Chronic & Subacute Burns

Comprehensive wound care provided by the bay area’s leading wound care experts.

Wounds caused by mild to severe burns have a variety of treatments that can vary from simple at home remedy to extensive clinical care. The severity of a burn is classified in degrees progressing up to fourth-degree burns. No matter the severity of the burn itself the area covered in burns is often times a better indicator as to the danger of any given wound. Any burns that include blistering, numbness, and/or charring, no matter the surface area covered, should be examined by a medical professional who will assist in the diagnosis and the creation of a treatment plan.

    Treatment Modalities

    Wound Debridement

    Wound Debridement is an important part of wound healing. Debridement is the process of removing necrotic or dead tissue that occurs during wound healing. This tissue inhibits the body’s ability to recover and develop new tissue during the healing process, making debridement critical in preparing a wound for quick and efficient healing.


    Offloading refers to removing pressure from the affected appendage. Offloading is achieved through a variety of methods including:

    • Shoes/socks that disperse pressure points
    • Wheelchair/scooter/or any device to minimize
    • Weight on the foot
    • Removable cast
    • Total contact cast
    • Half-shoes

    All of these offloading methods are effective and the best option for any patient will be decided by the clinician and patient together.

    Infection Control

    Infection control is a critical element of any wound treatment, and can only be effective if both patient and care providers are dedicated to the proper infection control practices. Proper clinical infection control practices require the existence of an official Infection Control Program which should include:

    • Proper hand hygiene
    • Use of gloves, gowns, mask and face/eye shields when necessary
    • Safe injection practices
    • Proper handling of contaminated material.

    Patient best practices should include:

    • Keeping draining wounds covered with clean/dry bandages
    • Keeping hands clean with soap and alcohol-based gels
    • Maintain good general hygiene including regular bathing
    • Do not share items that can come in contact with the wound such as towels, clothing, bedding, bar soap, razors, etc.
    • Avoid skin to skin contact with other individuals

    There are many other precautions that could be detailed but following good hygienic practices will eliminate the majority of infection risks.

    Advanced Wound Dressings

    When caring for wounds, clinicians have a wealth of options for bandages and dressings. These options are considered superior to the basic gauze and tape and are referred to as Advanced Wound Dressings. Advanced dressings reduce heal times, have less risk of infection, and have drainage issues.

    Skin Substitutes

    Skin substitutes have been used to aid in wound closure for centuries. They also help to control wound pain and replace the skin functions to promote proper wound healing. Skin substitutes come in two varieties, temporary and permanent. Temporary substitutes function as a wound covering and primarily serve to protect a wound from bacteria and additional trauma while providing a moist, clean and healthy environment for wound healing. Permanent substitutes are used to fully replace all layers of the skin and are most common with severe burns.

    Negative Pressure Wound Therapy

    Negative pressure wound therapy also known as “NPWT” is an option for treating burns, various types of ulcers and other chronic wounds. NPWT is a uses a dressing that creates a seal over the wound and around tubing which is attached to a pump which will draw out fluid and infection from a wound to help it heal. NPWT is a great option for some, but not all, patients. Based on your wound and medical situation, your provider will decide if you are a good candidate for this method of wound treatment.

    Why Marin?

    Experience + Technology = Healing

    We use the latest advancements in wound care to heal our patients. The treatment of a slow or non-healing wound starts with making a precise diagnosis. Without understanding the cause of the wound, and an accurate treatment plan cannot be made. Marin uses an integral approach to wound care which incorporates the use of relevant diagnostic tests.

    Groundbreaking Clinical Studies

    Our physicians have saved thousands of limbs over the years through education and research efforts. In 2003, Dr. Alex Reyzelman opened the Center for Clinical Research. CCR partners with a wide range of pharmaceuticals, medi­cal device companies, biotechnology, and contract research organizations to bring education and awareness of the positive benefits of clinical trials to patients, physicians, and the wider healthcare community.

    World Renowned Surgical Services

    Our doctors perform inpatient surgical procedures at prestigious local hospitals such as UCSF Medical Center, California Pacific Medical Center, Eden Medi­cal Center, Alta Bates Medical Center, Summit Medical Center, San Ramon Regional Medical Center and St. Mary's Medical Center. We work closely with vascular surgeons in a coordinated effort to prevent amputa­tions. We are affiliated with UCSF Center for Limb Preservation & Diabetic Foot.

    Amputation Prevention

    Foot ulcers most commonly lead the pathway to amputations. Our team is focused on intercepting the progression and inhibiting the recurrence of the ulcers. The goal of treating a patient with a diabetic foot wound is to achieve complete healing as quickly as possible in order to prevent amputation. We strive to restore the patients quality of life, giving them the ability to lead an active, pain free lifestyle.

    UCSF Center for Limb Preservation

    In 2011 Dr. Reyzelman dedicated time and effort building a Limb Preservation and Wound Care Center at UCSF. He partnered with Dr. Michael Conte MD, a Vascular Surgeon, to help diabetic patients in need of advanced wound care and limb preservation. This multi-disciplinary approach pools the expertise of vascular surgeons, podiatrists, reconstructive microsurgeons, and other specialists to provide integrated, multidisciplinary, care for patients at high risk of foot and leg amputation, particularly diabetic patients.

    Your first step towards an active, pain-free lifestyle starts here.