The diagnosis matters. The pattern matters more.
Most wounds heal with conservative care. These are the categories where, when healing stalls, another level of evaluation can change the outcome. And wounds are not just a leg or foot problem: they occur anywhere on the body, and every location deserves the same standard of evaluation.
- Not measurably improving
- Recurrent or reopening
- Deep structure involved
- Infection or necrotic tissue
Seven categories, one question.
A wound can deserve specialty evaluation because it is complex from the start or because its healing has stalled. Each of these categories may warrant an early assessment. Evaluation first; intervention only when appropriate.
Wounds that have stopped progressing
Minimal size reduction, persistent nonviable tissue, or recurrent breakdown despite appropriate care.
Evaluation details → 02Deep wounds
Exposed bone, tendon, fascia, or hardware, including wounds with undermining or tunneling.
Evaluation details → 03Chronic pressure injuries
Stage 3 or 4 injuries, recurrent wounds, and pelvic, ischial, or sacral pressure injuries.
Evaluation details → 04Diabetic foot wounds
Recurrent infection, necrosis, or a wound that has not improved despite appropriate offloading.
Evaluation details → 05Venous ulcers
Ulcers that remain open despite appropriate compression and evidence-based treatment.
Evaluation details → 06Non-healing surgical wounds
Infection, tissue loss, dehiscence, or dead space after a prior procedure, including post-amputation revision.
Evaluation details → 07Wounds requiring reconstruction
Wounds that may require surgical care reconstruction or advanced biologics to close, with candidacy evaluated first.
Evaluation details →Dressings alone may not address the underlying structural problem.
A deep wound with exposed bone, a stage 4 pressure injury, or a diabetic foot wound that keeps failing despite offloading isn’t a dressing-selection problem. Some chronic pressure injuries require surgical planning, not simply ongoing dressing changes, and some diabetic foot wounds become limb-preservation cases.
That’s what the evaluation is for: determining which wounds have a structural, infectious, or reconstructive component that conservative care alone can’t resolve, and which simply need a refined conservative plan.
Most wounds heal with conservative care. The ones that don’t deserve a decision, not another month of the same plan.
Not sure which category a wound falls into?
That’s exactly what the evaluation answers. Urgent referrals are scheduled within the week, and a structured note goes back to the referring provider after every encounter.