# Why Your Wound VAC Hurts: The Hidden Pain Behind Healing

Page: https://stenobird.com/podcast/diabetic-foot-files-7302870/why-your-wound-vac-hurts-the-hidden-pain-behind-healing
Text version: https://stenobird.com/podcast/diabetic-foot-files-7302870/why-your-wound-vac-hurts-the-hidden-pain-behind-healing.md
Podcast: [Diabetic Foot Files](https://stenobird.com/podcast/diabetic-foot-files-7302870)
Published: 2026-06-02T08:42:02+00:00
Episode link: https://gdhutche.podbean.com/e/why-your-wound-vac-hurts-the-hidden-pain-behind-healing/
Audio file: https://mcdn.podbean.com/mf/web/yan4rxihwiwuayc9/Wound_Vac_Pain_-fstc6n-Optimized.mp3
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JSON: https://stenobird.com/v1/public/podcasts/diabetic-foot-files-7302870/episodes/why-your-wound-vac-hurts-the-hidden-pain-behind-healing
Duration seconds: 1140

## Resource

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.

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## Transcript

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