We Are Committed to Your Wound Care Needs

Triple Board Certified Wound Care Physician. Same Day Appointments Available.

We are your Wound Care Center for the ENTIRE Leg

Our mission is to spend quality, unrushed time with our patients in order to truly get to know them and their medical concerns regarding wound care. We believe the doctor and patient must become partners in health care planning, thus establishing a strong doctor-patient relationship built on knowledge, trust, and respect. In our practice, we help to organize a wound care team to meet these needs. Call today to schedule your assessment exam and the start of your wound treatment plan.

“In 2013, I began to focus on wound care and limb salvage, a specialty missing in our area; completing my Certified Wound Specialist Physician (CWSP) in 2016. In August 2016, I was certified with the American Board of Multiple Specialties in Podiatry – Prevention and Treatment of Diabetic Foot Wounds and Diabetic Footwear. I also became Board Certified with the American Board of Wound Healing – Physician Certification in Wound Care (PCWC). “

Dr. Pulapaka talks about wound care, “I am certified with the American Board of Wound Management as a Certified Wound Specialist Physician, one of five in Volusia County and the only one in our West Volusia area.  As a Wound Care specialist, I emphasize the need for basic ‘good wound care’ as well as access to advanced wound care therapies to achieve optimal patient outcomes.  As a Senior Specialist, I rely on personal experience and clinical evidence to make treatment choices”. 

A patient with a wound that has not healed after one month of conservative therapy may benefit from being referred to a wound care specialist for further evaluation and treatment. At DeLand Foot and Leg Center, I provide innovative health care while demonstrating compassion to your patients as they navigate the often long road to recovery. I am also currently certified with the American Board of Multiple Specialties in Podiatry – Prevention and Treatment of Diabetic Foot Wounds and Diabetic Footwear. Statistics show 85% of diabetes-related lower extremity amputations are preceded by a foot ulcer, however many foot ulcers can be prevented with suitable healthcare and informed self-care. With my combined expertise and diverse clinical knowledge I can help improve the patient’s wound healing and thus, improve their quality of life.”

Conditions We Treat

When a wound does not heal or respond to standard treatment in 30 days, we consider it chronic.

We treat the following types of chronic  and acute wounds below:

A wound on the foot of a diabetic individual. About 60-70% is associated with loss of protective sensation, caused by pathology commonly associated with the disease, such as peripheral neuropathy.

Higher-than-normal blood pressure within the leg veins resulting in pathophysiologic changes including ulcerations, varicosities, intravascular and interstitial edema, hemosiderin deposition, dermatitis, and ulceration; previously referred to as venous insufficiency or venous stasis.

A wound which results from inadequate arterial blood supply or flow. Frequently, these wounds are located on the distal extremities.

Inflammation of cellular (epidermal and dermal) or connective tissue usually accompanied by local warmth, pain, swelling, and possibly fever. 
Advancing Cellulitis is a progressive cellular inflammation, moving distal to proximal, associated with pain, increased temperature, and swelling of tissue.

A wound or ulceration forming secondary to the effects of deficits in peripheral, sensory, motor and autonomic nervous systems; often has delayed or abnormal healing.

Neuropathy  is the impaired function of the sensory, motor, and/or autonomic nerves, resulting in decreased sensation, bony deformities, and
loss of perspiration.

Tissue injury resulting from excessive exposure to thermal, chemical, electrical, or radioactive agents.
We treat Burn Classifications as noted: 

Superficial – initial treatment

Superficial/Deep partial
thickness – After stabilized at a burn center

Full thickness – With coordinated care from a burn center.

Our Comprehensive Wound Therapy Treatments

We emphasize limb preservation and salvation using a variety of clinical treatments, therapies, and support services to treat chronic wounds. Our team works together to determine the best treatment plan for you.

Removal of devitalized tissue, cellular debris and any foreign matter from the wound. 

Application of sub-atmospheric pressure to a wound using a variety of forms: electrical pump, wall suction, bulb suction or applied vacuum. The therapy may be applied by continuous, intermittent, low or high pressures and is used to assist in extracting drainage, microorganisms as well as stimulating granulation and contraction in a wound.

A procedure that moves a segment of dermis and a portion of epidermis. The graft is completely separated from its blood supply and donor site and moved to a recipient site. Skin grafts contain varying portions of dermis and epidermis and can be partial or full thickness.

Bioengineered tissue grafts Single or multiple layer structures constructed from living tissue derived from one or more skin cells, such as dermal fibroblasts and /or epidermal keratinocytes. These grafts are intended for application to an open wound surface.

We emphasize limb preservation and salvation using a variety of nursing services to treat chronic wounds. Our team works together to determine the best treatment plan for you at home with or without family assistance. 

Our focused, multidisciplinary approach for chronic wound care is aimed at helping you heal faster and getting you back on your feet. We identify the best treatment plan to improve blood flow, increase your body’s ability to heal wounds, and prevent amputations when possible.

We coordinate care with other specialists in: Vascular surgery, Infectious disease, Endocrinology, Social Workers, and Physical Rehabilitation. 

This patient had several wound care modalities and the wound improved over time: VAC, Prisma, hydrocolloid.

This patient had CRITICAL LIMB ISCHEMIA and required several wound care modalities to help this wound improved over time: Angioplasty with a Vascular Surgeon, gentle wound cleaning, silver hydrogel, then finally Prisma. Additionally, the patient was treated with Celluma Low-Level Light Therapy.  Read More!

This patient had several wound care modalities and the wound improved over time: VAC and hydrocolloid.

These patients have severe vascular disease which developed into arterial insufficiency ulceration. The first patient has a frequently misdiagnosed ulcer due to uncontrolled ELEVATED BLOOD PRESSURE, called Martorell’s Ulcer. The second patient had interventional vascular surgery and OFFLOADING  with hydrocolloids for his wound care treatment.

These patients have severe vascular disease with failed surgeries to improve the blood flow from other facilities, requiring close monitoring in their wound treatments.

Random causes for ulceration requiring wound treatments.

Wound Dressings 
There are thousands of types of wound dressings available. Sometimes patients are overwhelmed by the options. The secret to understanding the various types of wound dressings is to learn the basic properties of wound dressings. Here are a few examples of some of the dressings Dr. Pulapaka may prescribe in your treatment plan. These videos series is brought to you by Wound Educators.