Difficult Post-Surgical Wound Healing

Post-Mohs wounds are often expected to heal without issue. But when they don’t, patients can experience prolonged pain, stalled healing, and declining quality of life.

This case illustrates the importance of early referral to specialized wound care when a wound stops progressing.

The Patient Story

A woman in her 90s presented with a non-healing ulcer on her left shin following a Mohs surgical procedure. Despite 21 weeks of dermatologic management and multiple interventions, the wound remained stalled — and the pain was severe.

Her reported pain level was 7 out of 10, disproportionate to the wound’s appearance and significantly impairing daily life.

A Different Approach

Upon referral to United Wound Care Centers, the focus shifted to both wound healing and pain management — recognizing that unresolved pain is often a sign that a wound needs a new strategy, not more of the same treatment.

Care was conservative, evidence-based, and carefully adjusted over time:

• Targeted wound care products

• Minimal, appropriate debridement

• Close reassessment and dressing optimization

  
  

Flexibility That Made the Difference

As the wound neared closure, transportation challenges threatened to interrupt care. Our team transitioned seamlessly to home visits, ensuring continuity without burdening the patient or family.

The Result

• Complete wound closure in 7 weeks after referral

• Resolution of chronic pain

• No complications or hospitalizations

  
  

After nearly five months of stalled healing, the wound closed — and the patient regained comfort and independence.

What This Means for Patients and Referrers

When a wound isn’t healing — or pain doesn’t match expectations — it’s often time for a specialized wound care partner.

United Wound Care Centers works closely with dermatologists, surgeons, and primary care providers to support complex cases through:

• Advanced clinical assessment

• Flexible care settings (clinic, home, facility)

• Clear communication and shared goals

  
  

Healing is rarely just about time. Sometimes, it’s about the right team stepping in.