Episode
Why Your Wound VAC Hurts: The Hidden Pain Behind Healing
- Podcast
- Diabetic Foot Files
- Published
- Jun 2, 2026
- Duration seconds
- 1140
- Processing state
not_requested
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Summary
Dr. G explains why negative pressure wound therapy (wound VAC) can cause significant pain—covering foam adherence, nerve ingrowth, inflammation, and the four types of VAC-related pain. He highlights why pain may signal complications in diabetic wounds and why neuropathy does not always mean no pain.This episode offers practical solutions: premedication, topical anesthetics, saline soaking, silicone contact layers, continuous versus intermittent modes, regional blocks, and the role of communication and monitoring to reduce suffering while preserving limb salvage.