Making Wound Care Accessible
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Physician-led care at every visit
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Three convenient Advanced Healing Centers: Live Oak, Bulverde, SW San Antonio
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Most major insurances accepted (we do not accept Medicaid)
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Lower out-of-pocket costs than hospital-based care
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Compassionate, evidence-based treatment plans tailored to your goals.
Expert Radiation Injury Care You Can Trust
Radiation therapy saves lives, but months or years later, some patients develop late radiation tissue injury (LRTI), including soft-tissue radionecrosis, radiation cystitis or proctitis, skin changes/radiation burns, and non-healing wounds in previously irradiated areas. At Hill Country, our physician-led team evaluates your wound and circulation, coordinates with your cancer and surgical teams, and delivers advanced outpatient therapies, often including hyperbaric oxygen therapy (HBOT), to restore oxygenation, reduce inflammation, and support durable healing.
Your Personalized Radiation-Injury Care Plan
Thorough Evaluation & Diagnosis
We start with a focused history and exam of the irradiated field, wound assessment, and appropriate imaging/labs. We also review your oncologic history and current therapies to ensure coordinated, safe care.
Evidence-Based Wound Care
We stabilize the wound bed with moisture-balanced dressings, conservative debridement where appropriate, and infection control. For pelvic LRTI (e.g., cystitis/proctitis), we collaborate with urology/colorectal partners on symptom control while we address underlying tissue hypoxia.
Hyperbaric Oxygen Therapy (HBOT)
HBOT involves breathing 100% oxygen inside a pressurized chamber. By increasing dissolved oxygen in plasma, HBOT improves microcirculatory oxygen delivery, stimulates angiogenesis, normalizes fibroblast/collagen function, and can reverse radiation-induced hypoxia and fibrosis, core drivers of chronic radiation injury. Typical protocols are daily sessions (about 90 minutes at ~2.0 ATA), often 30–40 treatments (some cases up to 60), prescribed by your Hill Country physician.
Surgical & Procedural Coordination (When Needed)
When flaps, grafts, or dental/oral procedures are required in previously irradiated tissue, HBOT can be used pre- and post-operatively to improve tissue quality and support healing (ORN is covered on its own page). We coordinate closely with your surgeon and oncology team.
Ongoing Education & Support
You’ll receive practical guidance for skin care in irradiated areas, nutrition, activity modifications, and early warning signs that require a call to our team, so you feel confident between visits.
What Is Hyperbaric Oxygen Therapy?
Hyperbaric oxygen therapy (HBOT) is a treatment where you breathe 100% oxygen in a pressurized chamber. This increases the amount of oxygen your blood can carry, helping:
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Wound healing: improves oxygen delivery and supports new blood-vessel growth
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Infection control: enhances white cell function
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Radiation injury: reduces tissue hypoxia and fibrosis to support durable healing
Other conditions: also used for indications like diabetic foot ulcers and more, when medically appropriate and prescribed by a physician.
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
You’re supervised by a medical doctor at every step, with a plan that adapts 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.
When to Seek Care Now
Contact us promptly if you notice new or worsening pain, skin breakdown in a previously irradiated area, bleeding with urination or bowel movements after pelvic radiation, increasing drainage, redness, swelling, warmth, fever/chills, or a wound that isn’t improving. Early evaluation helps prevent complications.
Let us guide you on your journey to better health.
Schedule your appointment and experience the difference today.
Frequently Asked Questions
Here are answers to the questions we hear most about radiation-related tissue injury—how hyperbaric oxygen therapy (HBOT) helps damaged tissue heal, who qualifies, what to expect in the chamber, typical treatment courses, safety, and insurance/authorizations. These FAQs apply to conditions like soft-tissue radionecrosis, osteoradionecrosis, and radiation cystitis/proctitis. Use them as a starting point; your plan at Hill Country is physician-led and coordinated with your oncology and surgical teams. Don’t see your question? Call our San Antonio team and we’ll guide you step by step.
HBOT is commonly used for soft-tissue radionecrosis, osteoradionecrosis, radiation cystitis, radiation proctitis, and non-healing wounds in irradiated fields, as an adjunct to standard care. Your Hill Country physician will determine candidacy.
Courses are individualized. Many radiation-injury cases require ~30–40 sessions (some up to 60), delivered once daily, about 90 minutes each at ~2.0 ATA. Your exact plan is prescribed by our physician after evaluation.
Most patients relax in a clear, comfortable chamber and may nap or watch TV. You’ll feel ear pressure changes during pressurization, similar to flying. Our team reviews safety and possible side effects before starting.
Some plans require a referral for specialized wound care/HBOT. Call us and we’ll help you confirm what your plan needs.
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.