The physical therapists at Northwell Health Rehabilitation Network provide wound care services to manage a variety of wound causes, including:
- Vascular insufficiency-arterial, venous and lymphedema
- Pressure injuries
- Diabetic foot injuries
- Burn injuries
- Traumatic injuries
- Surgical complications and other chronic wound conditions that have failed to heal
The therapists are able to evaluate the wound, set up a plan of care, implement their interventions, monitor the wound’s progress, and address the functional impairments affected by the wound. Some of the skilled interventions they provide include wound bed preparation though mechanical means such as sharp excisional debridement, scrubbing and hydrotherapy. They can provide dressing recommendations to facilitate healing, and educate the patient and their caregivers in how to manage the wound and their wellbeing.
Therapies used that can facilitate wound healing include:
- Electrical stimulation
- Cold laser
- Photo therapy (ultraviolet and infrared)
- Hyperbaric oxygen therapy
- Negative pressure wound therapy
The physical therapists also manage soft tissue swelling with compression therapy, as commonly found with patients with venous insufficiency or lymphedema. Patients with diabetes can also benefit with the expertise of a therapist by their ability to apply total contact casting, appropriate shoe wear and orthotic recommendations.