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Wound Care Center Kentuckiana

Clinic for Chronic and Non-healing Wounds, Including Diabetic and Surgical Wounds (With Medicare)

Convenient Wound Care for Jeffersonville and Louisville Patients (812) 913-4416

*** Accepting New Patients ***

 

A wound that does not heal can be more than frustrating – it can increase the risk of infection, tissue damage, and serious complications if left untreated. If you or a loved one has been living with an open wound for weeks or months, it may be a sign that the body needs advanced wound care support to help move healing forward.

At Kentuckiana Integrative Medicine- Kentuckiana Medicine, wound care is led by Dr. Rafael F. Cruz, MD, and is focused on providing a structured, medically guided approach for patients with chronic, non-healing wounds.

If you have been treating the same wound repeatedly without results, contact us to explore alternative treatment options. This is our specialty.

We accept Traditional Medicare for wound care services. Patients with other insurance plans are welcome to contact us and may choose self-pay options. Health Savings Accounts (HSA) can be used for wound care when a physician documents medical necessity.

 

wound care clinic

Our Approach to Advanced Wound Care

When appropriate and medically indicated, we use a step-by-step wound care strategy that addresses not only the wound itself, but also the factors that commonly delay healing, including:

  • Circulation and blood flow
  • Pressure and off-loading (especially for foot wounds)
  • Swelling and venous congestion
  • Infection risk and inflammation
  • Metabolic and nutritional factors

Patients with foot or lower-extremity wounds may undergo a simple Ankle-Brachial Index (ABI) test to assess blood flow to the legs and feet as part of their evaluation.

Watch  Dr. Rafael Cruz, MD introduces the wound care services offered at Kentuckiana Integrative Medicine, focusing on accelerated treatment for chronic, non-healing wounds, especially diabetic ulcers and venous stasis

Medicare / Private Coverage Accepted 

  • We accept Medicare + Health Savings Accounts (HSA) + Self Pay

  • Our staff helps verify coverage, just ask

  • We provide a clear explanation of what is covered before treatment begins

  • Evaluations by licensed medical providers

  • Flexible scheduling to avoid delays in care

  • Care coordination with referring providers

  • Short Drive, Easy Parking, Trusted Wound Care Center

 

 

 

Conditions We Commonly Treat

We provide advanced wound care support for a wide range of chronic, non-healing wounds. Among the most common wound types we treat in assisted living and extended care settings are venous stasis ulcers, pressure ulcers, burns, and diabetic foot ulcers. These wounds can worsen quickly without proper intervention and often require advanced care to prevent infection, reduce complications, and support long-term healing.

Diabetic Foot Ulcers

Diabetic wounds often heal slowly due to impaired circulation, reduced sensation, and immune dysfunction. These wounds frequently require more than standard dressings. Our focus is on both wound closure and recurrence prevention when possible.

Venous Stasis Ulcers

Venous ulcers are often associated with chronic leg swelling and poor venous return. Advanced wound coverings and swelling management strategies may be used to support tissue repair.

 Pressure Ulcers

Pressure ulcers are common in residents with limited mobility or prolonged bed or chair use. These wounds may worsen rapidly if pressure relief and advanced wound strategies are not implemented early. Our approach supports healing while working with facility staff to reduce recurrence risk.

Non-Healing Surgical Wounds

Surgical wounds may fail to close properly in patients with diabetes, swelling, or compromised tissue health. Advanced wound care options may help support closure and protect fragile tissue edges.

Burns Requiring Advanced Wound Support

Certain burns may benefit from specialized wound coverings to protect healing tissue, especially when healing is delayed or the wound is located in a functionally sensitive area.

If you are unsure how your wound should be classified, we can evaluate it and outline the most appropriate care plan.

Assisted Living & Extended Care Mobile Wound Treatment.
Expert Wound Care, Right Where You Live

Residents in assisted living and extended care communities often face chronic or complex wounds, including venous stasis ulcers, pressure ulcers, burns, and diabetic foot ulcers. These conditions can affect comfort, mobility, and overall quality of life—and they frequently require a level of care beyond basic wound management.

Among the most common wound types we treat in assisted living and extended care settings are venous stasis ulcers, pressure ulcers, burns, and diabetic foot ulcers. These wounds can worsen quickly without proper intervention and often require advanced care to prevent infection, reduce complications, and support long-term healing.

At Kentuckiana Integrative Medicine, we provide mobile advanced wound care services, bringing experienced clinicians directly to assisted living and extended care communities.

Our on-site approach allows residents to receive specialized wound treatment without leaving their residence, reducing stress, transportation challenges, and unnecessary hospital visits.
Our mobile wound care services include:

Comprehensive on-site wound assessments to identify contributing factors to delayed healing and develop individualized treatment plans.

Advanced wound therapies and specialized dressings to promote tissue repair and minimize infection risk

Direct, on-site clinical care delivered in coordination with facility staff, ensuring seamless integration into existing care routines

Ongoing collaboration with physicians and caregivers to support continuity of care, accurate documentation, and consistent monitoring of healing progress

Insurance Note: We currently accept only Traditional Medicare. We are actively working toward Medicare Advantage acceptance.

