If you require wound care in San Antonio, TX, Wound Evolution - Wound Care and Hyperbaric Medicine is here to serve you. Our office provides a variety of services, including Bone Infection, Diabetic Wounds, Hyperbaric Oxygen Therapy, and Post-Mohs Surgery to our patients with care and expertise. Wound Evolution - Wound Care and Hyperbaric Medicine have served many happy patients of the San Antonio community. We hope to see you in our office soon!

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What Is Wound Care?

Most wounds heal naturally over time, but some require professional wound care. Wound care is a medical specialty that treats wounds that are not healing and includes:

  • Diagnosing the type of wound
  • Considering factors that affect the wound’s healing rate, such as underlying medical conditions
  • Determining the best treatment or combination of treatments

Having wounds evaluated as soon as possible is essential to avoid serious complications. It can become severely infected, such as cellulitis or sepsis, without proper wound care.

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Wounds We Treat

At Wound Evolution, we’re dedicated to providing you with the best in San Antonio wound care by treating the following conditions:

  • Atypical wounds
  • Bone infections
  • Burn wounds
  • Chronic wounds
  • Diabetic ulcers and wounds
  • Non-healing surgical wounds
  • Infected wounds
  • Pilonidal cysts
  • Pressure ulcers
  • Surgical wound complications
  • Venous and arterial ulcers
  • Venous leg ulcers
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Wound Care Treatments

After determining your wound type, we’ll recommend one or some of the following wound care treatments in San Antonio:

  • Bio-engineered skin grafts
  • Compression therapy
  • Mechanical and enzymatic debridement
  • Negative pressure wound therapy
  • Post-Mohs surgery
  • Tissue infection management
  • Total contact casting
  • Wound debridement

What Is Hyperbaric Oxygen Therapy?

Hyperbaric oxygen therapy exposes your body to pure oxygen to encourage natural healing and speed up your recovery. The wound care specialists at Wound Evolution provide hyperbaric oxygen therapy in San Antonio as a non-invasive outpatient procedure. 

The treatment involves you breathing pure oxygen in a pressurized room. The oxygen levels are three times higher than normal air pressure, meaning your lungs gather more oxygen which isn’t otherwise possible.

Your blood then carries the enhanced oxygen throughout your body while protecting you from harmful bacteria. The hyperbaric oxygen process also stimulates the release of growth factors and stem cells, two microscopic components that promote total healing.

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Conditions Treated With Hyperbaric Oxygen Therapy

Hyperbaric oxygen therapy can be a standalone treatment or be paired with others for optimal results. Because it stimulates the body’s natural healing process, treatment benefits most wounds and is critical for wound care.

Wound Evolution uses hyperbaric oxygen therapy to treat the following conditions:

  • Diabetic wounds of the lower extremities
  • Chronic refractory osteomyelitis
  • Crush injuries
  • Suturing of severed limbs
  • Preparation and preservation of compromised skin grafts and flaps
  • Osteoradionecrosis
  • Soft tissue radionecrosis
  • Radiation cystitis
  • Radiation proctitis
  • Acute peripheral arterial insufficiency

Who Is a Good Candidate for Hyperbaric Oxygen Therapy?

Hyperbaric oxygen therapy is a safe, effective, non-invasive treatment for more than one dozen acute and chronic conditions such as those listed above. If you have any previously discussed conditions, you’re probably a good candidate for hyperbaric oxygen therapy in San Antonio.

However, hyperbaric oxygen therapy should not be considered when the patient:

  • Has untreated pneumothorax
  • Underwent recent ear surgery
  • Has an existing collapsed lung
  • Has certain types of lung disease
  • Is pregnant

How Does Hyperbaric Oxygen Therapy Work?

After an injury, tissues may be deprived of oxygen, causing further damage or difficulty healing. However, oxygen is crucial in recovery after an injury because your soft tissues and skin need oxygen to thrive. When you experience an ulcer, wound, cut, or abrasion, your tissue requires higher oxygen levels to heal.

Normal oxygen on its own is not enough for optimal healing. Hyperbaric oxygen therapy resolves this by delivering concentrated oxygen to areas where circulation has been reduced or cut off. Increasing oxygen levels in your blood can prevent infection and promote healing, avoiding more invasive treatments such as wound debridement or surgery.

