Wound Care Specialist

The specialists at Extremity Wound Centers offer skin grafting treatments. Patients can help the body heal itself with this innovative treatment. Locations available include Peoria and Scottsdale, Arizona.

Wound Care Q & A

What is a skin graft?

The process of Skin grafting removes a thin layer of skin from one part of the body and adhere that skin to a wound in order to repair it. It can be a highly effective method to close a large wound. The negative result is however the creation of an additional "wound" site where the skin was harvested. We use biologic or "artificial" skin graft to treat this negative side effect. These "skin substitutes" incorporate several growth factors to improve the healing process.


• Utilizes human amnion and chorion membranes

• Wound healing growth factors

• Modulates inflammation and reduces scar tissue

• Growth factors promote proliferation of epithelial cells

• Unique growth factors promote normal wound healing

Skin Biologics and Non-healing Wounds

Extremity Wound Centers offers skin biologic therapy to assist with the body’s normal healing process. Having Podiatry expertise in-house in addition to wound care, patients often find faster relief from symptoms. Locations available include Peoria and Scottsdale, Arizona.

Skin Biologics and Non-healing Wounds

What is a non-healing wound?

A non-healing or chronic wound is defined as a wound that does not improve after 3-4 weeks or does not heal in eight weeks. These includes:

  • Diabetic foot ulcers*
  • Venous-related ulcerations
  • Non-healing surgical wounds
  • Pressure ulcers
  • Wounds related to metabolic disease
  • Wounds that repeatedly break down

*If you have diabetes with any tender areas of tenderness on your fee requires immediate attention, regardless of how long the wound has been present. Extremity Health & Wound Centers physicians have expertise in treating diabetes-related wounds.

Should I be concerned about a wound that is not healing?

Non-healing wounds are a serious condition. We are exposed to common bacteria like staphylococcus and pseudomonas daily and these bacteria are normally present on our skin and in the environment around us. Normally benign when you are healthy and wound free, but an open wound increases the risk for infection. Untreated, this can lead to more serious conditions, even the loss of a limb.

Venous Leg Ulcers Specialist

Extremity Health & Wound Centers offers advanced treatment for venous leg ulcers. Patients can receive this important care from practice Locations available include Peoria and Scottsdale, Arizona.

Venous Leg Ulcers Q & A

What are venous leg ulcers?

A venous leg ulcer is a long-lasting wound which requires more than four weeks to heal. These often occur near the ankle on the inside of the leg. The indications of a venous leg ulcer include discomfort, itching, inflammation, or edema, in the leg. There could also be discolored or thickened skin surrounding the ulcer that may be accompanied with a foul-smelling discharge.

What causes venous leg ulcers?

These ulcers are the most common, making up 70-90% of all cases. Venous leg ulcers can occur following a minor injury as high pressure is consistently present in the veins of the legs.

Who is affected by these ulcers?

Many different people can be affected by ulcers, though much more common as you age. A person who has had deep vein thrombosis (DVT) previously or trouble walking has a much greater risk of developing an ulcer. These additional common conditions may place you at even greater risk:

  • Obesity
  • Paralysis
  • leg injury or recent surgery
  • Osteoarthritis
  • varicose veins

How are venous leg ulcers treated?

Most ulcers heal on their own in 3-4 months, if they are professionally treated. It is important to keep in mind that some ulcers may take longer to heal. Treatment generally involves:

  • Cleaning the wound, in a process known as debridement
  • Use of compression bandages or stockings to facilitate improved blood flow to the legs
  • Antibiotics, if the ulcer becomes infected

The underlying cause of the ulcer must be addressed in addition to wound care, otherwise you will be at greater risk of a venous leg ulcer reoccurring after treatment. These underlying causes can include previous DVT, immobility, obesity, or varicose veins.

Skin Ulcers Specialist

Skin ulcers often develop due to poor circulation and other vein problems. Thankfully, Extremity Wound Centers specializes in the treatment and care of skin ulcers. Patients can receive this critical care from our practice locations available in Peoria and Scottsdale, Arizona.

What is a skin ulcer?

A skin ulcer is any open wound on the skin. It can be caused by infections, pressure sores, or by vein problems. Treatments will depend on the cause and location of the ulcer. The most common type, Venous skin ulcers, are shallow wounds which occur when the leg veins do not return blood back to the heart properly. Venous ulcers usually form below the knee.

