At Advanced Dermatology Care in Los Alamitos and Agoura Hills, we specialize in the comprehensive treatment of pressure ulcers, also known as bedsores or decubitus ulcers. Pressure ulcers are painful, open wounds that develop when prolonged pressure on the skin reduces blood flow to the affected area. They commonly occur in individuals who are bedridden, use a wheelchair, or have limited mobility. These ulcers can develop on various parts of the body, but they most frequently occur on areas with prominent bones such as the hips, heels, tailbone, and elbows.

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What Are Pressure Ulcers?

Pressure ulcers develop in stages depending on the severity of the damage to the skin and underlying tissues:

  • Stage 1: The skin is intact but may appear red or discolored. The area might feel warm, firm, or soft.
  • Stage 2: The skin begins to break down, creating an open sore or blister. The wound may appear shallow, with a pink or red base.
  • Stage 3: The wound extends deeper into the skin, reaching the subcutaneous tissue. The ulcer may appear as a crater with visible tissue loss.
  • Stage 4: The ulcer has severely damaged the skin and tissue, extending into muscle or bone. It may be large and deep, with a risk of infection.

Causes and Risk Factors

Pressure ulcers are most commonly caused by continuous pressure on the skin that restricts blood flow. The risk factors for pressure ulcer formation include:

  • Limited mobility: Being immobile due to injury, surgery, or illness increases the risk of prolonged pressure on certain areas of the body.
  • Poor circulation: Conditions such as diabetes or vascular diseases can impair blood flow, increasing the likelihood of skin breakdown.
  • Incontinence: Moisture from incontinence can irritate the skin and contribute to the development of pressure ulcers.
  • Malnutrition: A lack of proper nutrients can delay wound healing and increase vulnerability to skin damage.
  • Age: Older adults, especially those with frail skin, are more prone to pressure ulcers.

Pressure Ulcer Treatment Options

At Advanced Dermatology Care, we provide personalized and effective treatment for pressure ulcers, focusing on promoting healing, preventing complications, and improving comfort. Our treatments are tailored to the severity and location of the pressure ulcer, as well as the patient’s overall health and medical needs.

1. Wound Debridement

Debridement involves removing dead or damaged tissue from the wound to promote healing and reduce the risk of infection. This can be done using surgical, mechanical, enzymatic, or autolytic methods, depending on the wound’s condition.

2. Advanced Dressings and Bandages

We use specialized wound dressings to create an optimal environment for healing. These dressings may help absorb exudate, protect the wound from infection, and keep the area moist to promote faster tissue regeneration. Options include hydrocolloid, foam, alginate, and antimicrobial dressings.

3. Negative Pressure Wound Therapy (NPWT)

Also known as vacuum-assisted closure (VAC), NPWT uses a specialized dressing connected to a pump that creates a vacuum around the wound. This promotes healing by improving blood flow to the area, removing excess fluid, and helping tissue grow back.

4. Compression Therapy

For pressure ulcers caused by poor circulation or venous insufficiency, compression therapy can help improve blood flow and reduce swelling. Compression bandages or stockings are applied to enhance circulation and promote wound healing.

5. Bioengineered Skin Substitutes

In some cases, bioengineered skin substitutes may be used to cover large or deep pressure ulcers. These synthetic materials provide a temporary solution while the body heals and can significantly speed up the regeneration of new tissue.

6. Antibiotics and Infection Control

Pressure ulcers are prone to infection due to the open nature of the wound. If infection is present, topical or systemic antibiotics will be prescribed to control the infection and promote healing. Proper wound care and hygiene are essential to prevent further complications.

7. Hyperbaric Oxygen Therapy (HBOT)

In certain cases, HBOT may be used to promote wound healing. By delivering 100% oxygen in a pressurized chamber, HBOT increases the oxygen supply to the tissues, encouraging faster healing of chronic or severe pressure ulcers.

8. Surgical Options

For deep or non-healing pressure ulcers, surgical intervention may be necessary. This may involve skin grafts or flap surgery to cover the wound and facilitate healing.

9. Nutritional Support

Proper nutrition is essential for wound healing. A diet rich in protein, vitamins, and minerals supports the repair of damaged tissue. In some cases, nutritional supplements may be recommended to ensure optimal healing conditions.

What to Expect During Pressure Ulcer Treatment

At Advanced Dermatology Care, we assess each pressure ulcer carefully and develop a customized treatment plan based on the specific needs of the patient. Depending on the severity of the ulcer, treatment may take place in our office or require follow-up visits for monitoring and adjustment.

Our goal is to manage the ulcer with as little discomfort as possible, using the latest technologies and techniques to enhance healing and minimize complications. Most treatments are non-invasive, and you will be encouraged to continue with your daily activities during recovery.

Prevention of Pressure Ulcers

Preventing pressure ulcers is key, especially for individuals who are at high risk. Some preventive measures include:

  • Frequent repositioning: Changing positions every 1-2 hours to relieve pressure from certain areas.
  • Using pressure-relieving devices: Specialized mattresses, cushions, and pads can help distribute pressure more evenly and prevent skin damage.
  • Maintaining good hygiene: Keeping the skin clean and dry is essential in preventing breakdown.
  • Proper nutrition: A well-balanced diet with sufficient nutrients can help maintain skin health and promote healing.

Schedule Your Consultation Today

If you or a loved one are dealing with a pressure ulcer or are at risk for developing one, Advanced Dermatology Care is here to help. We offer expert care, advanced treatments, and personalized support to manage and treat pressure ulcers. Contact our Los Alamitos or Agoura Hills office today to schedule a consultation with one of our experienced dermatologists.

Disclaimer: Results may vary from person to person.