Pressure ulcers, also known as bedsores or pressure sores, are open wounds that develop due to prolonged pressure on the skin, often in bedridden or immobile patients. These wounds typically form on bony areas such as the heels, tailbone, elbows, and hips, where circulation is already compromised. According to the Agency for Healthcare Research and Quality (AHRQ), over 2.5 million Americans develop pressure ulcers each year, with severe cases leading to serious infections, tissue death, and even hospitalization.
At Vascular Surgery Associates in Los Angeles & Santa Monica, our wound care specialists provide advanced treatments to heal pressure ulcers, prevent infections, and restore damaged tissue. With vascular interventions, skin grafting, and specialized wound care techniques, we help patients recover safely and effectively.
What Causes Pressure Ulcers?
Pressure ulcers form when constant pressure, friction, or shear forces restrict blood flow to the skin and underlying tissues. The lack of circulation prevents oxygen and nutrients from reaching the affected area, leading to skin breakdown, open wounds, and necrosis (tissue death).
Common Causes Include:
- Extended immobility (due to illness, injury, or paralysis)
- Friction and shear forces (rubbing against bedding or wheelchairs)
- Poor circulation (due to diabetes, peripheral artery disease, or vascular conditions)
- Malnutrition and dehydration (reducing skin integrity and wound healing)
- Incontinence (prolonged moisture weakens the skin’s protective barrier)
Stages of Pressure Ulcers
Pressure ulcers progress through four stages, ranging from mild irritation to severe tissue loss and infection:
- Stage 1: Redness, warmth, and tenderness but no open wound
- Stage 2: Skin breaks open, forming a shallow sore or blister
- Stage 3: Deeper wounds exposing fat layers beneath the skin
- Stage 4: Large open wounds exposing muscle, bone, or tendons
In severe cases, pressure ulcers can lead to life-threatening infections, including cellulitis, sepsis, and osteomyelitis (bone infection). Early intervention is crucial for preventing further tissue damage.
Symptoms of Pressure Ulcers
Identifying pressure ulcers early is key to preventing severe complications. Watch for:
- Skin discoloration (red, purple, or bluish patches)
- Pain or tenderness in affected areas
- Swelling, warmth, or hardness around the wound
- Pus or foul-smelling drainage (signs of infection)
- Deep open sores exposing fat, muscle, or bone
If a pressure ulcer fails to heal or worsens over time, specialized wound care is necessary to prevent infection and tissue loss.
Advanced Treatments for Pressure Ulcers from Vascular Experts
At Vascular Surgery Associates, we offer comprehensive treatments designed to heal pressure ulcers, restore circulation, and protect surrounding tissues.
Wound Debridement
Removing dead or infected tissue is essential for promoting healthy tissue growth. We use:
- Sharp debridement (scalpel removal) for precise wound cleaning
- Enzymatic debridement using topical agents to break down dead tissue
- Negative Pressure Wound Therapy (NPWT) to remove excess fluid and bacteria
Vascular Treatments to Improve Circulation
If poor blood flow is contributing to delayed healing, we may recommend:
- Angioplasty & Stenting to open blocked arteries and restore oxygen supply
- Bypass Surgery for severe cases of vascular disease
- Compression Therapy to enhance circulation and reduce swelling
Skin Grafting & Bioengineered Skin Substitutes
For deep pressure ulcers, we use:
- Skin grafting techniques to replace damaged tissue
- Bioengineered skin substitutes to accelerate healing
Infection Control & Antibiotic Therapy
Preventing infection is critical for long-term healing. Our team offers:
- Topical antiseptics and silver-based dressings
- Oral or IV antibiotics for serious infections
- Advanced wound cleansing techniques
Frequently Asked Questions About Pressure Ulcers
Individuals who are bedridden, wheelchair-bound, or have poor circulation are at higher risk of developing pressure sores.
Yes, frequent repositioning, proper bedding, skin care, and maintaining circulation can help prevent them.
Healing time depends on severity, circulation health, and treatment but early intervention leads to better recovery.
Yes, even early-stage ulcers can cause discomfort, and severe wounds can be extremely painful without treatment.
If a wound worsens, shows signs of infection, or fails to heal, consult a wound care specialist immediately.
Dedicated to Excellence in Vascular Care Since 1963
Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.
EffectivePressure Ulcer Treatment in Los Angeles & Santa Monica | Heal Faster with Advanced Care
If you or a loved one is suffering from pressure ulcers, early treatment is essential for preventing infections and restoring tissue health. At Vascular Surgery Associates, we specialize in cutting-edge wound care solutions to promote faster healing and prevent complications.
Schedule an appointment today with Los Angeles & Santa Monica’s leading vascular and wound care specialists for advanced pressure ulcer treatment and prevention.