Physical Therapists are trained in the removal of devitalized tissue from wounds with sharp, sterile instruments such as forceps, scalpels and scissors. Debridement of this necrotic tissue is imperative for wound healing as migration of new granulation and epithelial cells are inhibited by its presence. Therapists may also use pulsed lavage to loosen slough and/or eschar, as well as irrigate the wound. Selective debridement by a licensed therapist is covered by Medicare and most private insurance carriers. Wound types include pressure ulcers, diabetic ulcers, venous stasis ulcers and burns. Furthermore, when conventional treatment has failed after a one month trial, then therapists may employ the use of high volt galvanic stimulation to promote wound healing.  The negative polarity has been proven to have a bacteriocidal effect, whereas the positive polarity encourages re-epitheliazation. This multifaceted approach to wound care results decreases the overall cost associated with wound care as wound closure is achieved in 30-40% less time than with traditional treatment. If you or your loved one is suffering from a wound that won’t heal, contact your physician to determine if therapy is an appropriate avenue of treatment. Our staff will be happy to answer any questions you may have related to this service.