Product Information

Our Wound Care Program has 3 Stages and differs from traditional home care/typical public health care treatments. Our High Risk Foot Team houses several health care specialties which have been combined to create our innovative and highly effective wound healing program.

STAGE ONE: Education and Treatment Begins

• We remove barriers which are likely to have been impeding your healing process to date, such as:
  • Lack of adequate offloading or pressure relief options
  • Lack of regular debridement of dead wound tissue and drainage
  • Least cost alternative/poor choice of dressings and wound care products provided by home care
  • Inconsistency of care providers
  • Inadequate frequency of wound care treatments
  • Lack of wound care expertise by home care nurses and doctors
  • Improperly fitting footwear which cause excessive pressure
  • Lack of education about eating well for wound healing
  • Lack of protection of the wound by allowing it to become wet from showering/bathing or macerated due to poor dressing choices.

As a rule of thumb, if a wound has not healed 30% or more in 30 days, the wound is considered “chronic” often indicating the assessment and/or treatment has been inadequate.

At Accelerated, our commonly reached goal is 50%-100% or more healing leading to wound “closure” within 30 days.

• We provide advanced treatments which augment the body’s ability to naturally heal itself, such as:
  • Shockwave wound therapy
  • Advanced wound care dressings and topical treatments
  • Neuromuscular stimulation
  • Lower leg exercises

• We provide multiple offloading/pressure relief options to suit every lifestyle, budget, and level of mobility, which are used individually or in combination to provide an ideal 100% off-loading and pressure relief for the wound, such as:
  • Total Contact Casts (gold standard)
  • Knee Scooter Rentals
  • Temporary off-loading insoles
  • Temporary Medical Shoes
  • I Walk Hands Free Crutch
• Regular, skilled wound debridement at every WEEKLY visit which removes dead or poor wound tissue/callus. Regular debridement can only be performed by certified Wound Care nurses and surgeons, is essential to wound healing and provides the following benefits:
  • Removal of “food for bacteria” in the wound bed
  • Stimulation of the wound bed to encourage the natural, cellular process of wound healing normally present in a new, acute wound
  • Removal of thickened or raised wound edges allows the new wound cells to easily migrate across the wound bed for optimal and rapid healing.
  • Wounds are kept moist (not too wet/not too dry) with expert dressing selections and the affected areas is kept dry with shower covers while bathing/showering.

STAGE TWO: 30-Day Wound Maintenance Program

Once the wound is closed, the 30-Day Wound Maintenance Program begins.

• Our unique and essential after-care program ensures the client’s best opportunity to maintain wound closure in the immediate high-risk 30-day period and beyond.
• Clients are kept off-loaded for 30 more days and educated on acceptable phases of returning to use of the affected area/limb, compression therapy (if needed) while orthotics/footwear referrals are arranged.
• Coverage of 75% or more of orthotics/custom shoes may be available through AADL and/or through client’s personal health benefits.
• Showering/bathing of the affected area can now begin.
• Clinic visits can decrease from weekly to bi-weekly.
• Clients are supplied with 30 days of protective dressings to maximize their wound healing and transitioned to our preventative, Stage Three, High-Risk Foot Care Program.

STAGE THREE: Prevention & Education/High Risk Foot Care

• To prevent the recurrence of foot ulcers, ongoing professional foot care in our clinic and monitoring by our experts of the “healed” area is essential.
• Clients are encouraged to continue foot care every 4-6 weeks to maintain the health of the skin, nails, calluses, healed areas and for ongoing education on foot health.

Once clients have completed Stage One and Two, if they continue with Stage Three, the recurrence rate of foot wounds treated by our clinic is less than 1%.

We know a wound that does not heal quickly creates great frustration and discouragement on every level, which is why wound care is our passion. We welcome you to contact us to book a Lower Limb Assessment and begin your healing journey today. In the meantime, check out some of the Case Studies of some clients like you whom we have helped.

We look forward to meeting you.

Kathleen Cesarin, CEO

If you need help caring for your feet please contact us for an appointment by calling (780)907-2082 or emailing us here.

