Treatment
Chronic Wound Care
What Counts as a Chronic Wound?
A chronic wound is one that hasn't made meaningful progress toward healing in 30 days or more — or one that follows a frustrating cycle of partial healing followed by breakdown. The body has stalled somewhere in the normal repair process, often because of an underlying issue like poor circulation, diabetes, ongoing pressure, low-grade infection, or nutrition gaps.
These wounds rarely respond to "more of the same." They need a specialty plan that addresses the cause, not just the surface. If you've been watching a wound for a month without real improvement — or if it keeps reopening — it's time to be seen. Earlier specialty care almost always means a faster, more durable closure.
What We Do
What We Do
Our approach starts with gentle, sharp debridement of devitalized tissue when clinically indicated, followed by a thoughtful dressing plan matched to your wound's moisture level, drainage, and infection or inflammation control needs. Between visits, we work with you on lifestyle, movement, and pressure-offloading techniques tailored to how you actually live. Our surgeons also provide nutritional guidance to support healing from the inside — because chronic wounds rarely close from topical care alone.
Common Cases
Wounds We See Every Week
Venous Leg Ulcers
Slow-healing wounds on the lower leg from chronic venous insufficiency. Compression, dressings, and consistent follow-up.
Arterial & Mixed Ulcers
Wounds related to reduced blood flow. Coordination with vascular specialists when appropriate.
Atypical Chronic Wounds
Wounds that don't fit a typical pattern. Methodical assessment to identify the cause and a plan to match.
What to Expect
Your Visits, Your Plan
Most chronic wound patients are seen weekly to start, when measurement and dressing changes matter most. As the wound improves, visits naturally space out. Bring your medication list, any prior wound notes or photographs, and a comfortable shoe or wrap if your wound is on a foot or leg.
Progress is tracked at every visit with consistent measurement and photography, and we walk you through what's changed. You'll always leave knowing what to do at home, what counts as progress, and when we want to see you next.
Meet Your Physician
Dr. Christopher Dominguez
Medical Director, Nexcell
Dr. Dominguez leads our wound care team in Albuquerque. He works closely with patients, primary care providers, and specialists across New Mexico to develop individualized treatment plans for chronic, diabetic, post-surgical, and pressure-related wounds.
FAQs
Common Questions
Chronic Wound care
Get your Chronic Wound evaluated by a surgeon.
Self-referral welcome. Most chronic Wound patients are seen within one week at our Albuquerque clinic — or at bedside through our partnering facilities.