Wound vac is a negative pressure suction using a sponge and occlusive draping to cover a wound to achieve accelerated healing. Wound vacs should only be placed on healthy red granulation tissue. Wound vac care and treatment in most cases is a simple procedure, but some cases require advanced skills and training to achieve desired results. Many wounds needing accelerating healing may need bridges, Y connectors, dressing separation and possible peri wound protection among other things. Healing wounds with a wound vac requires seeing your wound care team 2 to 3 times week for wound assessment, debridement and dressing changes.
Yukon Wound Care and Rehabilitations team of providers have over 25 years of experience in wound care and wound vac treatment. Our experience gives us advanced skills allowing us to think outside the box of traditional wound care and wound vac treatment. Beth verbalized, “This team gives a unique approach to wound care and vac treatment, not a cookie cutter approach applying the same steps and technique gained in initial training without regard for each person’s unique differences. They look and treat each person’s healing process, disease and body different.”
Our wound care patients get scheduling priority over other patients because wounds are very serious and get dangerous quickly. Scheduling is usually same day or the next day in most cases.
Call Joyce at 405-265-2255 for appointment scheduling.
Urostomy is a surgical procedure bypassing the bladder, making a stoma on the outside of the stomach to allow urine to flow. This procedure is performed to treat urinary diseases or other complications. In many cases the urostomy is temporary to allow healing, but some circumstances need to remain permanent. Urostomy treatment and care can be frustrating, painful and difficult for patients because urine constantly flows while changing the wafer / bag making it almost impossible to keep the skin clean and get a bag changed.
Urine on the skin can cause severe skin irritation and / or excoriation that becomes painful and too moist for the wafer to seal creating a viscous cycle for patients and provider. Our clinic provider is experienced in all stoma types including urostomies. Most patients are educated and healed in 2 to 3 visits. All of our wound care patients have priority getting scheduled because we know how painful and emotionally draining these types of wounds can be. Call our office at 405-265-2255 for and immediate appointment.
Ostomy. (n.d.). MedlinePlus – Health Information from the National Library of Medicine. https://medlineplus.gov/ostomy.html
Low back pain during pregnancy can be miserable for many new mothers, interfering with work, fun, sleep and daily activities. The pain usually begins in the 2nd trimester and generally located on one side of the low back and can cause radiating pain down the leg. Pain medication typically do not work for this type of pain and not recommended during pregnancy. Interventional treatment is usually physical therapy. Unfortunately, exercise is not helpful for this type of pain and in some exercise makes it worse.
Research shows acupuncture therapy and manual therapy are the most effective treatment. Our physical therapy clinic is extremely trained with excellent out-comes of 100% pain free after 1 to 3 visits. You do not need a prescription to schedule an appointment, but recommend contacting your physician before any treatment is started. Our clinic also provides same day service for patients experiencing severe pain.
Liddle, S. D., Pennick, V., & Liddle, S. D. (n.d.). Interventions for preventing and treating low‐back and pelvic pain during pregnancy. Cochrane Database of Systematic Reviews, 9.
Manual chest physical therapy and vibration is an aggressive patting to the chest with cupping hands followed by forced shaking of the chest. This technique helps relieve chest congestion and or bronchial blockage. Our clinic is highly trained in this type of therapy. At each visit we will evaluate your breath sounds, heart rate, respiratory rate, blood pressure and oxygen level. Manual chest PT and vibration is so successful most patients only require 1 to 3 visits to achieve 100% in breathing tolerance and capacity.
Diagnoses appropriate for chest PT are:
- Post Covid-19
- Bronchial blood clots
- Cystic fibrosis
- Bacterial infections
- Viral infections
- Fungal infections
- Interstitial pulmonary fibrosis
- Pulmonary edema
In addition to chest PT our clinic provides deep breathing exercise and cardio exercise to build strength and breathing tolerance allowing out patients to regain full function. You do not need a physician referral to get an appointment with us. However, we will attempt to email and / or call your primary care provider. Please call our office for an appointment 405-265-2255.
Frownfelter, D. L., Dean, E., & Dean, E. W. (2006). Cardiovascular and pulmonary physical therapy: Evidence and practice. Mosby.
Achilles tendinitis is an overuse injury of the Achilles tendon. The Achilles tendon is the thick band of tissue that connects your calf muscles to your heel bone. Types of overuse includes increasing speed or running long distances too quickly, suddenly adding hills or stair climbing to an exercise routine, stressing the calf muscle too soon after taking time off from exercising, or putting stress on the calf muscles when they are not yet ready for stress.
