Arterial & mixed wounds

Wounds when blood flow to the legs is limited.

Some leg and foot wounds are slow to heal because the arteries aren’t delivering enough blood. These need a careful approach — and the right specialists looped in early.

Often treated at homeAcross the Metro EastWe coordinate your care

Arterial wounds tend to show up on the toes, heel, or outer foot and can be painful, especially when the leg is raised or at night. Poor circulation means the tissue simply isn’t getting the oxygen it needs to repair itself. Many people have a mix of arterial and venous causes, which changes how the wound should be treated.

Because blood flow is the limiting factor, our clinicians assess circulation first and coordinate with vascular specialists when a wound signals that the arteries need attention. Treating the wound without addressing flow rarely works — so we look at the whole leg.

Signs to watch for

  • A wound on the toes, heel, or foot that isn’t healing
  • Leg or foot pain at rest, often worse at night or when lying flat
  • Cool, pale, or shiny skin on the lower leg or foot
  • Weak or absent pulses in the foot
  • Wounds with a dry, dark, or ‘punched-out’ look

What care looks like

How we help this heal.

We assess

We check circulation and feeling, and flag right away if a wound points to an arterial problem.

We treat

We coordinate with vascular and podiatry specialists so flow can be evaluated and, if needed, improved.

We coordinate

We protect and care for the wound in a way that’s appropriate for limited blood flow — the approach here is different from a venous wound.

We follow through

We watch closely for infection, which is more dangerous when circulation is poor.

When to seek help fast: A foot or toe that turns dark, cold, or suddenly very painful is an emergency — call 911 or go to the ER.

Related wounds we treat

We handle these too.

Illustration of the Metro East service area along the Mississippi River

We’re ready when you are

Have a wound that needs attention?

Call 314-325-0126 or request care. Tell us what’s going on and we’ll help you find the right next step.

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