How do you tell an arterial, venous, or diabetic ulcer apart?

By where it sits, how it looks, and the circulation behind it — arterial ulcers favor the toes and pressure points with poor pulses; venous ulcers sit near the inner ankle with swelling and discoloration; diabetic ulcers form at pressure points where neuropathy hides the injury. We test perfusion and the veins to confirm, since many wounds are mixed.

Do you do wound care, or just the circulation procedures?

Both. Our wound-care-trained physician assistants manage the wound directly, coordinated with the circulation or vein work in the same practice.

My podiatrist already treats my wound — why add you?

When poor blood flow or a vein problem is slowing healing, we treat the underlying cause and co-manage the wound, working alongside your existing podiatry or wound-care team.

Who provides the wound care?

Our wound-care-trained physician assistants, working with Dr. Matthew Comstock and Dr. John Evans.

How do you tell an arterial, venous, or diabetic ulcer apart?

By where it sits, how it looks, and the circulation behind it — arterial ulcers favor the toes and pressure points with poor pulses; venous ulcers sit near the inner ankle with swelling and discoloration; diabetic ulcers form at pressure points where neuropathy hides the injury. We test perfusion and the veins to confirm, since many wounds are mixed.

Do you do wound care, or just the circulation procedures?

Both. Our wound-care-trained physician assistants manage the wound directly, coordinated with the circulation or vein work in the same practice.

My podiatrist already treats my wound — why add you?

When poor blood flow or a vein problem is slowing healing, we treat the underlying cause and co-manage the wound, working alongside your existing podiatry or wound-care team.

Who provides the wound care?

Our wound-care-trained physician assistants, working with Dr. Matthew Comstock and Dr. John Evans.

TREATMENTS WE PERFORM

Wound Care

Our wound-care-trained physician assistants treat non-healing wounds in-house — arterial, venous, and diabetic foot ulcers alike — coordinated directly with the circulation work that lets a wound finally close. The two halves of healing, under one roof.

Request an Evaluation

Refer a Patient — (918) 943-5303

The wounds we treat

A non-healing leg or foot wound almost always has a circulation cause behind it — and the cause determines the fix. We identify which kind of ulcer it is, treat the underlying problem, and manage the wound itself in the same practice.

Arterial (ischemic) ulcers

Caused by poor arterial blood flow — often on the toes, heel, or pressure points, with a "punched-out" look and pain that eases when the foot hangs down. These heal only once blood flow is restored, so revascularization comes first. CLTI → · PAD treatment →

Venous (stasis) ulcers

Caused by venous reflux and pressure — typically in the gaiter zone near the inner ankle, shallow and weepy, with surrounding discoloration. Treatment pairs compression and wound care with fixing the underlying vein problem. Venous ulcers →

Diabetic foot ulcers

Driven by neuropathy and often PAD — usually on the sole at pressure points, where lost sensation hides the injury. Treatment combines offloading, debridement, and infection control with restoring circulation when arteries are involved. Diabetic foot ulcers →

Many wounds are mixed — for example, a diabetic ulcer with arterial disease. We assess for each cause rather than assuming one.

What we provide

Assessment and staging of arterial, venous, and diabetic foot wounds
Debridement, advanced dressings, offloading, and compression — matched to the ulcer type
Infection identification and management
Coordination with revascularization and vein treatment so blood flow and wound care advance together

Why circulation and wound care belong together

A wound cannot close without adequate blood flow — or, for venous ulcers, without relieving venous pressure. Most patients are sent between a vascular specialist and a separate wound clinic; we bring both into one plan — assessing perfusion with pedal ultrasound and PAT, restoring flow with below-the-knee and pedal revascularization or treating the vein when needed, and managing the wound itself in the same practice.

What to expect

Setting: in our office, coordinated with any same-day procedure
Team: wound-care-trained physician assistants, working with our interventional physicians
Plan: a clear schedule for wound checks, dressing changes, and follow-up

When to call us — don’t wait for your next visit

A non-healing wound can change quickly. Call us right away — don’t wait for your next scheduled visit — if you notice any of these:

Call our office today if you notice:

The wound is getting larger or deeper, or draining more
New pain, or pain that is getting worse
New redness, warmth, swelling, or a foul odor — possible infection
New black or darkening tissue, or a new area of skin breaking down

Call our office at (918) 943-5303 and tell us what’s changed — we’ll get you seen sooner, because catching these early often keeps a small problem from becoming a big one.

Go to the emergency room now, or call 911, if you have:

A foot or leg that becomes suddenly cold, pale, numb, or painful
An infection that is spreading quickly, or a fever with a wound

Frequently asked questions

For referring providers — Refer non-healing wounds — arterial, venous, or diabetic — early, before tissue loss advances. We identify the cause, restore flow or treat the vein when indicated, and co-manage the wound. Refer: (918) 943-5303 · fax (855) 312-3594.

Refer urgently: a wound with rest pain, spreading infection, or a cold, pale foot · Routinely: a non-healing ulcer not improving after a few weeks of standard care. Full referral guide →

A wound that won't heal has a reason — and usually a solution.

Arterial, venous, or diabetic — healing starts with finding and fixing the cause. Let's take a look.

Request an Evaluation

(918) 943-5303