Doctor cleaning and dressing a deep leg wound on a patient in a medical clinic.

Managing Chronic Wounds: A Comprehensive Guide

March 29, 20259 min read

Understanding Chronic Wounds & How to Treat Them

Comprehensive Care for Persistent Wounds and Their Underlying Causes

Not all wounds heal by themselves as time passes. Some might stay the same, worsen, or even get infected, no matter how much you care for them. These are called chronic wounds. They require more than just basic bandages or creams from the store. At Royal Wound Care, we are skilled in treating these tough wounds with care, expertise, and the latest medical techniques. This guide will cover what you need to know about non-healing wounds, what can cause them, the warning signs, and most importantly—how to treat chronic wounds safely and well.

Related: How To Avoid Common Wound Care Mistakes

Chronic Wounds

A chronic wound is a kind of wound that does not heal within four to six weeks. It doesn't go through the usual healing steps, like clotting, inflammation, tissue growth, and remodeling. Instead, healing comes to a stop. This can occur due to infection, poor circulation, or other health issues.

Common types of long-lasting wounds are diabetic ulcers, leg ulcers, pressure injuries, arterial wounds, wounds from surgery, and injuries that do not heal properly. The National Institutes of Health report that these wounds affect many people. This is especially true for older adults and those who have diabetes or heart problems.

Royal Wound Care professional bandaging a man's injured hand in a clinical office setting.

Chronic Wound Treatment

The key to treating chronic wounds is understanding both the wound and the health problems that can slow down healing. At Royal Wound Care, we consider the entire person and their life. We do not only look at the wound itself. We also examine blood flow, the immune system, other health issues, nutrition, and lifestyle. Additionally, we provide wound pathology services, which includes reviewing wound biopsy results when necessary.

Treatment plans often include several key methods. These methods are advanced wound dressings, debridement to get rid of dead tissue, and offloading to ease pressure. The plan also has the use of hyperbaric oxygen therapy and skin grafts for significant tissue loss. Our care team works together with patients and their families. We want to restore comfort, function, and mobility. We also aim to lower the risk of infection or amputation.

Related: How To Take Care of Your Wound After Surgery

Non-Healing Wounds

Non-healing wounds are wounds that remain open and do not close up even after several weeks of proper care. These wounds often have dead tissue, poor circulation, and a higher risk of infection. They can cause ongoing pain and emotional stress. This can make it hard for a person to manage everyday life.

Some reasons that create non-healing wounds* are diabetes, a weak immune system, bad nutrition, smoking, and lack of movement. If you do not treat these wounds quickly and properly, they can lead to serious issues like sepsis or may even need amputation. This is why it's really important to visit a wound care specialist as soon as possible.

Royal Wound Care nurse applying antiseptic to a chronic wound on an elderly patient’s leg.

How to Treat Chronic Wounds

Knowing how to treat chronic wounds means taking care of the wound itself as well as helping the whole body heal. At Royal Wound Care, we customize our methods using clinical research and real-life results.

Treatment usually begins with a thorough physical exam. This exam looks at how big and deep the wound is. It also checks for drainage and the quality of the tissue. Once we have that information, we pick the right treatments. We base this decision on the state of the wound bed, what type of wound it is, and how likely it is to get infected.

Treatments may include:

  • Surgery or enzymes can remove dead tissue.

  • Special dressings help with tissue repair, reduce bacteria, and promote cell growth.

  • Offloading devices or compression bandages assist wounds from pressure or vein issues.

  • Hyperbaric oxygen therapy increases oxygen levels and speeds up healing.

  • Managing pain and teaching can lead to better results for patients.

We tailor every part of care to meet the patient’s needs and health condition. This ensures that we can achieve long-term success.

Royal Wound Care home caregiver helping an elderly woman take medication while resting in bed.

Signs of Chronic Wound Infection

Infection is a big risk for people with chronic wounds. It is very important to notice the signs of wound infection early. Be sure to look out for:

  • Increased pain, redness, or warmth near the wound

  • A bad smell or unusual discharge (yellow, green, or bloody)

  • Dark or unusual edges on the wound

  • Fever, chills, or feeling tired

  • Wound worsening after it appeared to improve

If you or someone close to you has these symptoms, seek medical help immediately. Our healthcare professionals can diagnose and treat infections effectively. They use tests, swabs, and protocols based on clinical trials.

Diabetic Foot Ulcer Care

Diabetic ulcers on the feet are tough to treat and can become serious. They often start small. However, due to poor circulation and neuropathy, they can develop into deep wounds.

Treatment of diabetic foot ulcers includes several steps. First, doctors clean the wound to take away dead tissue. They also address any infections. Offloading devices can help lower the pressure on the foot. Keeping blood sugar in check is important, too. In some cases, skin grafts or hyperbaric oxygen therapy can help the healing process go faster.

Our team at Royal Wound Care offers full diabetic foot ulcer care. We help patients stay healthy and active. We work together with endocrinologists, podiatrists, and vascular specialists to provide a complete health care service.

