Pressure Ulcer (Bedsore) Treatment in San Antonio, TX
Hill Country Wound Care provides physician-led treatment for all stages of pressure ulcers (also known as pressure injuries or bedsores) at three locations in Greater San Antonio. Our board-certified wound care specialists use evidence-based protocols including NPIAP staging, advanced debridement, Negative Pressure Wound Therapy (NPWT), cellular and tissue-based products (biologic grafts), and comprehensive offloading strategies to heal complex pressure wounds and prevent recurrence. We accept Medicare and most major insurance plans.
Understanding Pressure Ulcers (Bedsores)
A pressure ulcer is localized damage to the skin and underlying tissue caused by sustained pressure or pressure in combination with shear. They typically occur over bony prominences such as the sacrum, heels, hips, and elbows. Individuals at high risk include those who are bedbound or use a wheelchair, have limited sensation (e.g., from spinal cord injury or neuropathy), poor nutrition, or incontinence. Pressure injuries are classified in four stages, from Stage 1 (non-blanchable redness on intact skin) to Stage 4 (full-thickness tissue loss with exposed bone, tendon, or muscle), plus categories for Unstageable wounds and Deep Tissue Injury.
Our Comprehensive Treatment Approach
Our treatment protocol for pressure ulcers focuses on removing the cause of the injury and creating an optimal environment for healing. This includes: 1) Offloading and Pressure Redistribution through coordination with caregivers for repositioning schedules, specialized mattresses, and wheelchair cushions. 2) Advanced Wound Debridement to remove non-viable tissue (slough, eschar) and biofilm. 3) Infection Management with topical antimicrobials and systemic antibiotics when needed. 4) Advanced Moisture-Balanced Dressings tailored to the wound's stage and drainage. 5) Negative Pressure Wound Therapy (NPWT) for deep, complex wounds. 6) Cellular and Tissue-Based Products (Biologics) to stimulate healing in stalled wounds. 7) Nutritional Support to provide the protein and vitamins necessary for tissue repair.
Why Specialist Care Matters
Without specialist intervention, pressure ulcers can lead to severe complications including osteomyelitis (bone infection), sepsis, and the need for surgical intervention. Our physician-led team coordinates with primary care providers, home health agencies, and long-term care facilities to ensure a comprehensive, team-based approach that addresses both the wound and the underlying factors contributing to its development.