Chronic Wounds: Causes and Treatment

Chronic Wounds PTCOA
Non-healing wounds can cause serious infections and extensive pain. They may also require hospitalization.

Comprehensive wound care can help facilitate healing in a variety of wounds, including pressure ulcers, diabetic ulcers and other non-healing wounds.

Most Common Causes of Chronic Wounds 

When a wound has not properly healed after six weeks, it is considered chronic or non-healing. This is often due to underlying conditions or disorders that need to be addressed with additional medical care. 

Some of the most common underlying causes for chronic wounds include: 
  • Diabetes
  • Vascular Diseases (Peripheral Artery Disease)
  • Limited Mobility
  • Repeated Trauma to Wound Site
  • Infection-Causing Bacteria (staphylococcus aureus)
  • Edema (swelling)
Common types of chronic wounds include venous ulcers, arterial ulcers, diabetic ulcers and pressure ulcers. 

Venous and Arterial Ulcers

Venous ulcers develop after damage to a vein, most commonly the veins in the legs and ankles. Varicose veins and chronic venous insufficiency can contribute to the development of venous ulcers. 

Arterial ulcers, also known as ischemic ulcers, are caused by a lack of oxygen-rich blood in the lower extremities. As an area is deprived of adequate blood flow, the skin and underlying tissues begin to die. This leads to an open wound. 

Diabetic Wounds and Ulcers

Patients with diabetes have a 15% - 25% chance of developing a chronic wound. This is because diabetes (high blood glucose levels) causes the arteries to stiffen and the blood vessels to narrow. This can cause poor circulation and limit the ability of red and white blood cells to travel to wound sites. 

Diabetes can also cause peripheral neuropathy (nerve damage), especially in the legs, ankles and feet. This may cause lack of sensation and increase a person’s risk of sustaining wounds in the lower extremities. 

Additionally, increased inflammation and immune system problems--both common side effects of diabetes--can also contribute to slow healing. 

It is important for individuals with diabetes to perform regular self-checks for wounds, especially on the bottoms of the feet, ankles and hard-to-see parts of the legs. Diabetic foot care, including daily moisturizing and special socks and shoes, may be recommended to reduce the risk of foot wounds in diabetic individuals. 

Pressure Ulcers

Pressure ulcers--previously called bedsores--are injuries to the skin that occur after prolonged pressure, friction and moisture on a part of the body. Typically, pressure ulcers occur in areas with bony prominences, such as the heels, ankles, coccyx, and hips. 

When a part of the body comes in contact with a surface, like a chair or bed, for a long period of time, blood supply to that area is diminished. Over time, lack of oxygen-rich blood causes the cells to die and the skin to begin breaking down. 

Untreated pressure ulcers are a serious concern. If left untreated, a pressure ulcer can reach deeper layers of the skin, including the muscle and bone. This can cause large, open wounds that expose the deepest structures of the body. Untreated pressure ulcers can also lead to osteomyelitis (infection of the bone) or sepsis, among other complications. 

Pressure ulcers can occur in people of all ages, but are most likely to occur in individuals over 70 who have limited mobility. 

Obesity, being confined to a bed due to injury or illness, urinary or bowel incontinence and diseases like diabetes increase the risk of developing pressure ulcers. People with poor nutrition are also at increased risk.

The occurrence of a pressure ulcer requires immediate medical care.

Wound Care at Pain Treatment Centers of America

Are you searching for wound care in Arkansas? Pain Treatment Centers of America is proud to specialize in comprehensive wound care, including the treatment of non-healing pressure ulcers and pressure ulcers. 

