When Should You Consider Hyperbaric Oxygen Therapy?
Signs It’s Time to Talk to a Specialist in San Antonio
If you’re dealing with a wound that just won’t heal, or experiencing unexplained symptoms long after cancer treatment, you might be wondering: “Is it time to consider hyperbaric oxygen therapy?”
At Hill Country Wound Care & Hyperbarics, we help patients across San Antonio get answers. Whether you’re managing a stubborn diabetic ulcer, post-surgical complications, or symptoms from pelvic radiation, knowing when to seek advanced care can change everything. Hyperbaric oxygen therapy (HBOT) isn’t a last resort. It’s a powerful healing tool designed to intervene when conventional treatment hasn’t worked.
Let’s walk through the signs, symptoms, and conditions that indicate it might be time to ask your doctor or wound care specialist about HBOT.
What Is Hyperbaric Oxygen Therapy (HBOT)?
Before diving into when to consider it, here’s a quick recap:
HBOT involves breathing 100% pure oxygen inside a pressurized chamber. This allows your lungs to absorb up to 15x more oxygen than usual, which is then delivered by your bloodstream to damaged tissues. Oxygen-starved areas, such as those affected by chronic wounds, radiation, or infections, receive the necessary fuel to heal. Learn more in our HBOT Overview Blog.

Signs You May Need Hyperbaric Oxygen Therapy
1. Your Wound Hasn’t Healed After 4 Weeks
If a wound (from surgery, trauma, diabetes, etc.) hasn’t improved after four weeks of standard care, it’s considered a chronic wound. These wounds often suffer from poor blood flow, oxygen deprivation, or hidden infection. All of which HBOT can help correct.
Common examples:
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Diabetic foot ulcers
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Pressure injuries
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Post-surgical incisions that reopen
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Radiation-induced soft tissue injuries
2. You’re Experiencing Bleeding or Pain After Radiation Therapy
Pelvic cancer survivors often develop radiation damage years after finishing treatment. Symptoms like bladder bleeding, rectal discomfort, bowel changes, or urinary urgency may signal radiation cystitis or proctitis.
HBOT is one of the only FDA-approved treatments that targets the root cause, oxygen-deprived tissue, and has been shown to significantly reduce bleeding and improve quality of life.
👉 Learn more about Radiation Cystitis
👉 Read about Radiation Proctitis
3. You’ve Been Told There’s “Nothing More We Can Do”
If your doctor has tried everything, antibiotics, surgery, steroid creams, and your symptoms persist, it’s time to explore options outside the box. HBOT is often used in combination with other therapies, helping to restart healing by:
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Building new blood vessels
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Reducing chronic inflammation
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Enhancing immune response
4. You Have Diabetes and Keep Getting Foot or Leg Ulcers
Repeated wounds on your legs or feet may indicate underlying vascular issues, neuropathy, or poor tissue oxygenation, all of which increase your risk for infection or amputation. HBOT is clinically proven to reduce amputation rates in patients with diabetic foot ulcers, especially when started early.
5. You’re Facing Surgery on a Previously Irradiated Area
If you’ve undergone radiation therapy and are now scheduled for a procedure near that site, HBOT can improve surgical outcomes by reducing the risk of infection and poor healing. Many surgeons refer patients for “pre-conditioning” HBOT to strengthen tissue before the procedure.
Conditions Commonly Treated with HBOT at Hill Country
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Post-radiation soft tissue injury (proctitis, cystitis)
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Surgical wounds that won’t heal
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Osteomyelitis (bone infection)
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Failed skin grafts or flaps
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Compromised surgical sites
Our San Antonio locations are equipped with state-of-the-art Perry hyperbaric chambers and physician-led teams who tailor treatment to your unique condition.
When to Talk to a Specialist
If you’ve been living with pain, bleeding, or a wound that just won’t heal, don’t wait until it becomes an emergency.
At Hill Country Wound Care & Hyperbarics, we:
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Offer consultations within days
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Coordinate directly with your primary doctor or specialist
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Verify your insurance coverage (Medicare and most private plans cover HBOT for approved conditions)
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Provide personalized care plans designed to help you heal, not just cope
You don’t need a referral to schedule with us. Just contact one of our three San Antonio clinics, Live Oak, Bulverde, or Southwest, and our team will walk you through your options.

You Deserve Answers. We’re Here to Help.
HBOT is more than a treatment. It’s hope for healing when nothing else has worked.
Whether you’re recovering from cancer, managing chronic wounds, or just not seeing results with traditional care, Hill Country is here to help you breathe new life into your recovery.
We offer same-week appointments at:
Internal Resources You Can Explore
To learn more about Hyperbaric Oxygen Therapy, explore our core educational content:
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Diabetic Foot Ulcer Treatment in San Antonio: A Complete Guide
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5 Key Benefits of Hyperbaric Oxygen Therapy Services
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Common Wound Myths
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Preventing Diabetic Foot Ulcers: Foot Care & Offloading Tips for South Texans
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How to Recognize Wound Infections Early: Signs & When to Get Help
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Advanced Wound Therapies Compared: Compression vs. Negative Pressure vs. Cellular Tissue Products
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Hyperbaric Oxygen Therapy for Radiation Cystitis in San Antonio: What You Need to Know
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Can Hyperbaric Oxygen Therapy Help You Heal After Cancer? What Survivors in San Antonio Need to Know
Frequently Asked Questions
If you’re new to hyperbaric oxygen therapy (HBOT), it’s natural to have questions, especially if you’ve been living with a wound that won’t heal or symptoms that linger long after cancer treatment. At Hill Country Wound Care & Hyperbarics, our goal is to make the process simple, transparent, and reassuring. Whether you’re wondering how HBOT works, how many treatments you’ll need, or if it’s covered by insurance, you’ll find clear answers here. These frequently asked questions are designed to help San Antonio patients understand when it’s time to seek advanced wound care and what to expect from our physician‑led, outpatient HBOT program.
Yes. Medicare and most private insurers cover HBOT for conditions like radiation injury, diabetic foot ulcers, osteomyelitis, and more. Our team will verify coverage before your first treatment.
Each session lasts about 90–120 minutes. Patients usually receive one session per day, several days per week.
Most patients complete 40 sessions, with some needing up to 60 depending on the condition and response to therapy.
Yes. It’s non-invasive and well-tolerated. Our physicians and technicians monitor you every step of the way.
Referrals are helpful but not required. We welcome both physician referrals and self-scheduled consultations.