Wound Dressing for Pressure Ulcers

Wound care for pressure ulcers requires the right wound dressing and pressure relief. A good dressing aids in wound repair. It helps protect sensitive skin and keeps the wound damp. This helps with tissue regeneration.

We pick the wound dressing for pressure ulcers based on how serious and deep the wound is. We can choose from several options like foam, hydrocolloid, alginate, or antimicrobial dressings. If the wound is infected or has biofilm, we may use dressings that contain silver or iodine.

These dressings often work with methods for positioning people and surfaces that lessen pressure. They also support moving to prevent the issue from returning. Education is very important. We provide patients and caregivers with good health information. This helps them with care at home.

Royal Wound Care specialist bandaging an elderly woman’s hand during a wound care appointment.

A Long-Term Partner in Your Healing Journey

Chronic wounds can be tricky to handle. They require time, skill, and ongoing care. At Royal Wound Care, we understand that long-term support is key to your recovery. Our team of healthcare professionals is ready to give you top-notch care with kindness. We focus not only on closing the wound but also on improving your overall life quality. We want to help you avoid having the wound return. We will provide you with the knowledge and tools to manage your condition by yourself in the future.

We help you by creating treatment plans just for you. We combine new medical methods with a caring approach that understands your unique needs. Our goal is to help you heal in the best way possible. We want to make a friendly place where you feel strong and supported during your healing process. You can trust Royal Wound Care to be there for you as you work towards better health and lasting wellness.

Ready to Heal? Book an Appointment Today

Living with a chronic wound can be hard. It can change your quality of life. It’s important to get the right care and treatment as soon as possible to help it heal. Professional and personalized wound care is key to managing chronic wounds well. This type of care focuses on the wound itself. It helps find out what might be causing it and creates a specific plan to aid in healing.

Chronic wounds require a group of people to help them heal well. This can involve cleaning the wound, managing infections, reducing pressure on the wound, and addressing any health issues that delay healing. Depending on the wound's needs, doctors may use specialized treatments like negative pressure wound therapy, skin substitutes, and hyperbaric oxygen therapy.

Caring for your chronic wound promptly can help you heal better. It can reduce the chances of complications and improve your overall well-being. Your health is crucial, so be sure to reach out to healthcare professionals who specialize in chronic wounds. They can provide the support you need.

Let Royal Wound Care assist you in feeling more in control. Schedule your appointment today for professional help in recovery, pain relief, and finding some peace.

👉 Book your appointment here

Frequently Asked Questions

What is a non-healing wound?

A non-healing wound is a chronic wound that hasn't progressed through the normal stages of healing in an orderly and timely manner. These wounds often get stuck in the inflammatory phase, failing to move onto the next stages of repair, leading to prolonged healing times and potential complications.

What helps a chronic wound heal faster?

To help wounds heal faster, you need to keep the area clean and moist. Changing dressings often is also important. A diet that has lots of protein and vitamins is necessary. It’s important to take care of any health problems, like diabetes. Finally, always listen to your healthcare provider for the best results in healing.

What is the most common cause of chronic wounds?

Chronic wounds can happen for several reasons that usually work together. A common reason is diabetes mellitus. This can result in diabetic foot ulcers because it harms nerves and cuts down blood flow. Another reason is venous insufficiency. This makes it difficult for blood to return, leading to venous leg ulcers. Peripheral artery disease also affects blood vessels, making it hard for blood to flow properly.

How can chronic wounds be prevented?

Prevention starts by taking care of health issues like diabetes. This means you need to keep your blood sugar levels stable. Compression stockings can help with venous insufficiency. You should look at your body regularly, especially your feet, to catch any sores early. A healthy lifestyle, which means not smoking and exercising often, helps improve blood flow.

Are there any new treatments for chronic wound care?

The field is always moving forward. New treatments use dressings with growth factors. These help cells grow. Hyperbaric oxygen therapy uses pressurized oxygen. This kind of therapy helps with healing. Negative pressure wound therapy (NPWT) uses suction. It removes fluid and supports tissue growth. There are also special dressings, like skin substitutes, that help healing even more.

How do lifestyle changes impact wound healing?

Lifestyle plays a key role in wound healing. A balanced diet full of protein and vitamins helps your body repair tissues. Stopping smoking can improve blood flow. Regular exercise also boosts blood flow and keeps you healthy. By making these changes and lowering stress, you make a good environment for healing.

The Royal Wound Care Editorial Team is a group of experienced clinicians, certified wound care specialists, and healthcare writers dedicated to educating and empowering patients through accurate, compassionate, and practical content. Our mission is to provide expert guidance on wound prevention, treatment, and recovery—so you can heal faster, safer, and with confidence. Every article is reviewed for medical accuracy and written with your well-being in mind.

Royal Wound Care Editorial Team

The Royal Wound Care Editorial Team is a group of experienced clinicians, certified wound care specialists, and healthcare writers dedicated to educating and empowering patients through accurate, compassionate, and practical content. Our mission is to provide expert guidance on wound prevention, treatment, and recovery—so you can heal faster, safer, and with confidence. Every article is reviewed for medical accuracy and written with your well-being in mind.

Back to Blog