signs

Don't wait — seek specialist care

Any wound that has not shown measurable improvement after 2–4 weeks of treatment
Increasing redness, warmth, swelling, or drainage around a wound
Foul odor or purulent (cloudy, yellow, green) discharge from a wound
Wound edges that are not moving toward closure — or are pulling apart
Deep or tunneling wounds with tissue visible at the base
Fever, chills, or fatigue alongside a wound — signs of systemic infection
Your Healing Plan

Your Personalized Wound Healing Plan

01

Comprehensive Wound Evaluation

Every patient receives a thorough wound assessment — measuring size, depth, tissue quality, drainage, infection status, and blood supply — alongside a full medical history review to identify the underlying cause driving non-healing.

02

Wound Debridement

Removing non-viable tissue is the foundation of wound healing. When appropriate, our physicians perform sharp, enzymatic, autolytic, or mechanical debridement — selecting the precise method for your wound type to create a clean, vascular bed ready to heal.

03

Infection Identification & Management

We culture wounds to identify pathogens early, prescribe targeted antibiotics, and monitor closely for signs of spreading cellulitis or systemic infection — stopping infection in its tracks before it compromises healing.

04

Advanced Wound Dressings

We select the optimal dressing for each wound's stage, drainage level, and depth — from antimicrobial silver and foam dressings to hydrogels and alginates — changed on the right schedule to maintain the ideal healing environment.

05

Negative Pressure Wound Therapy (NPWT)

For select deeper, draining, or complex wounds, NPWT may help manage drainage, support wound contraction, and promote granulation tissue as part of a physician-directed plan.

06

Cellular Tissue & Biologic Products

For appropriate non-healing wounds, cellular and tissue-based products may be considered when standard wound care, wound-bed preparation, and underlying-cause management have not been enough.

07

HBOT Evaluation When Medically Appropriate

For select wounds and qualifying conditions, our physician-led team may evaluate whether Hyperbaric Oxygen Therapy could support healing as part of a broader wound care plan. HBOT is not a replacement for debridement, infection control, vascular evaluation, pressure relief, compression therapy, or standard wound care.

08

Collaborative & Coordinated Care

We work alongside your primary care physician, vascular surgeon, endocrinologist, and other specialists — under our physician leadership — to address the root causes of non-healing and keep your entire care team aligned.

Why Hill Country

San Antonio's Largest
Physician-Led Wound Care Network

From board-certified physicians to cutting-edge therapies and three convenient locations, we deliver personalized, compassionate care tailored to your healing journey — at a fraction of hospital costs.

01

Largest Private, Physician-Led Network

San Antonio's most extensive private outpatient wound care & hyperbarics network, led by board-certified physicians.

02

Physician-Led, Patient-First

Board-certified physicians oversee your treatment, explain every step, and customize your plan as you improve.

03

Three Convenient Locations

Advanced Healing Centers in North, East, and Southwest San Antonio — with easy parking and convenient hours.

04

Affordable Outpatient Model

We accept Medicare and most major insurances. Our outpatient setup keeps your out-of-pocket costs lower than hospital-based programs.

Ready to start your healing journey? Our team is here to help.

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Acute & Chronic Wound FAQs

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Greater San Antonio

Is Your Wound Not Healing?

If your wound hasn't improved after 2–4 weeks, specialist care makes all the difference. Get expert evaluation at any of our three San Antonio locations — most patients are seen within 48 hours.

(210) 610-8154

Chronic and Non-Healing Wound Care in San Antonio, TX

Hill Country Wound Care is a specialized medical practice in San Antonio focused on the diagnosis and treatment of chronic, non-healing wounds. Our board-certified physicians treat all types of wounds that have failed to heal within the expected timeframe (typically 4 weeks), including diabetic foot ulcers, venous leg ulcers, pressure ulcers, arterial ulcers, and post-surgical wounds. We utilize a comprehensive approach to identify and address the underlying barriers to healing.

What Defines a Chronic Wound?

A wound becomes chronic when it gets stalled in one of the phases of healing and fails to progress. This is almost always due to an underlying medical condition that disrupts the healing process. Common factors include poor circulation (venous insufficiency or peripheral arterial disease), uncontrolled diabetes, persistent pressure, or chronic inflammation and infection. Our primary goal is to perform a thorough diagnostic workup to uncover this root cause.

Our Advanced Wound Care Services

We provide a full spectrum of advanced wound care modalities in an outpatient setting. This includes: Advanced Wound Debridement (surgical, sharp, enzymatic) to remove non-viable tissue; Negative Pressure Wound Therapy (NPWT or Wound VAC) to manage drainage and promote tissue growth; Cellular and/or Tissue-Based Products (biologic skin grafts) to stimulate healing; and Hyperbaric Oxygen Therapy (HBOT) for eligible non-healing wounds. This is combined with advanced moisture-balanced and antimicrobial dressings to create the optimal environment for healing.

Why See a Wound Care Specialist?

Specialist care is crucial for chronic wounds because standard dressings and antibiotics alone are often insufficient. Our physicians have the expertise to diagnose the underlying etiology, perform advanced procedures, and coordinate care with other specialists like vascular surgeons or infectious disease doctors. This integrated, physician-led approach dramatically improves healing rates and reduces the risk of complications like amputation.