At Accelerated Cast Clinic & Limb Preservation Centre, we are always striving to bring healing for our wound care clients as rapidly as possible. We are acutely aware of the devastating effects that an unhealed wound has on a person’s family, employment, finances, quality of life and overall health. As such, we pride ourselves on being on the cutting edge of treatment and new technologies in the area of wound care and limb preservation.

We are excited to have been chosen by Sanuwave to be the first and only health clinic in Western Canada to use the dermaPace Shockwave Wound Therapy device.

Currently, this innovative, adjunctive treatment is incorporated along side best practice wound care for all our wound clients, at no extra charge.

Here’s how Shockwave works:

The mechanism of action is based on shockwave technology which has been used for nearly 30 years in orthopedic treatments and lithotripsy procedures (destruction of kidney stones). These early devices also provided evidence that there was an effect on wound healing.

Shockwave therapy is a non-invasive, painless modality to reinvigorate the chronic wound by activating the body’s own healing mechanism. Treatments only take about 5 minutes.

Shockwave energy:

• increases angiogenesis (the development of new blood vessels)
• increases growth factor production (required for the stimulation of growth in living cells) and
• decreases inflammation within the wound bed and surrounding tissues.
• Increased fibroblast (bone building cells)
• Increased leukocyte production (cells that circulates in the blood and body fluids-involved in counteracting foreign substances and disease)
• Improves the susceptibility of biofilm organisms to antimicrobial agents which may prevent infections

Clinical evidence suggests that, in addition to best practice wound care, off-loading and debridement, shockwave wound therapy provides benefits such as decreased time to wound to closure and decreased instances of the wound reoccurring.

Shockwave therapy has been found to have some benefit for the following types of wounds:

• Post-operative wound healing defects
• Post-traumatic wounds
• Deep-partial thickness burns
• Decubitus ulcers
• Diabetic ulcers
• Arterial ulcers
• Venous Leg ulcers

We are encouraged and excited at the early results we are seeing with this shockwave device and look forward to analyzing the data over the months and years to come.

What to Expect During treatment with the dermaPACE Wound Therapy System

The treatment takes place in our facility at a scheduled time. On the treatment day you should be in overall good health. Before treatment you will be informed of the procedure and asked to sign an informed consent form.

​The procedure will begin with the removal of dressings or bandages from the wound. The edges of the wound may be measured to determine the size of the wound. The wound will be gently cleansed, and sterile gel will be applied to the wound. The dermaPACE Applicator will be gently applied to the wound surface, and treatment will begin. The device makes an audible “popping” sound that will last until the treatment ends. In general only a few treatments lasting a few minutes are needed; however, the treatment time – as well as the number of treatments – depend on the wound condition.

After treatment, you will receive advanced wound care including a dressing and other instructions within your personalized wound care program.

What are the possible side effects or complications?

A procedure with the dermaPACE   System has minimal risks. In some cases it can cause reddening, bruising, tingling or numbness. Directly after treatment there may be a brief increase of pain.

Is shockwave wound therapy safe?

Yes. Shockwave treatment was originally developed for the treatment of kidney stones over 30 years ago. A wealth of medical experience, state-of-the-art engineering and optimal quality have been built into the dermaPACE System, and extensive clinical studies and tests have confirmed its safety and efficacy.​

What if I have a Special Health Condition?

The safety and effectiveness of dermaPACE  procedures has not yet been determined in people with the following health conditions. Your doctor will provide you with information about how these and other health conditions might affect the outcome of a dermaPACE  procedure.

• Malignancies in the treatment area
• Treatments in the head area
• Treatments on the spinal column
• Treatments in the lung area
• Treatments in the area of the gonads
• Coagulation disorders

Little or no experience has been gathered in cases of:

• Children
• Pregnant patients
• Patients with pacemakers
• Patients with implants in the treatment area

Do you have a wound that has not improved at least 30% over the last 30 days or longer?

Give us a call to book a Lower Limb Assessment and get started on your healing journey today.

To learn more about this advanced therapy and others we offer check out our Advanced Therapies page.

Kathleen Cesarin, CEO

Accelerated Cast Clinic & Limb Preservation Centre

Would you like to learn more about how shockwave therapy can be used as an adjunctive therapy? Check out our course at the Accelerated Learning Centre!