Specialized Treatment
Expert treatment for diabetic foot ulcers using debridement, offloading, infection control, skin substitutes (EpiFix, AmnioExcel), NPWT, and vascular assessment. Prevent diabetic foot amputation with Medicare Part B covered mobile wound care in Beverly Hills, Orange County, Los Angeles, San Fernando Valley, Riverside, San Bernardino, Ventura, Santa Barbara, and Kern County.
Every 20 seconds, someone with diabetes loses a limb. Every day you wait increases your amputation risk by 1-2%. But here's what doctors don't emphasize enough: The countdown isn't inevitable.
The Clock Started When Your Wound Appeared
85% of diabetes-related amputations start with a foot ulcer. With aggressive intervention, 95% of amputations are preventable. The question is: Will you act before the window closes?
From the moment your diabetic foot wound appears, biological processes are working against healing. Here's the timeline most patients don't see coming:
What's happening: You finally noticed the wound. Maybe it was there longer but neuropathy delayed discovery. Wound is shallow, hasn't penetrated deep tissue yet. Bacterial colonization beginning but not yet established infection.
⏰ INTERVENTION WINDOW: If treated aggressively NOW with offloading + debridement + dressings, 80% heal within 6-8 weeks without advanced therapies. This is your easiest path to healing.
What's happening: You're changing dressings at home or getting basic wound care. But the wound isn't shrinking—it's stalled or enlarging. Biofilm forming (invisible bacterial shield). Your continued walking on the foot sabotages healing.
⚠️ CRITICAL POINT: Wounds not improving within 2 weeks need specialist intervention. This is when you need debridement + strict offloading. Waiting "just a bit longer" means entering the danger zone.
What's happening: Wound officially "chronic" (>30 days). Biofilm established—bacteria in protective coating resisting treatment. Wound bed filled with inflammatory cells that block healing. May be deepening toward tendon/bone. Infection risk climbing daily.
🚨 EMERGENCY ACTION: Medicare/insurance now covers advanced biologics (amniotic grafts, cellular therapies) after 30 days conservative treatment. Don't delay—these achieve 70-85% closure when standard care has failed. Also time to verify arterial blood flow and consider vascular intervention if needed.
What's happening: Wound deep, possibly exposing bone or tendon. High probability of osteomyelitis (bone infection)—present in 20% of diabetic foot ulcers, requiring 6+ weeks IV antibiotics. Amputation now being discussed as "option" by your doctors.
⏰ LAST CHANCE: Even at this stage, aggressive wound care + antibiotics + potential limited amputation (toe vs whole foot) can save the limb. But the window is closing fast. Every additional week increases major amputation probability.
What's happening: Chronic infection spreading. Possible sepsis (bloodstream infection with 40% mortality). Gangrene may be developing. Your body systemically compromised. Major amputation (below knee, above knee) now likely recommended to save your life.
Even here, limb salvage sometimes possible with vascular surgery + aggressive wound care + extended antibiotics. But outcomes poor: 50% of amputees die within 5 years post-amputation (worse than most cancers).
Diabetes doesn't just slow healing—it actively prevents it through three simultaneous mechanisms working together:
Peripheral Neuropathy: High blood sugar kills nerves. You lose pain sensation. Walk on wounds without realizing. Pressure continues destroying tissue while you feel nothing.
By time you see the wound, often already serious. Daily foot inspections critical for diabetics.
Peripheral Artery Disease: Diabetes hardens arteries. Blood flow to feet reduced 50-70%. Oxygen/nutrients can't reach wound. Healing requires circulation you don't have anymore.
May need vascular surgery (angioplasty, bypass) before wound can heal. Check ABI (ankle-brachial index) immediately.
Immune Dysfunction: High glucose impairs white blood cells. Bacteria multiply faster than body fights. Infections spread to bone within days. Sepsis risk 3x higher than non-diabetics.
Diabetic foot infections are medical emergencies. Don't wait for fever—check wound daily for redness, warmth, drainage, odor.
These symptoms mean your countdown is accelerating—you need intervention within 24-48 hours:
Wound Open >2 Weeks Without Improvement
Means biofilm established, standard care failing
Black Tissue or Foul Smell
Gangrene or necrotizing infection—call NOW
Red Streaks Up Leg or Severe Swelling
Spreading cellulitis or lymphangitis
Fever, Chills, Confusion
Possible sepsis—go to ER immediately
Bone Visible in Wound Bed
Osteomyelitis likely—needs IV antibiotics
Wound Enlarging Despite Treatment
Current care inadequate—need specialist now
⚠️ Remember: With neuropathy, you might feel NOTHING even if wound is critically infected. Visual inspection daily is mandatory for diabetics.
We bring hospital-level limb salvage protocols to your home/facility. Every intervention targets one of the three threats preventing your healing:
The Priority: Cut away biofilm, dead tissue, and inflammatory cells blocking healing. Creates clean wound bed that CAN respond to treatment. Reduces bacterial load 90%. Performed bedside with local anesthesia.
Wounds debrided weekly heal 50% faster than those debrided monthly. We don't wait—we act.
CAM walker boots, total contact casts, or surgical shoes that eliminate ALL pressure from ulcer. Every step you take on that wound adds 3-7 days to healing time. Offloading increases healing rate from 30% to 90%.
We know it's inconvenient. But amputation is more inconvenient. Your choice.
Amniotic membrane grafts, bioengineered skin substitutes that provide growth factors your diabetic body isn't producing. Kickstart stalled healing. 70-85% closure within 6-12 weeks for wounds failing standard care.
Medicare covers after 30 days conservative treatment. Don't wait until Day 90—act at Day 30.
Wound cultures guide targeted antibiotics. Antimicrobial dressings (silver, iodine, PHMB). Early osteomyelitis detection via probe-to-bone test. Coordinate with ID physicians for IV antibiotics if needed.
We treat infection aggressively before it costs you the limb.
Check arterial blood flow via ABI/pulse exam. If circulation inadequate (<0.6 ABI), coordinate with vascular surgeon for angioplasty/bypass BEFORE applying advanced biologics. Can't heal wound without blood flow.
Many "non-healing" diabetic ulcers are actually arterial—vascular intervention changes everything.
Work with your endocrinologist/PCP to achieve HbA1c <7%. Wounds heal 2-3x faster with controlled blood sugar. We document glucose levels and communicate with your physicians for med adjustments.
of diabetics develop foot ulcer in lifetime
of untreated ulcers lead to amputation
of amputations PREVENTABLE with proper care
Our limb salvage rate: 95% when patients comply with offloading + attend scheduled visits + follow treatment plan.
Mobile wound visits, debridement, offloading devices (CAM boots), advanced dressings, cellular grafts (after 30 days), infection management. For Medicare patients, typically $0 out-of-pocket with Medigap.
We handle all paperwork, prior authorizations, and coordination with your physicians. Full coverage details.
We typically see patients within 48 hours of first contact. Bring hospital-level limb salvage to your home. Don't wait for your next podiatry appointment in 3 weeks—by then, it might be too late.
✓ 48-Hour Response Time • ✓ 95% Limb Salvage Rate • ✓ Medicare Covered