What Is the Hyperbaric Oxygen Procedure?

Wound Evolution Wound Care and Hyperbaric Medicine provide hyperbaric oxygen therapy onsite in San Antonio. Before your treatment, you will be asked to remove hair or skin-based petroleum products and give your provider your cell phone and other electronics.

You’ll sit or lie on an exam table with a lightweight mask or hood over your head, which releases a steady stream of oxygen directly into your lungs for approximately two hours. Our team monitors you and the therapy unit throughout your session to ensure total safety.

The increased air pressure may cause your ears to pop like on an airplane or at high altitudes; you can yawn or swallow to relieve this side effect.

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How Is Recovery From Hyperbaric Oxygen Therapy?

To end the treatment, your therapist will slowly depressurize the oxygen, allowing you to transition back to normal oxygen levels easily. If you feel lightheaded or tired, rest assured that this will resolve shortly.

It is important to note that most patients require multiple hyperbaric oxygen treatments for the best results. The exact number needed will depend on the following factors:

  • Type of wound
  • The severity of the wound
  • How well the wound responds to the first hyperbaric oxygen treatment

Our specialists will recommend approximately how many hyperbaric oxygen therapy treatments are best for you during your evaluation.

Wounds Treated at Our San Antonio Location

Wound Evolution can address wounds of all types and severity. We work with patients who are experiencing a unique wound for the first time and those suffering from chronic wounds without relief. During your appointment, our staff will evaluate the area and then create a personalized treatment plan to ensure your wound is properly addressed.

Bone Infection

Bone infections can stem from common medical conditions or wounds that have been left untreated. While a bone infection is not visible, the side effects can impact your life, making it challenging to participate in regular activities. At Wound Evolution, our specialists can run tests to determine if you have a bone infection and provide a comprehensive treatment plan for lasting relief.

Diabetic Wounds

Diabetic wounds can occur in patients with diabetes and can be challenging to treat. These wounds can cause complications and require amputation in more severe cases if not treated properly. Our staff can work with patients to address diabetic wounds using a combination of state-of-the-art treatments offered at our office. 

Post-Mohs Surgery

Mohs surgery is used to remove skin cancer, primarily in areas throughout the face. While the treatment offers a 99% cure rate, it leaves patients with a wound that must be cared for thoughtfully. At Wound Evolution, our staff can help patients recover faster with a lower risk for complications and infection. 

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Treatments at Our San Antonio Location

Our San Antonio office provides the latest wound treatment methods, including wound cleaning, wound debridement, infection control, and bioengineered skin grafts. We also provide:

Hyperbaric Oxygen Therapy

This state-of-the-art treatment uses pure oxygen to help support the body’s natural healing process. Wound Evolution San Antonio can offer the treatment in our office as an outpatient procedure. It can be used to help heal a wide range of wounds and works well in combination with other treatments.

Compression Therapy

Compression therapy is beneficial for those without a wound infection. It is performed using pressure stocking that helps prevent blood reflux while also decreasing edema and fluid leakage. Compression therapy can be an essential aid during your wound healing process.

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Marium Steele, MD

Wound Care Specialist

Marium Steele, MD, is a devoted wound care specialist in San Antonio. She has over 20 years of experience in Internal Medicine before specializing in wound care.


Monday 8:00 am - 4:30 pm
Tuesday 8:00 am - 4:30 pm
Wednesday 8:00 am - 4:30 pm
Thursday 8:00 am - 4:30 pm
Friday 8:00 am - 4:30 pm
Saturday Closed
Sunday Closed

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I highly recommend this clinic. Dr. Savage is wonderful and takes an extreme interest in caring for patients. All the staff are friendly and attentive.

The staff was friendly and responsive to my needs. The physician listened to my concerns, performed a thorough examination of my wound area, and explained in de...

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Schedule Your Appointment

Wound Evolution - Wound Care and Hyperbaric Medicine can help patients who are experiencing a wound for the first time or have struggled with chronic wounds. Our highly skilled providers can help determine the cause of your wounds while also recommending a comprehensive course of treatment. Contact our office or book your appointment online today.

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