What We Do
At Indy Wound we provide our patients with knowledgeable, advanced, evidenced based care for all types of wounds and related conditions. Dr. Miller prides himself on providing quality care and, specializes in treating severe, debilitating non-healing wounds. He has been a leading expert on wound care for over twenty years. His expertise has taken him all over the world to share and teach his skilled wound care techniques. Dr. Miller's success and continued positive patient outcomes have him in high demand, all over Indiana.
Every wound treatment approach is unique to the individual patient. This ensures that we maintain our excellent standard of care, and uphold our positive patient outcomes. Dr. Miller will provide an in-depth initial assessment, to determine a tailored approach to heal your wound(s). Due to the fact that wound healing is a dynamic process, re-assessments are routinely completed to evaluate your healing progress. This also helps Dr. Miller to determine if different approaches are needed, in the various stages of your wound healing process. Below is an explanation of some of the treatment approaches we use at Indy Wound.
Negative Pressure Wound Therapy
This is a special sealed dressing placed on a wound, which is than applied to a vacuum system. The intermittent or continuous pressure (depending on your wound type, and stage of healing) from the vacuum helps to draw out excess fluid from the wound bed. This also creates an increase of blood flow to the wound area, which also promotes healing.
Multi-Layer Compression Wraps
These are used to provide venous pressure. This helps to eliminate swelling or edema. These wraps will feel snug on your legs, and can be left in place for up to a week. Depending on your individualized assessment, they may need to be changed more frequently. It is important to NOT GET THESE DRESSINGS WET, and to complete range-of-motion pumping exercises with your ankle. This helps to eliminate the swelling, and is an essential part of the treatment process. As your edema decreases, you can expect these wraps to become loose, and potentially slip out of place. This is a normal part of the healing process. If this occurs let us know, so we can provide you with personalized care instructions. After the multi-layer compression therapy, you will be fitted for compression garments to prevent further edema.
This absorbs moderate to large amounts of drainage. The natural calcium in the dressing exchanges with sodium in the wound; this calcium-sodium exchange, changes excess drainage into gel, thus providing an ideal moisture environment for wound healing.
Foam is used on high draining wounds, as it is very absorbent, and helps to protect the wound and surrounding tissue from moisture breakdown. Most foam can be left in place for several days, which decreases the need to disturb the wound and wound healing process.
Barriers to healing
- Excess moisture
- Dry wound edges
- Dry wounds bed
- Pressure on the wound
- Friction to the wound