Why Won't My Wound Heal?.

Skin wants to close. When a wound sits open for weeks, something is overruling that instinct, and it's usually one of five things. Circulation: blood delivers everything healing requires, and narrowed arteries or failing veins starve the site. Diabetes: elevated glucose quietly sabotages every stage of repair. Pressure: a wound that keeps bearing weight keeps reopening. Nutrition: healing is construction, and construction needs protein. Infection: sometimes obvious, often subtle, a low-grade colonization that just keeps the wound simmering.

Families often cycle through products, each promising more than the last. But a dressing treats the surface, and stalled wounds stall for reasons underneath. This is why our model pairs wound care with home-based primary care: the clinician treating the wound can also adjust the insulin, review the medications, and address the blood pressure, because those are wound treatments too.

If a wound has been "being treated" for more than a few weeks without visibly shrinking, the right question is not "what dressing next" but "what is stopping this wound," and that question deserves a clinical answer at the bedside. Start with the conditions we treat or just call.