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A majority of lower extremity wounds occur due to underlying vascular disease.

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At CPPG we use a holistic interdisciplinary approach to healing lower extremity wounds as efficiently as possible. 

Thorough testing and clinical evaluation including vascular ultrasound, nutritional assessment, radiographic studies, and detailed medical assessment are performed. This is followed by intensive local wound care with multiple advanced techniques and modalities.

Several chronic wounds have mixed etiologies complicating healing. Most commonly, diabetes, Peripheral Arterial Disease (PAD), and venous insufficiency. Patients with PAD and lower extremity wounds are at higher risk for cardiovascular death,

( >20% within a year) therefore, thorough cardiac evaluation and aggressive medical management usually follow.