What causes a skin ulcer?

Venous skin ulcers are generally caused by poor blood circulation. In the case of venous insufficiency, the valves have been damaged and blood backs up and pools inside the vein. Fluid can then leak out and into the surrounding tissues, resulting in the breakdown of the tissue and formation of an ulcer. Those with increased risk of these ulcers include:

  • Deep vein thrombosis
  • Obesity
  • Smoking
  • Lack of physical activity and movement
  • Arterial skin ulcers. These ulcers can be very painful and are typically located on the feet and toes.
  • Neuropathic skin or diabetic neuropathic ulcers. These often develop in those who have little or no feeling in the feet due to diabetic nerve damage.

How are these ulcers treated?

Conservative treatments include improving blood circulation:

  • Lifting the legs above your heart
  • Use of compression stockings or bandages to prevent blood from pooling in the legs.
  • Walking daily

The physician will perform a debridement to excise dead tissue from the wound. After the ulcer has healed, compression socks should still be worn, removed for bathing and sleeping. Additional treatments, if required, may include.

  • Medication for an infection, such as antibiotics.
  • Skin grafting, for deep or non-healing ulcers.
  • Vascular surgery, which can prevent ulcers from recurring.

Diabetic Ulcers

For treatment and care of diabetic ulcers of the foot visit Extremity Health & Wound Centers. Patients can receive this important treatment and maintenance from practice locations available include Peoria and Scottsdale, Arizona.

What are diabetic foot ulcers?

Ulcers and soft areas of the feet pose a unique challenge to diabetics. Diabetic ulcers are open sores that develop on patients with diabetes. For diabetic patients, foot ulcers are one of the most frequent causes of hospital visits and can be very problematic to heal. The ulcers do not usually cause pain however they can lead to additional complications.

What is done for a diabetic ulcer?

Foot ulcers are typically caused by pressure being exerted on the region of the foot. The first step will be to reduce the pressure and remove the area of any dead tissue by performing a debridement. Initially a debridement is performed, and the ulcer cleaned with a sterile solution. To keep the ulcer clean and free from pressure, patients may need to wear special shoes or a brace and in with more severe conditions a wheelchair or crutches could be required. Patients will also be provided with dietary and wound care instructions including:

  • Managing blood sugar levels
  • Cleaning and re bandaging of the ulcer when appropriate
  • Avoid walking barefoot unless the physician provides permission
  • Keeping the skin and area around ulcer clean and dry

When should I call the physician?

Schedule an appointment with our office if you experience symptoms such as:

  • Redness and swelling
  • Area around the wound is increasingly warm
  • Additional drainage
  • Increased pain or firmness around the ulcer
  • Pus or odor
  • Fever or chills
  • Wound becomes abnormally white, black, dark brown, or blue


Extremity Health Center accepts the following insurances. Please contact the office for further information.

Humana ChoiceCare Network PPO
Medicare B
United Healthcare

Words from our patients

  • Demandforce

    "I was seen in a timely manner and everything was explained very well. Dr. Jacoby is very personable and even drew out pictures to make understanding easier."

    Kathryn D.
  • Demandforce

    "Timely and courteous. Doc was most kind helping me by cutting away a painful part of nail that was digging into my big toe."

    Diane P.
  • Demandforce

    "Staff is friendly and efficient and Dr. Jacoby is insightful and good at what he does."

    John W.
  • Demandforce

    "Appreciate Dr Jacoby spending time and solving my immediate problem. Very pleasant experience."

    Diane P.
  • Demandforce

    "Dr. Jacoby is very insightful and meticulous in his approach to medicine. Also, his entire staff is courteous, friendly, and good at what they do."

    John W.
  • Healthgrades

    "Dr. Jacoby is concerned about a patient's overall good health, not just a hyper-focused piece of the puzzle. This is a rare find in physicians these days."

    Verified Patient
  • Healthgrades

    "...After my visit with him I started physical therapy in his office. I only needed four treatments and I'm back to my daily walks again. Thank you Dr. Jacoby & Staff!"

    Verified Patient
Our Locations

Choose your preferred location