Learn more about wound care or make your appointment with PTCOA by calling (844) 215-0731 today.
By Bob Berendsen February 1, 2026
Chronic or acute pain has the potential to significantly impact your daily life, making even everyday tasks a hassle. Pain Treatment Centers of America believes that knowing your medication options is a crucial step in building an appropriate, personal pain management strategy. While many treatment options are available, pharmacologic therapy has been the peak of comprehensive care. Types of Medications Used in Pain Management Pain medications are not universalized. The selection of the right prescription depends on the pain type, severity, and medical history. Common categories include: 1. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) NSAIDs, such as ibuprofen or naproxen, tend to be the first line of defense for low levels of pain. They reduce swelling and provide comfort associated with conditions like arthritis, back pain, or joint injuries. In some patients, however, they can affect the stomach or kidneys. Therefore, careful studying and dosing guidance from a professional is key. 2. Acetaminophen Acetaminophen is mostly for general pain reduction and is sometimes combined with other treatments. Unlike NSAIDs, it doesn’t target swelling. Nonetheless, it can be effective for pain relief and daily improvement. 3. Muscle Relaxants For pain caused by muscle spasms or tension, muscle relaxants can provide relief. These medications work by calming overactive muscles and are usually prescribed for short-term use to prevent dependency or side effects. 4. Antidepressants and Anti-Seizure Medications Certain antidepressants and anti-seizure drugs can treat neuropathic (nerve) pain. They work by altering how the nervous system processes signals of pain throughout your body. Even if you do not experience depression or seizures, these medications assist with pain control. 5. Opioids Opioids are strong pain-relieving medications chosen for more potent pain when other options aren’t doing the trick. At Pain Treatment Centers of America, we practice strict guidelines to minimize risks, evaluate patient progress, and ensure healthy, responsible use. A combination of Opioids can be introduced to other treatments as part of a multimodal pain management plan. Personalized Pain Management The effectiveness of medications is best when combined with other therapies; physical therapy, interventional procedures, and lifestyle changes. We work closely with each patient to structure a plan that focuses on the root cause of pain, not just the signs. Every treatment plan is carefully engineered, giving thought to variables like medical history, existing conditions, and possible side effects. Patients are taught how to use the medication safely, dosing schedules, and expectations of each prescription. Take the Next Step Understanding your medication options enables you to take charge of your pain and improve your life overall. If you’re having issues with chronic or acute pain, our professionals at Pain Treatment Centers of America will gladly help. We mix the most up-to-date pharmacologic therapies with personalized care to provide comfort, improve function, and enhance your total well-being. Schedule a consultation today to learn which pain management medications are a good fit.
By Bob Berendsen January 15, 2026
Winter, widely considered the season of comfort, is the time for indoor relaxation and quiet contemplation. However, winter also brings with it some very real dangers, including cold, dark, and slippery surfaces. For older adults or those dealing with chronic pain, a small slip on these surfaces can lead to serious injuries that take months to heal. The good news? You can train your body to handle these challenges. Let’s explore some simple, safe exercises you or your loved ones can do from the comfort of your home to build your winter-proof stability. Why Winter Increases the Risk of Falls Cold weather brings more than just chilly air. It changes the way we move, how our muscles respond, and even how we think about walking. When it’s icy, people tend to tense up, take shorter steps, and look down more often. Muscles also get tighter in the cold, which reduces flexibility. Plus, all those bulky layers of clothes mess with your center of gravity and limit how quickly you can react if you start to lose your balance. Your boots might be waterproof and warm, but they're probably not giving you the ankle support or ground feel you'd get from your regular shoes. Then there's the simple fact that many of us move less in winter. Maybe you skip your daily walks when it's freezing, or you stop going to that exercise class because driving feels too risky. But here's the catch: the less you move, the weaker you get, and the weaker you get, the more likely you are to fall. Building a Foundation To prevent this, you simply need to work on two main things: balance and strength. Physical therapy and balance-focused exercises