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Why Wounds Don’t Heal


If you suffer from this condition, please contact us today to schedule an appointment.

Why Wounds Don’t Heal

At Encompass Healthcare, we look at the patient as a whole to determine why wounds are not healing. Resolving these underlying  conditions allows wounds to heal.

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Wound Care | Encompass Healthcare

5 Reasons Wounds Won't    Heal Are:

  1. Poor Circulation.

  2. Infection.

  3. Edema    (fluid buildup).

  4. Inadequate  Nutrition.

  5. Repetitive Trauma  to the Wound.

Why Wounds Don’t Heal

Poor Circulation

Wounds   heal most efficiently when there is easy internal access to and from the wound site through the body’s circulatory system.  When the circulatory system is compromised due to medical problems, the body cannot get the proper blood flow to the wound site in order to heal wounds properly.


Infection   is a barrier to wound healing.  If a wound is infected, the body can’t make use of its normal wound-healing properties. Resolving an infection is critical in wound care. This can be achieved through oral and/or  IV antibiotics.


Edema   is fluid  that builds up in and around tissues that impedes circulation and the wound-healing process.  Edema can be treated with manual lymphatic drainage, compression therapies, lifestyle changes, and specific medications.

Insufficient Nutrition

Insufficient   nutrition  is the most overlooked reason why wounds won’t heal. Older, more traditional methods of wound care focused on treating the outside of wounds with salves, ointments, and dressings. Today, we know that conditions on the inside of the body, including nutrition, play critical roles in the wound-healing process.

All wounds require that the patient take in more nutrients—particularly protein—to heal wounds and also to carry on normal daily body functions. In fact, the amount of protein needed can be three or more times the recommended daily requirement.

At Encompass Healthcare, we use blood work along with an indirect calorimeter (a machine that measures how many calories you need daily) to determine a patient’s nutritional needs during healing.

Repetitive Trauma  to the Wound & Offloading

It is difficult to heal wounds when the injured area keeps getting bumped or rubbed against a surface. This is what is called “repetitive trauma” and the healing process is lengthened or stopped completely. The solution to this problem is that the wound needs to be  offloaded. Offloading is when a cast is applied in such a way as to avoid any further accidental bumping, rubbing or trauma to the wound.

At Encompass Healthcare, we look for signs of repetitive trauma that may include the wound rubbing against a wheelchair if the patient is disabled. In spinal cord injured patients,  pressure ulcers can develop due to lack of body movement or re-positioning.

Treating the patient in a holistic manner allows us to see the “whole picture” and to heal wounds. Oftentimes, it’s not the wound that is the problem. Much more frequently, it is the underlying conditions that need to be treated that gives rise to the non-healing wound.

Book  an appointment today!

Do you suffer from this condition? Schedule an appointment with us today to get back on the path to healing. 

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