NES
Northwest Extremity Specialists · Portland podiatry & orthopedics · 8 clinics across Greater Portland
Diabetic & non-diabetic

Wound care

Specialized foot and ankle wound care — including advanced therapies and limb-preservation surgery when needed.

503-245-2420
Wound care
About this service

What is wound care?

Foot and ankle wounds — especially in patients with diabetes, neuropathy, or poor circulation — can escalate quickly without specialized care. Our wound program combines weekly debridement, advanced dressings, in-house imaging, custom offloading footwear, and surgical reconstruction when conservative care is not enough. Dr. Yama Dehqanzada at Tigard Oleson and Wilsonville is currently accepting new wound-care patients; other providers manage established wounds and Charcot-foot cases.

Animations licensed from ViewMedica · Swarm Interactive

What we treat

Common reasons to see wound care

Diabetic foot ulcers
Non-healing surgical wounds
Pressure ulcers from foot deformity
Charcot foot complications
Venous and arterial leg ulcers (foot/ankle)
Infected wounds requiring debridement
Post-amputation wound management
From symptoms to solutions

How we diagnose

A wound-care visit starts with imaging and assessment — depth, infection signs, circulation status, and any underlying deformity creating pressure on the wound. On-site digital X-ray rules out underlying osteomyelitis. We document the wound at every visit so you and your primary care team can see progress objectively. For acute or rapidly deteriorating wounds, call us right away — we will see you the same day when possible.

Treatment options

Treatments we offer

Most foot amputations in diabetic patients are preventable with timely, specialized wound care. Our program is structured around catching problems early, offloading pressure mechanically, and using advanced therapies when standard dressings are not enough.

Sharp debridement
Removal of necrotic tissue to allow healthy granulation. Performed in-office, typically painless thanks to neuropathy in most patients.
Advanced wound dressings
Collagen, alginate, silver, foam, and other modern dressings matched to wound type.
Wound VAC therapy
Negative-pressure wound therapy for stalled or deep wounds.
Bioengineered skin substitutes
Skin grafts and growth-factor treatments for wounds that have not closed with standard care.
Custom diabetic shoes and inserts
Offloading footwear that prevents recurrence — fit and dispensed in clinic, covered by Medicare and most plans.
Total contact casting
For neuropathic ulcers that need complete offloading to heal.
Surgical reconstruction
Removal of pressure-causing deformity, infected bone, or Charcot reconstruction when conservative care has not closed the wound.
FAQ

Frequently asked questions

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