Learn More About our treatments
Advanced Wound Care Services for Chronic & Non-Healing Wounds
We provide comprehensive wound care treatment for patients dealing with chronic wounds, slow-healing wounds, and complex wound conditions. Our team treats venous ulcers, arterial ulcers, diabetic foot ulcers, surgical wounds, pressure injuries, and other non-healing wounds using advanced, evidence-based therapies.
If you or a loved one has a wound that is not improving, we focus on identifying the root cause and creating a personalized treatment plan designed to promote faster healing and prevent complications.
Types of Wounds We Treat
We specialize in the treatment of:
- Venous ulcers
- Arterial ulcers
- Diabetic foot ulcers
- Surgical wounds
- Pressure ulcers (bed sores)
- Chronic non-healing wounds
Advanced Wound Healing Treatments
We offer advanced therapies commonly used in modern wound management, including:
- Negative Pressure Wound Therapy (wound vac)
- Platelet-Rich Plasma (PRP) therapy
- Skin substitutes and graft applications
- Debridement (removal of damaged tissue to promote healing)
- Multilayer compression therapy for venous disease
- Infection control and wound bioburden management
- In-house lab testing for faster results
- Ordering wound care supplies for home use
These treatments help reduce infection risk, improve circulation, and stimulate natural healing.
Our treatment approach follows the widely recognized DIME framework, which focuses on:
- Debridement – Removing non-viable or damaged tissue to promote healthy healing
- Infection and Inflammation Control – Managing bacterial burden and reducing inflammatory barriers to healing
- Moisture Balance – Maintaining the optimal wound environment for tissue repair
- Edge Advancement – Encouraging healthy tissue growth and wound closure
Diagnostic Testing & Pre-Treatment Evaluation
Successful wound healing often depends on addressing underlying medical conditions. Prior to or alongside wound care treatment, patients may require evaluation for contributing factors such as vascular disease, diabetes, or nutritional deficiencies.
We recommend that patients complete appropriate diagnostic testing through their primary care provider or specialist before beginning advanced wound care. This may include:
- Vascular evaluations and referral to vascular specialists when needed
- Blood work such as Albumin and Hemoglobin A1c testing
- Diagnostic imaging including venous studies, arterial studies, and ABI testing
- Nutritional assessment to support tissue repair
By ensuring underlying conditions are properly evaluated and managed, we can improve healing outcomes and reduce the risk of recurrence.
Our Approach to Wound Care
We believe wound care should be thorough, compassionate, and personalized. Our goal is to:
- Promote faster healing
- Prevent infection and complications
- Reduce pain and discomfort
- Improve overall quality of life
If you are searching for expert wound care treatment for a chronic wound or non-healing ulcer, our team is here to help.
Palliative Care
Adult palliative care helps manage pain and complex symptoms while supporting patients and families through every stage of treatment.
Pediatric Palliative Care
When a child is living with a serious or chronic illness, care needs to go beyond treating symptoms alone. Pediatric palliative care focuses on improving comfort, quality of life, and overall well-being for both the child and their family.
At our clinic, pediatric palliative care is specialized medical support designed to help children manage pain and other symptoms related to complex medical conditions. This care can be provided at any stage of illness and can be given alongside curative or life-prolonging treatments.
It is not hospice care. Palliative care supports children from the time of diagnosis forward, with the goal of helping them live as fully and comfortably as possible.
Who Pediatric Palliative Care is For:
Pediatric palliative care may benefit children with:
- Chronic or complex medical conditions
- Neurological disorders
- Genetic conditions
- Cancer or blood disorders
- Serious organ or metabolic diseases
- Ongoing pain or symptom burden
Eligibility is based on your child’s needs and symptoms, not on their prognosis.
Child + Family Approach
Children are not simply small adults. Their bodies, development, and emotional needs are constantly changing. Illness affects not only the child, but the entire family.
Our approach addresses:
- Pain and physical symptoms
- Emotional and psychological support
- Developmental considerations
- Social and spiritual needs
- Guidance with medical decision-making
We work collaboratively with your child’s existing medical team to ensure coordinated, comprehensive care.
How Pediatric Palliative Care Works:
Referral: A child may be referred by a physician, specialist, or family member at any point during illness.
Comprehensive Assessment: We evaluate your child’s symptoms, treatment plan, and overall needs.
Personalized Care Plan: We create a tailored plan that evolves as your child grows and their needs change.
Ongoing Support: Care may be provided in clinic, hospital, or coordinated with other providers. Our goal is to reduce suffering, improve function, and support your family throughout the journey.
Supporting Parents & Caregivers:
Parents often carry enormous emotional and practical responsibilities. Pediatric palliative care also provides guidance, education, and support to caregivers navigating complex medical decisions.
You are not expected to manage this alone.