train your muscles, joints, and nervous system to respond faster and more effectively when something throws you off. Balance Training Balance isn’t just about standing still without wobbling. It’s about how your body reacts when something throws it off center. When you step on ice, for example, your brain and muscles have to communicate in an instant to keep you upright. If that connection is slow or weak, you’re more likely to fall. Some simple ways to train your balance include: ● Single Leg Stands : Stand near a sturdy surface like a countertop or wall for support. Lift one foot slightly off the ground and hold that position for 10–15 seconds. Then switch sides. At first, you might wobble, but that’s perfectly normal. Over time, your legs, ankles, and core muscles will get stronger, and your balance will improve. Try doing 3 rounds on each leg daily. ● Heel-to-Toe Walk: Imagine you’re walking on a tightrope. Place one foot directly in front of the other, heel touching toe, as you move slowly across the room. This simple drill strengthens your stabilizing muscles and sharpens coordination. Keep your eyes forward, not down, and use a wall for light support if needed. ● Side Leg Raises: Hold onto a sturdy chair or counter. Lift one leg out to the side while keeping your back straight and your toes facing forward. Lower it slowly and repeat. This exercise builds hip strength, which plays a big role in staying upright on slippery ground. ● Weight Shifts: Stand with your feet hip-width apart and shift your weight from one leg to the other slowly. Feel your balance change from left to right. This gentle exercise teaches your body to adjust quickly. Strength Training Balance and strength go hand in hand. When your muscles are strong, they act like shock absorbers, keeping you stable even when your footing isn’t perfect. Focus on the muscles that support your posture and help you move safely. Here are a few simple exercises to include in your daily routine: ● Chair Squats: Sit down and stand up from a sturdy chair without using your hands for support. Keep your feet flat on the floor and your knees aligned with your toes. This move strengthens your thighs, hips, and glutes—key muscles for stability and control. ● Heel Raises: Stand behind a chair or counter and slowly lift your heels so you’re standing on your toes. Lower back down after holding for a few seconds. This helps strengthen your calves and ankles, improving the small muscle reactions that keep you upright when you slip. ● March in Place: Lift your knees high as if you’re marching. Do this for one to two minutes, rest, and repeat. Marching builds leg endurance and helps train your coordination. ● Core Squeezes: While sitting or standing, tighten your stomach muscles as if you’re zipping up a snug jacket. Hold for 10 seconds, then release. A strong core helps your upper and lower body work together to keep you balanced. These movements may look simple, but they’re powerful. Doing them for just 10–15 minutes a day can make winter walks safer and less stressful. Warming Up Before You Head Outdoors Cold weather tightens muscles and slows blood flow, making your body less responsive. That’s why warming up before heading outside is so important. Think of it as insurance against sudden slips. Try a short warm-up routine before stepping out: ● Arm circles to loosen shoulders. ● Gentle knee bends to wake up leg muscles. ● Shoulder rolls and neck stretches to improve mobility. ● A quick indoor walk or stair climb to raise your heart rate slightly. It’s also wise to check your footwear. Look for rubber soles with deep treads for better traction. Avoid smooth or worn-out shoes, and consider ice grips that attach to your boots if you live in a particularly snowy area. Winter doesn't have to be a season of fear. By investing just 10-15 minutes a day in these simple, safe exercises, you can build the strength and confidence you need to navigate the season safely. You are giving your body the tools it needs to stay upright, stable, and strong. When to Ask for Professional Help If you’ve had a fall before or feel nervous about losing your balance, it’s a good idea to get help from a physical therapist or pain specialist. They can assess your movement patterns and create a personalized exercise plan to strengthen weak areas. At Pain Treatment Centers of America , we often see patients who avoid movement due to fear of falling or pain. With guided therapy, they rebuild strength and confidence. Therapists also teach safe walking techniques, posture corrections, and stretching routines that make winter mobility much easier. Even if you’re recovering from an injury or dealing with chronic conditions like arthritis, a professional can tailor exercises that improve stability without aggravating pain. Our team at Pain Treatment Centers of America can provide you with the comprehensive care you need to manage your pain. Contact us to book an appointment!
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