Treatment options are selected, not assumed

Treatment pathway
Advanced Wound Care
A structured, diagnosis-led approach for chronic, complex and slow-healing wounds—not dressing changes in isolation.
A wound that is not improving deserves a clear assessment of its cause, blood supply, pressure and infection risk rather than repeated dressings alone.
Treatment overview
Care is shaped around the person, the diagnosis and the goal.
A structured, diagnosis-led approach for chronic, complex and slow-healing wounds—not dressing changes in isolation. Care considers wound cause, depth, tissue condition, infection risk, circulation, pressure, nutrition and the surrounding skin before selecting an appropriate pathway. Some wounds need a change in the cause of pressure or blood flow before they can heal.

Treatment context
Who may benefit
A clear assessment helps identify the right pathway.
A wound that is not improving deserves a clear assessment of its cause, blood supply, pressure and infection risk rather than repeated dressings alone.
01How the plan is built
02Treatment options are selected, not assumed
03Follow-up matters
How the pathway works
Understand the care before it begins.
Care considers wound cause, depth, tissue condition, infection risk, circulation, pressure, nutrition and the surrounding skin before selecting an appropriate pathway. Some wounds need a change in the cause of pressure or blood flow before they can heal.
Follow-up matters
What to expect
Treatment is reviewed as needs change.
Assess
Depending on the assessment, the care plan may include debridement, selected dressings, negative pressure wound therapy, pressure management, skin-grafting assessment, specialist adjunctive options or referral coordination. Any adjunctive option is considered alongside appropriate standard wound care and only when clinically appropriate.
Plan
Healing is monitored over time with regular review of wound progress, skin protection and warning signs. Plans change when the wound or a person’s overall health changes.
Provide care
The clinician explains the next step in the context of your findings.
Follow up
The clinician explains the next step in the context of your findings.
Treatment modules
Practical care, explained clearly.
Treatment options are selected, not assumed: Depending on the assessment, the care plan may include debridement, selected dressings, negative pressure wound therapy, pressure management, skin-grafting assessment, specialist adjunctive options or referral coordination. Any adjunctive option is considered alongside appropriate standard wound care and only when clinically appropriate.
Follow-up matters: Healing is monitored over time with regular review of wound progress, skin protection and warning signs. Plans change when the wound or a person’s overall health changes.
Protect your feet between reviews.
Keep changes protected, avoid unadvised self-treatment and seek advice if symptoms worsen or do not improve.
The next step should be clear.
A timely assessment helps match care to the diagnosis, risk and practical needs of the person.
Common questions
When should I seek medical advice?+
A new wound, spreading redness, swelling, discharge, odour, colour change, or a hot, cold or painful foot should be assessed promptly. If you feel very unwell, seek urgent or emergency care.
How is the right pathway chosen?+
A clinician considers the diagnosis, symptoms, skin or wound, sensation, circulation, pressure, footwear, medical history and your goals before recommending next steps.
What should I bring to an appointment?+
Bring recent reports, a medication list, details or photographs of changes over time and your usual footwear when relevant.
Continue the care journey
The right next step depends on the clinical picture.
Explore the related pathways that may be discussed after assessment.
Make an appointment
Find the right next step for advanced wound care.
Our team can help you understand what needs assessment and what information to bring. Diagnosis and treatment depend on an in-person review.

Dr. A. Nirupan Chakkaravarthy
Consultant Podiatrist · Limb Salvage Specialist
This guide is for general education and does not replace an in-person assessment.