Skin Punch Biopsy for Small Fiber Neuropathy
When Pain is Real, Even if Other Tests Look Normal
Many patients live with burning, stabbing, or electric-like nerve pain for months or even years, only to be told that their nerve conduction studies or imaging look “normal.”
Small fiber neuropathy affects the smallest sensory nerves in the body. These nerves are responsible for pain and temperature sensation and can also influence certain automatic body functions. Because traditional nerve tests primarily evaluate larger nerve fibers, damage to these smaller nerves can go undetected.
This can leave patients with real symptoms but no clear explanation.
What is ENFD Testing
Epidermal Nerve Fiber Density (ENFD) testing is a minimally invasive 3 mm punch skin biopsy used to measure the number of small nerve fibers in the epidermis.
It is widely considered the gold standard diagnostic test for Small Fiber Neuropathy (SFN).
Unlike EMG or nerve conduction studies, ENFD testing can detect early small fiber nerve damage. This allows physicians to objectively confirm neuropathy even when traditional nerve tests appear normal.
Why This Test Matters
When symptoms don’t match previous test results, it can be frustrating and isolating.
ENFD testing provides measurable data that can help clarify what is happening beneath the surface.
This testing helps physicians:
- Confirm whether small fiber nerve damage is present
- Validate neuropathic pain symptoms
- Identify patterns consistent with small fiber neuropathy
- Guide more targeted treatment decisions
- Support further evaluation for potential underlying causes
Instead of relying on assumptions, ENFD testing provides objective information that helps move care from uncertainty to clarity.
Key Clinical Advantages
ENFD testing offers several important benefits:
- Detects small fiber neuropathy with approximately 80–90% sensitivity
- Identifies neuropathy earlier than EMG or nerve conduction testing
- Quick in-office procedure that typically takes about 5 minutes
- Minimally invasive with minimal discomfort and no sutures required
For many patients, this test provides something they have been missing: objective confirmation and a clearer direction for treatment.
Who May Benefit From Small Fiber Neuropathy Testing?
This evaluation may be appropriate for adults or pediatric patients experiencing:
- Burning, tingling, stabbing, or electric-like nerve pain
- Numbness or abnormal temperature sensation
- Persistent neuropathic pain despite normal EMG or nerve conduction studies
- Symptoms that began in the feet and progressed upward
- Neuropathic pain that remains unexplained by routine testing
Testing may also be considered in patients with conditions such as:
- Diabetes or prediabetes
- Chronic neuropathic pain syndromes
- Complex Regional Pain Syndrome (CRPS)
- Fibromyalgia with neuropathic features
- Idiopathic peripheral neuropathy
- Autoimmune or inflammatory-related neuropathies
Eligibility is determined through clinical evaluation and symptom patterns.
What to Expect During the Procedure
ENFD testing is performed in the office using a small skin punch biopsy.
The typical biopsy protocol includes:
- Identifying patients with neuropathic symptoms or metabolic risk factors
- Ordering the ENFD biopsy with the appropriate diagnostic coding
- Performing four small 3 mm punch biopsies from specific areas such as the distal leg, proximal leg, thigh, or a contralateral comparison site
- Sending the samples to a CLIA-certified laboratory for specialized nerve fiber staining and analysis
- Receiving a quantitative report within 5 to 7 days showing nerve fiber density measurements
During the procedure:
- A small area of skin is cleaned and numbed
- A tiny circular sample of skin is removed
- The biopsy site is covered with a bandage and simple aftercare instructions are provided
The procedure is brief and typically very well tolerated.
Understanding Your Results
If reduced nerve fiber density is identified, the findings can support a diagnosis of small fiber neuropathy. This information allows physicians to:
- Refine treatment plans
- Investigate potential underlying causes
- Adjust medication strategies when appropriate
- Document objective findings for ongoing care
If results are normal, that information is also valuable. It helps narrow the list of possible causes and guides the next steps in evaluation.
A Step Toward Answers
Living with chronic nerve pain can feel invisible. When other tests fail to explain what you are experiencing, it does not mean your symptoms are not real.
ENFD testing offers another layer of insight. For many patients, it provides the first measurable confirmation of what they have been feeling.
If you have been searching for answers about persistent nerve pain, this evaluation may be an important step toward clarity and effective treatment.
Pain Management
At our medical center, our highly trained medical staff specializes in providing comprehensive pain management services to help our patients manage and alleviate their pain. Our team consists of experienced pain management specialists who are dedicated to developing personalized treatment plans that address each patient's unique needs and concerns. Whether it's chronic pain, acute pain, or pain related to a specific condition or injury, our team has the expertise to offer medication management. We offer a range of medications to help manage back pain, including nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and opioids (when appropriate and in accordance with safe prescribing practices). Our goal is to help our patients achieve optimal pain relief and improve their quality of life.