Wound Care Of Legs And Feet Specialist

Elite Foot & Ankle Associates

Trevor J. Haynes, DPM, FACFAS, FACFAOM

Podiatrist located in Portland, OR & Sandy, OR

Dr. Haynes has extensive training in wound care of the legs and feet. He spent months working with plastic surgeons, vascular surgeons, and wound care doctors during his residency. He also started up a wound care center at Brookings Health System in South Dakota where he practiced prior to moving to Portland.

Wound Care of Legs and Feet Q & A

What is wound care and who does it affect?

It is estimated that chronic wounds affect 6.5 million patients. 25% of all people with diabetes will develop a diabetic ulcer, while 70-90% of ulcers to the lower leg are found to be venous ulcers. One study shows that with conservative care, only about 25% of diabetic foot ulcers heal within three months. Not every diabetic ulcer or venous ulcer are created the same. So not all will heal using the same products. With the various products and types of wounds out there wound care becomes very specialized and can become a very lengthy process.

What causes these wounds?

Diabetic wounds of the feet & legs are complicated and can be caused by neuropathy, nutritional deficiencies, infection, and pressure. Without correcting all of these problems the wounds become very difficult to heal. Venous ulcers are caused by failure of the veins and lymphatic system in the lower extremity. As the fluid builds up it creates pressure and ultimately "springs a leak" in the legs. This fluid is very damaging to the skin and tissues and leads to the formation of an ulcer. Many patients state that the ulcers started as a blister or a spider bite. Dr. Haynes can also help with non-healing surgical wounds of the foot, ankle, and legs. He has a vast experience in treating lymphedema and venous stasis wounds of the lower extremities.

What are the symptoms of a wound that may require wound care?

Pain can be the first symptom. However, with diabetes pain is typically not seen. Infection is also very common. Symptoms of nausea, vomiting, fever, or chills are a bad thing to have but are also signs that you need someone to look at your wound. A smelly and draining wound is also an indicator. If your wound isn’t healing or it’s getting bigger then you need a wound care specialist.

How do you treat these wounds?

Dr. Haynes employs various techniques to help speed up the healing process. These include serial debridements, application of grafts and wound healing products. Compression is also key in the treatment of venous wounds and unless compression is utilized, these wounds are very difficult to heal. Some wounds need surgery to clean out the “bad” tissue and to promote healing. While other wounds can be healed with skin flaps and grafts through surgery.

If you have any wound of the foot, ankle, or leg, Dr. Haynes is here to help. Please call our office at (503) 668-5210 to schedule a consultation.