 

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Advanced Wound Care Options

FDA-Cleared & Medicare-Approved Wound Coverings

When eligibility criteria are met, we use FDA-cleared and Traditional Medicare-approved wound covering products derived from legally donated amniotic, placental, or umbilical tissues. These tissues are donated from healthy mothers and their babies.

These products are used as protective wound coverings and are designed to:

  • Provide a barrier over the wound
  • Maintain a healthier wound environment
  • Support the body’s natural healing processes when healing has stalled

Important note: Every wound is different. Healing timelines depend on wound size, depth, circulation, pressure management, infection risk, and overall health. While some patients experience improvement within weeks, outcomes vary and cannot be guaranteed.

Self-Pay / Off-Label Supportive Therapies (When Appropriate)

In select cases—particularly when insurance-covered options are not available or have been exhausted—some patients may consider self-pay integrative therapies intended to support the wound healing environment.

These therapies are off-label, not FDA-approved, and not covered by insurance, and may include:

  • Hyper-concentrated Platelet Rich Plasma (PRP) injections
  • PRP gel wound coverings
  • Prolozone injections
  • IV Vitamin Therapy

These services are offered on a cash-pay basis only. If they are relevant to your case, we will explain what they are intended to support, potential limitations, and what a realistic care plan may involve.

Insurance Coverage (Including Traditional Medicare)

Cost is a major concern for many patients. Whenever possible, we prioritize insurance-covered wound care.

Certain advanced wound covering products may be covered by Traditional Medicare when medical necessity and eligibility criteria are met. Coverage depends on factors such as:

  • Wound type and duration
  • Prior treatment history
  • Documentation requirements

Our team can help you understand:

    • Whether your wound may qualify for coverage
    • What documentation is typically required
    • What follow-up schedules may look like
    • Any potential out-of-pocket costs

If coverage is not available, we will clearly explain self-pay alternatives.

What to Expect at Your Wound Care Visit

Step 1: Comprehensive Wound Evaluation

We assess wound location, size, depth, drainage, tissue quality, and signs of infection. Wound cleaning, cultures (when indicated), and dressing application may be performed.

Step 2: Identify Healing Barriers

We evaluate factors that commonly prevent closure, such as swelling, pressure, circulation concerns, diabetes-related changes, or repeated irritation.

Step 3: Develop a Practical Care Plan

Your plan may include wound-bed preparation, appropriate dressings, advanced wound coverings (when indicated), and follow-up scheduling.

Step 4: Monitor Progress and Adjust

Chronic wounds require consistency. We track healing progress with photographs -measurements and adjust care to keep the wound moving toward closure.

Self-Pay / Off-Label Supportive Therapies (When Appropriate)

In select cases—particularly when insurance-covered options are not available or have been exhausted—some patients may consider self-pay integrative therapies intended to support the wound healing environment.

These therapies are off-label, not FDA-approved, and not covered by insurance, and may include:

  • Hyper-concentrated Platelet Rich Plasma (PRP) injections
  • PRP gel wound coverings
  • Prolozone injections
  • IV Vitamin Therapy

These services are offered on a cash-pay basis only. If they are relevant to your case, we will explain what they are intended to support, potential limitations, and what a realistic care plan may involve.

 When to Seek Urgent Medical Care

Seek immediate medical attention if you experience:

  • Fever or chills
  • Rapidly spreading redness or swelling
  • Severe or worsening pain
  • Foul odor or heavy drainage
  • Dark or black tissue changes
  • New numbness, color change, or coldness in the limb
  • Limb swelling
  • Chest pain
  • Shortness of Breath
  • Mental confusion

Schedule a Wound Care Evaluation

If you’ve been living with a wound that will not close. Do not wait for it to “eventually heal.” Chronic wounds often become harder to treat the longer they remain open.

 

Call Kentuckiana Integrative Medicine at 812-913-4416 to schedule your wound evaluation with Dr. Rafael F. Cruz, MD.

We will review your wound history, discuss insurance eligibility (including Traditional Medicare when applicable), and outline a clear, step-by-step care plan.

Watch what is possible → 

Frequently Asked Questions

Do you treat diabetic foot ulcers?
Yes. Diabetic foot ulcers are a common reason patients seek advanced wound care when standard treatment has not been successful.

Is wound care covered by Medicare or insurance?
Some advanced wound care products may be covered when eligibility and medical necessity requirements 

are met. We help patients understand their options.

How fast can a wound heal?
Healing timelines vary. Some wounds improve in weeks, others take longer. No outcomes can be guaranteed.

FDA & Medical Disclaimer

Some services offered by Kentuckiana Integrative Medicine are considered off-label or investigational and are not FDA-approved or covered by insurance. FDA-cleared and Traditional Medicare-covered services are limited to specific wound covering products and select procedures offered through Kentuckiana Medicine.

All content, including text and video, is for general informational purposes only and does not constitute medical advice. Individual results vary. No guarantees of outcomes are made or implied.

 

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