Achilles tendinitis can be common in all ages but is more common in older adult men due to the fact that the tendon weakens as we age, and also in young athletes due to repetitive stress and strain from intensive training. Other risk factors include poor flexibility, lack of range of motion, inverted foot structure, obesity/diabetes, poor exercise training program, poor footwear, or increased use of corticosteroids. There are two types of Achilles tendonitis:
- Insertional Achilles tendonitis which affects the lower portion of your tendon where it attaches to your heel bone.
- Noninsertional Achilles tendonitis which involves fibers in the middle portion of the tendon and tends to affect younger people who are active.
The pain associated with Achilles tendinitis typically begins as a mild ache in the back of the leg or above the heel after increased activity. Stiffness and tenderness can also occur with decreased use of the extremity. For example, an individual may experience stiffness with weight bearing when getting out of bed due to inactivity. People may also have difficulty wearing shoes due to increased swelling around the tendon site.
The most common treatment for acute tendinitis would be supportive care with rest and ice. This means stopping the activities that make pain worse and placing ice on the area that is inflamed and painful multiple times a day. Ankle taping to support the tendon has also been shown to be a helpful at home remedy. If pain persists and lingers, another option would be non-steroidal anti-inflammatory medication to assist with reducing pain and swelling. Physical therapy is a common route to take with both acute and chronic cases of Achilles tendinitis. Soft tissue mobilization and calf stretching are common treatments in physical therapy. There are also methods that have been proven helpful like cupping and dry needling. These can be performed on the tendon site if other conservative methods haven’t done the job.
Extracorporeal shockwave therapy can be used to stimulate healing. This is not a very common procedure and it has not shown consistent results. This is normally implemented on chronic cases of tendonitis when all conservative methods listed above have failed. ESWT uses high energy shockwave impulses to stimulate the healing process in damaged tendon tissue. It is a non-invasive procedure and is occasionally tried before surgery is considered.
If pain persists for more than 6 months after all conservative treatments, then surgery should be considered. The specific type of surgery will depend on the location of the tendinitis and the amount of damage to the tendon. Physical therapy is recommended after an Achilles tendon surgery and is an important part of recovery. Many patients require a year of rehab from start to finish before they are pain free.
Prevention of Achilles tendinitis can be taken in many ways. First, by wearing proper footwear that allows cushioning and arch support. Second, by slowly increasing activities and easing into new routines. And lastly, making it a priority to stretch and strengthen your calf muscles daily to improve agility and make the tendon less prone to injury.
Wound dehiscence is an opening of incision edges and can be ether full or partial. It can become a very serious issue if not treated. Contact your medical doctor, surgeon or wound care specialist for help in the healing. Your medical doctor and / or surgeon may refer you to a wound care specialist to help with the management and healing. There are many reasons why dehiscence occurs and it is usually no fault of your surgeons or you.
General reasons include:
- Infection at or around incision site
- Weight / pressure at or around incision
- Taut sutures
- New injury at or around incision site
- Fragile skin and / or muscle near or at incision
- Improper suturing
- High or long-term use of corticosteroids
Population at risk include:
- Obesity or being over weight
- Poor nutrition and eating habits
- Diabetes Mellitus type I and II
- Cancer in or around site
- Previous scars or radiation in or around site
- Lifting or exercising to early after surgery
- Increased pressure at or around suture site from fluid collection, tissue inflammation, excessive coughing or vomiting
- Anyone taking high or long-term corticosteroids
- Other medical conditions that could compromise healing
Signs and symptoms include:
- Bleeding in or around site
- Swelling in or around site
- Redness in or around site
- Ruptured sutures
- Open incision site
Your medical doctor, surgeon or wound care specialist will need to diagnose the wound and may include:
- Infection using fluid samples from the wound
- Blood test
- CT scan
Possible treatment might include:
- Oral antibiotics
- Wound care dressing changes
- Referral for wound care specialist
- Wound vac
- Return to surgery
Dehiscence prevention might include:
- Antibiotics before or after surgery
- Light pressure around incision
- Keep incision clean and dry
Duffek, C. (2019, September). Wound Dehiscence. http://web.b.ebscohost.com/rrc/delivery?vid=14&sid=6d25b6f2-e306-4d9e-a56f-0bb1337653e6%40sessionmgr101.