Wound Care

When you are in need of caring, compassionate, and effective wound care, you will find it at Carilion Clinic.

Our state-of-the-art Wound Healing Center in Roanoke, Virginia is dedicated to helping your wound heal as quickly as possible so you can promptly return to your normal daily activities. Our healthcare team is specially trained in wound care and includes:

  • Physician specialists
  • Certified wound care nurses
  • Nurse practitioners
  • Highly trained clinical hyperbaric managers and staff
  • Health care educators

If you have a wound that has not begun to heal in two weeks, or has not healed completely in six weeks, visit Carilion’s Wound Healing Center. We treat:

  • Diabetic ulcers, including total contact casting
  • Acute wounds, including burns
  • Surgical wounds
  • Traumatic wounds
  • Neuropathic ulcers (foot ulcers)
  • Osteomyelitis (bone infection)
  • Vasculitis (blood vessel inflammation)
  • Peristomal skin irritations (ostomy wounds)
  • Other chronic, non-healing wounds

Ostomy Care

We have a team of doctors and nurses who specialize in ostomy care and are available to help people who have issues related to ostomy, including wounds or rashes. We can also refit appliances.

Hyperbaric Oxygen Treatment

Hyperbaric oxygen treatment (HBOT) is a novel type of wound treatment in which you breathe in 100 percent oxygen inside a pressurized chamber.

At Carilion’s Wound Healing Center, we use HBOT to rapidly deliver high concentrations of oxygen to your bloodstream to speed the healing of wounds and fight off infection. HBOT also stimulates the growth of new blood vessels, improving circulation and aiding the growth of new tissue.

In combination with other medical treatments, we use HBOT to treat a variety of conditions, including:

  • Wounds that have not healed in several weeks
  • Crush injuries
  • Necrotizing (‘flesh eating’) soft tissue infections
  • Osteomyelitis (bone infection)
  • Radiation tissue damage
  • Skin grafts and flaps
  • Diabetic wounds of the lower extremity
  • Acute traumatic injury
  • Gangrene

Once inside the chamber, you will be comfortably positioned, the pressure will gradually increase, and the temperature will temporarily rise. You may experience a sensation of fullness in your ears (similar to the feeling of pressure when flying in an airplane or driving in a mountainous area) as your ears adjust to pressure changes. Your technician will give you tips on how to relieve this pressure before your treatment begins. Most treatments last about two hours, during which time you can watch TV, relax, or even sleep.

Diabetes Wound Care

Diabetes affects many body systems, including the nerves, blood vessels, muscles, and immune system—making a person with diabetes more likely to get an infection (especially a foot infection) followed by a wound. Wound prevention is critical when you have diabetes, because wounds—especially foot wounds—can be very difficult to heal.

At Carilion’s Wound Healing Center, our treatment options for diabetic wounds or ulcers, especially those involving the feet, include lab studies and X-rays, antibiotics, dressing or ointment applications, physical therapy, and hyperbaric oxygen therapy as needed.