Wound care is usually needed when a patient has a wound or ulcer that has not healed in a normal amount of time. This can be caused by the nature of the wound, infection, or medical problems that can cause poor circulation or poor healing. A common disease that causes poor wound healing is diabetes. Diabetes can cause poor circulation and without adequate blood supply, wounds can not heal. Another common group of problems that can interfere with wound healing are autoimmune diseases such as Rheumatoid arthritis, Psoriatic arthritis, Reiter's syndrome, Ankylosing spondylitis, Enteropathic arthritis, Lupus, Sjogren's syndrome. This group of diseases causes poor collagen formation which is needed to allow the wounds to heal. Without collagen proper repair of the surrounding ligament, muscles, skin layers and scar tissue cannot properly form.
When poor wound healing occurs, specialized treatment and wound care products are often required. Poor circulation often requires revascularization before wound healing can take place. A referral to a vascular specialist is required. Once circulation is at its optimum, various wound care agents are utilized to create the best wound healing environment. Adjunct treatment with hyperbarric oxygen can be utilized in certain cases. When poor collagen healing is present, often specialized wound care agents are utilized in conjunction with medications provided by a rheumatologist. Other specialists such as an infectious disease doctor is often consulted to assist with the most appropriate antibiotics.