Slow-healing wounds are often concerning and can require special care. Our team of wound nurses, therapists, and physicians work with our dedicated support staff to provide expert care, education, evaluation, and support services.

Hyperbaric Oxygen Therapy Services

One of the services we provide is called hyperbaric oxygen therapy (HBO). This advanced medical treatment for wound care involves breathing in 100% oxygen in a pressurized area. In many cases, slow healing can be at least partially attributed to lack of oxygen. A wound may be impacted by infection, inflammation, or poor circulation. HBO therapy provides the oxygen these tissues so desperately need in order to heal. This treatment stimulates the worker cells and accelerates the healing process by helping stave off infection, stimulate connective tissue and blood cell growth, and cut back inflammation.

Patients who are suffering from wounds that are not healing or who have undergone radiation therapy may benefit from hyperbaric oxygen therapy. Many different types of wounds can be treated using this advanced process, including diabetic foot ulcers, chronic bone infections, failing surgical flaps / skin grafts, injuries caused by soft tissue radiation, necrotizing soft tissue infections, and more.


Narayan G Kulkarni D.O.

What is Hyperbaric Oxygen therapy?

Hyperbaric oxygen therapy (HBO) is a form of medical treatment where patients breathe in 100% oxygen, while being in a pressurized environment. Many hard-to-heal wounds have a very poor oxygen supply, because of poor circulation, infection or chronic inflammation. Hyperbaric oxygen floods the oxygen starved tissues with high concentrations of healing oxygen, which “turns on” on the worker cells required to heal the wound. Hyperbaric oxygen helps to fight infection, grow connective tissue and blood vessels, and reduce inflammation. All of this translates to accelerated wound healing.

Our Specialists

  • Diabetic foot ulcers
  • Circulation wounds (lymphedema, vein disease, peripheral arterial disease)
  • Surgical wounds
  • Traumatic wounds and mild to moderate burns
  • Pressure ulcers
  • Wounds from unknown causes
  • Ostomy/urostomy/ileostomy care

How do I tell if I need hyperbaric oxygen?

If you have a history of a nonhealing wound, or a history of radiation therapy in the past with the onset of unusual physical symptoms currently, talk with your doctor about a referral to Wound Care and Hyperbaric Medicine. Our physicians can evaluate you for hyperbaric oxygen therapy to see if you are a candidate.

What conditions does Hyperbaric Oxygen therapy treat?

Some of conditions that are treated with hyperbaric oxygen include:

  • Diabetic Foot ulcers
  • Chronic Bone Infections (Osteomyelitis)
  • Failing surgical flaps and skin grafts
  • Soft Tissue Radiation Injury (bleeding in the bowel or bladder, as a side effect of radiation therapy)
  • Radiation injury to the jaw
  • Necrotizing or Severe soft tissue infections
  • Hard to heal wounds caused by certain medical conditions

Do you have a wound that is slow to heal?

If you have a wound, our staff will evaluate, educate and support you!

Wound Care & Hyperbaric Medicine is a team of specialized physicians, wound nurses/therapist and support staff who together provide:

  • Full medical evaluation to identify what is causing the wound and why it isn’t healing
  • Teach you and your family or caregivers how to care for the wound & prevent recurrence
  • Coordinate all diagnostic testing, specialty wound care treatments, home health needs, referrals and any other needs to help you heal.

Do you have leg swelling that won’t go away?

The staff in our Center can help determine the cause and help set up a treatment plan to help you!

Frequent Types of Wounds

The staff in our Center can help determine the cause and help set up a treatment plan to help you!

Preparing for Your Visit

Preparing for Your Visit

Whether you are referred to the Frederick Health Wound Care & Hyperbaric Medicine by your physician or you referred yourself, you can expect your visit to be streamlined and efficient. Since we do a very thorough evaluation of your wound and entire medical history at your first visit, you should expect it to last about 90 minutes, from beginning to end.

To save some time during your visit, we ask that you please:

  1. Print off the medical history forms and fill them out in advance.
  2. Review all of your current medications, and bring in a list of them with correct spelling, dosages, frequency and prescribing doctor. This also includes vitamins, supplements and any herbal medications.
  3. Bring in a list of other doctors that you are seeing and what conditions they are monitoring.


Complimentary valet parking is available at the hospital's main entrance. Just pull up to the front door and our professional valets will take care of the rest. Parking for wound care patients is also available on the east side hospital parking lot, facing Trail Avenue. You will also notice a little picnic area on that side as well. The Wound Center is located on the lower level of the hospital. Come in the Discharge Entrance, make the first right, follow the Wound Care signs to the elevator, take the elevator to the basement. Make a quick right and then a quick left off the elevator and we're right there!


When you first arrive to the center, you will be greeted by the front desk staff, who will review your registration materials. You will be asked for proof of identity, so please make sure you bring your driver's license or other form of photo identification with you. We will also be making a copy of your insurance card to keep on file.

Your Medical Visit

When it is time for your visit, you will be taken to an exam room by a medical assistant. On the way, you will have your height and weight measured, and then your vital signs, including temperature and blood pressure will be taken. The clinician, a specially trained wound care nurse or therapist, will then see you and work with the medical assistant to obtain your medical history as well as your "wound history". The clinician will remove your dressing, clean and measure your wound, photograph the wound so progress of healing can be monitored, then contact the Attending wound care physician. The Attending wound care physician will review your chart and medical history, perform a brief medical exam, then review the wound history with the clinician.

After the initial assessment is completed by the Attending wound care physician and clinician, a treatment plan will be developed and then discussed with you. The physician and clinician will teach you or your caregiver how to perform dressing changes and how to monitor the wound. If needed, special tests like x-rays or ultrasound may be ordered.

A follow up visit, usually in about 2 to 4 weeks will be scheduled for you, and the visit will be considered complete. Follow up visits will be arranged with the attending wound care physician, with the referring specialist physician, or other specialists as needed. If you have any questions regarding your wound care during your time at home, you are encouraged to call us 240-566-3840.

Pain Management

Many wounds can be painful, and the pain can come from different causes. Uncontrolled swelling, poor blood supply, infection, or just exposure to the air can all cause the wound to become more painful. If the wound is painful, the physician will do a careful examination of your wound and review your recent medical history to identify the cause of the pain. If pain medications are needed, the treating physician may prescribe pain medications on a very limited basis. This is primarily because pain medications can have significant side effects with your other medical conditions. If chronic pain control is needed, we will refer you back to your primary care physician or a pain management specialist to address your pain control needs.

Wound Care Supplies

During each appointment, the team will work with the patient to determine the best type of wound dressings (specialty bandages) needed to help healing. Each insurance company has different coverage benefits and requirements for the dressings so please make sure you check with your policy to see if there is coverage. The specialty dressings are a covered benefit for Medicare patients.

Home Health and Nursing Home Patients

Patients with wounds frequently are require assistance at home for learning to manage their wounds and illnesses so we are able to coordinate with any of the home health care agencies in the vicinity. All home care patients must be seen by a physician during each and every visit to our Center so please make sure you advise us if you have home care services for any reason.

Frequently patients with wounds are discharged from the hospital to a nursing home for further care or a resident of a nursing home may develop a wound for a variety of reasons. We are able to see patients from nursing homes and work closely with the nursing home staff to establish and appropriate plan of care, get the needed diagnostic tests and ensure continuing follow up care.