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Wound Care

Tri-City Medical Services

Wound Care2023-05-17T23:54:03-07:00
  • wound care icon

San Diego Wound Care & Hyperbaric Medicine


Programs & Services

  • Multi-disciplinary, physician-based clinic
  • Organized clinical pathways for venous stasis, arterial disease, diabetic foot and pressure ulcers
  • Individual Hyperbaric Oxygen Therapy (HBOT) Chambers
  • Wound care education and prevention
  • Case management
  • Specialized TCOM evaluation for non-invasive assessment of oxygen flow to the peripheral arteries
TCMC Wound Care and Hyperbaric Medicine
6260 El Camino Real
Carlsbad, CA 92009

Phone: 760.476.2953
Fax: 760.476.2963

Programs and Services

Our multi-specialty team of certified wound care physicians, nurses, and case managers work together to treat chronic non-healing wounds. During the course of treatment patients will receive an initial physician evaluation, plus, as needed, may also receive advanced vascular testing, nutritional evaluation and counseling, diabetic education, and education on wound prevention. Primary care and referring physicians remain an integral part our patients’ treatment plans.

We treat chronic, non-healing wounds resulting from the following conditions: 

  • Diabetic Ulcers
  • Venous Ulcers
  • Pressure Ulcers
  • Arterial Ulcers
  • Collagen Vascular Disease
  • Ischemia (circulatory problems)
  • Compromised skins graft/flaps
  • Soft tissue radiation necrosis
  • Chronic Osteomyelitis

Hyperbaric Medicine

Hyperbaric oxygen therapy serves as an important adjunctive therapy in the healing of various hard-to-heal wounds.  Patients breathe 100% oxygen inside of a pressurized, see-through chamber so they won’t feel confined. The chamber quickly delivers high concentrations of oxygen to accelerate the healing of wounds. All treatments are physician prescribed and monitored by Certified Hyperbaric Technicians and Certified Hyperbaric Physicians. This treatment is effective in fighting certain types of infections.

The following medical conditions are recognized by Medicare and other insurances and benefit from hyperbaric oxygen therapy:

  • Diabetic foot ulcers
  • Compromised skins grafts and flaps
  • Non-healing surgical wounds
  • Non-healing arterial wounds
  • Acute or chronic peripheral ischemia
  • Limb salvage
  • Soft tissue wounds in previously irradiated areas
  • Late effect of radiation including osteoradionecrosis, radiation cystitis and radiation proctitis

Ostomy Care and Management

Our ostomy clinical staff includes Wound Ostomy Continence Nurses (WOCNs) who are specially trained to provide complete ostomy care including:

  • Pre-operative site marking and education
  • Post-operative stoma care and management
  • Assistance with appliances and lifestyle adaptation

Amputation Prevention Program

Our trained clinicians work to salvage limbs that may otherwise be considered for amputation. We strive to dramatically reduce lower extremity amputations in individuals struggling with diabetes mellitus, Hansen’s disease or other conditions that result in poor circulation and loss of sensation in the feet.

What we offer

What Makes Our Wound Care Center So Unique?

  • Healing rate consistently exceeds national benchmark
  • Hyperbaric Oxygen Therapy (Individual Chambers)
  • TCOM Tissue Mapping
  • Multi-disciplinary, physician-based treatment

Our Team of Doctors Offer Expertise In:

  • Emergency Medicine
  • General Surgery
  • Geriatrics
  • Hyperbaric Medicine
  • Infectouse disease
  • Internal medicine and nutrition
  • Interventional radiology
  • Plastic surgery
  • Podiatric medicine and surgery
  • Vascular surgery
  • Wound Care

Additional Members of Our Comprehensive Team Include:

  • Certified Hyperbaric Technicians
  • Certified wound care nurses and case managers
  • Lymphedema Specialist
  • Dieticians – Certified Diabetes Health Educators
  • Wound ostomy continence nurses

Frequently Asked Questions

What kinds of conditions improve with Hyperbaric Oxygen Therapy (HBOT)?

  • Chronic, non-healing wounds
  • Diabetic foot wounds
  • Osteomyelitis
  • Radiation tissue damage
  • Compromised skin grafts and flaps

What can HBOT do for your patients?

  • It increases the concentration of dissolved oxygen in the blood, which enhances cellular oxygenation
  • It stimulated the formation of a collagen matrix so that new blood vessels may develop
  • It promotes the growth of new blood vessels in areas with problematic perfusion
  • It replaces inert gas in the bloodstream with oxygen, which is then metabolized by the body
  • It works as a bactericide

How does treatment occur?

Patients breathe 100% pure oxygen inside a pressurized chamber for 90-120 minutes, five times per week, over a prescribed treatment course, typically 20-40 sessions. Angiogenesis and fibroplasia generally develop in response to HBOT when given at 2.0-2.4 atmospheric pressure.

Gary Willard, MD, CWS, FACCWS

image #2 - Gary-Willard-Call-Out-ImageMedical Director, Inpatient Wound Care and Hyperbaric Medicine

Gary Willard is a certified Wound Specialist Physician as recognized by the American Board of Wound Management (AAWM). He is recognized by the American Board of Preventive Medicine, Undersea and Hyperbaric Medicine.

Since opening our doors in 2008, The Wound Care Center has consistently exceeded national benchmark healing rates. We offer the latest in treatment technology including many biosynthetic skin substitutes, Hyperbaric Oxygen Treatments and the TCOM device, which allows us to evaluate the oxygen flow and create an individualized optimal treatment plan.

Our integrated and multidisciplinary approach makes a real difference in healing our patients and distinguishing us as Wound Care Leaders in North County.

“What makes us unique is our integrated multidisciplinary team approach proven to achieve healing outcomes. Each patient receives an individualized treatment plan guided by evidence based pathways.”


  • Certified wound care physicians
  • Certified hyperbaric oxygen physicians
  • Certified wound care nurses/case managers
  • Hyperbaric oxygen technicians
6260 El Camino Real, Carlsbad, CA 92009
Phone: 760.476.2953 | Fax: 760.476.2963