Dr Wishnew is expecting a baby boy soon! Unfortunately she was put on bed rest!! Her team will provide the same compassionate collaborative care until she returns on November 24! 

WHEN TO SEE A WOUND CARE SPECIALIST: KEY RED FLAGS EVERY PATIENT AND FAMILY SHOULD KNOW

WHEN TO SEE A WOUND CARE SPECIALIST: KEY RED FLAGS EVERY PATIENT AND FAMILY SHOULD KNOW

When someone you love gets a wound, whether from a minor accident, a surgical cut, or a long-term health issue, you naturally hope it will heal on its own with time and basic home care. Often, it does heal in this way, but that is not always the case.

Some wounds require more than just a bandage change or ointment. Others send early warning signs that healing is not going as it should. Recognizing these signs can help prevent complications, maintain function, and, in some cases, protect a limb or save a life.

Below are the key signs that it’s time to seek help from a wound care expert as soon as possible.

 

  1. The Wound Hasn’t Improved in 2 Weeks

Time is one of the simplest and most crucial indicators. Healthy wounds usually follow a clear healing pattern: initially clotting, then inflammation, new tissue formation, and gradual closure.

If a wound shows little to no improvement after 14 days, this is a critical sign that the healing process has stalled.

Possible reasons may include:

Even if it doesn’t look worse, the lack of improvement is reason enough to seek professional assessment.

 

  1. Increasing Pain Instead of Decreasing Pain

It's normal to experience pain in the days immediately following an injury or surgery. However, as healing progresses, pain should gradually decrease.

If pain increases or suddenly returns after getting better, it may mean:

Pain acts as your body’s alarm system. If it gets louder, don’t ignore it.

 

  1. Signs of Infection: More Than Just Redness

A little redness around a new wound is expected. However, spreading redness or warmth, especially when accompanied by swelling or tenderness, is concerning.

Seek help immediately if you notice:

Infections progress faster than many people realize. Early treatment can prevent serious complications like abscess formation, bone infection, or sepsis.

 

  1. The Wound Is Getting Larger Instead of Smaller

Wounds should shrink over time. If they enlarge or the surrounding skin becomes increasingly fragile, underlying issues may be disrupting the healing process.

This can happen with:

If the edges look more open or if the wound deepens, it’s time to consult with an expert.

 

  1. Black, Yellow, or Gray Tissue Appears

Healthy wounds form pink or red granulation tissue that is moist, bumpy, and vibrant. When you see:

…this indicates dead or dying tissue.

Dead tissue hinders healing and can harbor bacteria. Safely removing it requires clinical skill. Never attempt to cut away tissue at home.

 

  1. Poorly Controlled Chronic Conditions

People with certain health conditions face a higher risk of complications, even from small wounds. These include:

If you or a loved one has one of these conditions, consider getting a wound care specialist involved early. Quick action can stop minor wounds from turning into major problems.

 

  1. Frequent Reopening or Reinfection

A wound that heals only to reopen, or one that seems to improve, then flares up, needs closer examination. Recurrent breakdown may indicate:

A specialist can pinpoint the root cause and develop a long-term plan to break the cycle.

 

  1. Excessive Drainage or Sudden Change in Drainage

Wounds normally produce some fluid, but significant drainage or a sudden change in color, amount, or consistency can signal a problem.

Concerning signs include:

Proper management is crucial to prevent skin damage around the wound and deeper infections.

 

  1. The Wound Is in a High-Risk Location

Certain areas of the body have poorer blood supply or higher pressure, making them more likely to struggle with healing. These include:

Wounds in these locations need earlier specialist attention.

 

  1. You’re Simply Not Sure What to Do Next

Many patients and families do their best with home care, but dealing with wounds can be confusing, unpredictable, and stressful.

If you feel unsure, overwhelmed, or worried about how a wound is healing, that alone is a valid reason to seek help. Finding peace of mind is part of good care.

 

Why Early Intervention Matters

Early evaluation by a wound care expert:

You are never overreacting by seeking professional guidance.

Healing is a team effort, and noticing these red flags is a powerful way to protect your health and safety or that of someone you care about.

If you see any of the signs above, trust your instincts and reach out for help. Wounds don’t get better by waiting; they improve by taking action.

Author
Jenna Wishnew, MD Jenna Wishnew Dr. Jenna Wishnew is a board-certified general surgeon with over a decade of experience serving the North Dallas community. Known for her compassionate, patient-centered care, she specializes in wound care and hyperbaric oxygen therapy (HBOT), currently serving as Medical Director at the Wound Care and Hyperbaric Center at Methodist Richardson Medical Center. Dr. Wishnew is a recognized leader in her field, earning two international awards for excellence in wound care. She also has extensive experience managing gastroparesis and Enterra Gastric Stimulators.

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