AZ Advanced Wound Care

Outpatient Clinic · Mesa, AZ

Outpatient Wound Care Clinic — Mesa, AZ

Our outpatient wound care clinic in Mesa is built for chronic and complex wounds — the kinds that haven't healed with standard care, or that come with underlying conditions like diabetes, vascular disease, or recent surgery. The clinic offers a full range of advanced wound care therapies in one location, and every treatment plan is overseen by our supervising physician.

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Advanced wound care therapies we offer

Each therapy below is provided by our clinical team and overseen by our supervising physician.

Wound debridement

Debridement is the careful removal of dead or non-viable tissue from a wound — often a necessary step before a chronic wound can begin to heal. We perform several types of debridement depending on the wound, including sharp (surgical) debridement, enzymatic debridement, and mechanical debridement, choosing the approach that fits the patient and the wound.

Clinical detail

Debridement modalities include sharp/surgical (scalpel, curette, or scissors), enzymatic (collagenase), autolytic (moisture-retentive dressings), and mechanical methods. Selection is informed by tissue viability, wound bed preparation goals (TIME framework), patient tolerance, anticoagulation status, and perfusion. Sharp debridement is performed by appropriately credentialed clinicians within scope of practice and documented per visit.

Negative Pressure Wound Therapy (NPWT)

Sometimes called a "wound vac," NPWT applies controlled negative pressure to a wound through a sealed dressing. NPWT can help draw out fluid, reduce edema at the wound site, and support the conditions wounds need to close. The clinical team manages dressing changes and equipment.

Clinical detail

NPWT is typically delivered at -75 to -125 mmHg, continuous or intermittent, via foam or gauze interfaces with a sealed occlusive dressing and canister-based fluid collection. Indications include dehisced surgical wounds, traumatic wounds, pressure injuries Stage III/IV, diabetic foot ulcers, and split-thickness skin graft bolstering. Contraindications include untreated osteomyelitis, malignancy in the wound, exposed vasculature, and necrotic tissue with eschar.

Cellular and tissue-based skin substitutes

When a wound has been open for a long time without closing, biologic skin substitutes — also called cellular and tissue-based products — can be applied to support healing. Our team evaluates whether a wound is a candidate based on the wound bed, the patient's overall health, and clinical criteria.

Clinical detail

Cellular and Tissue-Based Products (CTPs) include acellular dermal matrices, dehydrated human amnion/chorion membranes, and bilayered living cell constructs. Candidacy is informed by wound chronicity (typically > 4 weeks despite standard care), adequate perfusion, controlled infection, glycemic control, and offloading. Application cadence and quantity are dictated by product, payer policy, and clinical response.

Advanced wound dressings

Beyond standard gauze, we use a broad set of advanced wound dressings — hydrocolloids, hydrogels, foams, alginates, antimicrobial dressings, and others — matched to the specific wound and stage of healing.

Clinical detail

Dressing selection follows wound bed characteristics: exudate level (alginates, foams, superabsorbents for high exudate; hydrogels for dry wounds), bioburden (silver, iodine, PHMB-impregnated antimicrobials), and protection needs (hydrocolloids, films). Reassessment is built into the visit cadence to step dressings up or down as the wound evolves.

Offloading casts for diabetic foot ulcers

A diabetic foot ulcer won't heal if pressure keeps falling on it every time the patient stands or walks. Offloading — through total contact casts, removable walkers, or specialty footwear — is one of the most important interventions for healing a DFU. We fit and manage offloading devices as part of the treatment plan.

Clinical detail

Total contact casting (TCC) is widely cited as a reference offloading approach for plantar neuropathic DFUs without active infection or significant ischemia. When TCC is not appropriate, removable cast walkers (rendered irremovable when adherence is a concern), post-op shoes, and custom-molded inserts are options. Vascular status (ABI/TBI) and infection screening precede TCC application.

Vascular and diagnostic wound assessment

Healing depends on blood flow. As part of a comprehensive wound assessment, we evaluate the vascular picture and use diagnostic testing as appropriate to understand why a wound isn't healing and what the right plan looks like.

Clinical detail

Diagnostic workup may include ankle-brachial index (ABI), toe-brachial index (TBI), skin perfusion pressure or transcutaneous oxygen measurement (TcPO2), wound cultures (when infection is suspected), and imaging for suspected osteomyelitis. Findings inform referral pathways to vascular surgery, infectious disease, or other specialists.

Conditions commonly treated at the clinic

  • Diabetic foot ulcers (DFU)
  • Pressure injuries (bedsores)
  • Venous leg ulcers
  • Post-surgical wounds that aren't closing as expected
  • Traumatic wounds
  • Other chronic, non-healing wounds

Learn more about conditions we treat →

What to expect at your first visit

Step 1

Before your visit

Most patients are referred to us by a primary care physician, a specialist, or a hospital discharge team. Bring a list of current medications, any imaging or wound photos your referring provider has shared with you, and your insurance card. If a family member or caregiver helps manage your care, we encourage them to come with you.

Step 2

During the visit

Your first appointment is a comprehensive wound assessment. We'll examine the wound, review your medical history, evaluate circulation, run any diagnostic testing the case calls for, and discuss a treatment plan with you and (if you bring them) your family. If a specific advanced therapy is indicated, we'll explain how it works, what it requires, and the next steps to verify your insurance coverage before scheduling.

Step 3

After the visit

Wound care is usually a course of visits, not a single appointment. We'll schedule follow-up visits at the cadence your wound requires, coordinate with your primary care physician or specialists, and make sure dressing changes and home care between visits are clearly explained.

Insurance

Wound care at the clinic is typically covered by Medicare, Medicaid (AHCCCS), and most commercial plans. Coverage for specific therapies (such as skin substitutes) depends on clinical criteria and prior authorization. Our office can help verify your benefits before treatment begins.

Find the clinic

AZ Advanced Wound Care

4838 E Baseline Rd, Bldg 2, Suite 113
Mesa, AZ 85206

Hours: By appointment — please contact us to schedule.

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Have a question?

See our full frequently asked questions — covering evaluations, insurance, home visits, facility partnerships, and more.

Related

Refer a patient to our Mesa clinic

We'll verify benefits, coordinate with referring providers, and get a treatment plan in motion.

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