Making Wound Care Accessible
Expert Diabetic Foot Ulcer Care You Can Trust
If you’ve noticed a sore on your foot that just won’t heal, don’t wait. Get specialized care today! At Hill Country Wound Care & Hyperbarics, San Antonio’s largest private, physician-led outpatient wound-care & hyperbarics network, with three Advanced Healing Centers in North, East, and Southwest San Antonio, we help you close diabetic foot ulcers (DFUs) faster, prevent serious complications, and keep you moving.
Your Personalized Diabetic Foot Ulcer Healing Plan
In-Depth Evaluation & Diagnosis
We use painless vascular studies, nerve tests, wound classification, and imaging to find exactly what’s slowing your healing, so you get the right treatment from day one.
Coordinated Offloading Therapy
We work with your podiatrist or diabetic-foot specialist to fit you with the right pressure-relief device, whether that’s a total contact cast, removable walker boot, or custom diabetic footwear, so you can walk without making your ulcer worse.
Advanced Wound Care
Our clinicians perform gentle debridement (removing dead tissue), apply moisture-balanced antimicrobial dressings, and manage infection to prepare your ulcer bed for optimal repair.
Cellular Tissue Products
In a randomized multicenter trial, adding dehydrated amniotic membrane allograft to standard care led 35% of DFUs to close completely by six weeks, versus 0% with standard care alone.
Hyperbaric Oxygen Therapy (HBOT)
If your ulcer isn’t better after 4–6 weeks, our board-certified team provides HBOT (2.0–2.5 ATA of pure oxygen). Breathing oxygen under pressure boosts tissue oxygenation, reduces swelling, and triggers new blood-vessel growth, typically over 20–30 sessions of 90–120 minutes.
Ongoing Education & Support
You’ll learn daily foot inspection, proper shoe and sock selection, callus care, blood sugar management, and skin-care routines, vital steps.
Collaborative Care Team
We partner with your endocrinologist, podiatrist, vascular surgeon, and nutritionist, under our physician leadership, to protect your limb and preserve your mobility.
Why Choose Hill Country?
From board-certified physicians to cutting-edge therapies and three convenient locations across San Antonio, we deliver personalized, compassionate care tailored to your healing journey. Our affordable outpatient model and patient-first approach ensure you get the right treatment, when and where you need it.
1. Largest Private, Physician-Led Network
San Antonio’s most extensive private outpatient wound-care & hyperbarics network, led by board-certified physicians.
2. Physician-Led, Patient-First
Board-certified physicians oversee your treatment, explain every step, and customize your plan as you improve.
3. Convenient Locations
Three Advanced Healing Centers, North, East, and Southwest San Antonio, with easy parking and convenient hours, make daily visits a breeze.
4. Affordable Outpatient Model
We accept most major insurances, and our outpatient setup keeps your out-of-pocket costs lower.
Frequently Asked Questions
We understand that navigating insurance and payment options can be complex. Below are answers to some common questions about coverage and payment for wound care services at Hill Country Wound Care:
Diabetic foot ulcers develop when high blood sugar over time damages your nerves (neuropathy) and blood vessels, leading to loss of feeling and poor circulation in your feet. Without sensation, you may not notice small cuts, blisters, or areas of pressure that then break down into ulcers. Early warning signs include:
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Numbness, tingling, or burning in your toes or soles
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Redness, swelling, or warmth around a callus or sore
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Any drainage, foul odor, or skin cracking
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Pain when walking or standing (if you still have sensation)
Catching these signs early, ideally before an open sore appears, lets you get prompt treatment and avoid infection or deeper wounds.
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Your care plan is built just for you, combining in-house therapies with trusted community partners:
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Comprehensive Evaluation: Vascular studies and nerve assessments to pinpoint circulation or neuropathy issues
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Coordinated Offloading: We work with your podiatrist to fit you with total contact casts, removable walker boots, or diabetic footwear so you don’t put pressure on the ulcer
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Advanced Wound Care: Sharp debridement, antimicrobial dressings, and infection control to prepare the ulcer bed for healing
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Hyperbaric Oxygen Therapy (HBOT): For ulcers not improving after 4–6 weeks, 20–30 sessions of 90–120 minutes in our Perry monoplace chambers boost oxygen delivery to injured tissues
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Most patients see significant improvement within 6–12 weeks, though exact timing depends on ulcer size, depth, and your overall health. At Hill Country, we:
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Track your progress at every visit
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Adjust dressings, grafts, or HBOT protocols as needed
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Keep you informed with clear milestones so you know exactly where you stand on your healing journey
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Maintaining foot health is a lifelong commitment. To keep ulcers from coming back:
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Daily Foot Checks: Look for redness, cuts, calluses, or swelling every morning and evening
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Proper Footwear: Wear the shoes and socks your podiatrist prescribes—never walk barefoot
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Callus Management: Have professional callus removal before it turns into a pressure point
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Blood Sugar Control: Work with your endocrinologist to keep levels in target range
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Skin Care & Elevation: Moisturize daily, avoid lotions between toes, and elevate feet for 15–20 minutes, 2–3 times a day
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Regular Follow-Ups: Keep scheduled visits at any of our three Advanced Healing Centers in North, East, or Southwest San Antonio
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HBOT is a proven adjunct for DFUs that stall despite optimal standard care. Under 2.0–2.5 ATA of pure oxygen, HBOT:
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Increases tissue oxygenation and blood-vessel growth
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Reduces swelling and enhances white-cell function
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Improves healing rates in chronic ulcers
Most major insurers, including Medicare, cover HBOT for non-healing DFUs when prescribed by a physician. Our care coordinators handle benefit verification and prior authorization, so you can focus on healing without financial surprises.
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Some insurance plans may require a referral for specialized wound care. Check with your provider or contact our billing team for assistance in determining if a referral is needed.
Coverage for treatments varies based on your insurance provider and specific policy. We recommend contacting your insurance company to verify coverage for specific procedures, or we can assist you in determining what is covered during your consultation.
If certain treatments aren’t covered, we offer flexible payment plans and financing options. Our team will work with you to find a solution that fits your needs.
Coverage for HBOT varies by plan. Contact our billing department to verify if your insurance covers this treatment, or reach out to your insurance provider for details.
Our billing department is here to help! Call us at (210) 610-8154, and we’ll answer any additional questions you may have.
We accept a variety of payment methods, including credit cards, debit cards, checks, and certain financing options. Contact our billing team if you have any questions about payment methods.
Out-of-pocket costs vary based on your insurance plan, deductibles, and any co-pays. Our billing team can provide an estimate based on your coverage, or you can contact your insurance provider for specific details about your policy.