Bozeman Wound & Hyperbaric Center
The Wound and Hyperbaric Center is an interdisciplinary outpatient clinic
where patients are treated for complicated, traumatic, or disease related
wounds and swelling. We offer a variety of advanced techniques that can
help you heal faster. Our evidence based techniques help the healing process
and reduce scarring.
Our staff includes physicians who are board certified in Wound Care and
Hyperbaric Medicine, certified wound and ostomy nursing, certified lymphedema
therapist, and wound technicians. We are able to offer referral services
for nutrition counseling and orthotic/prosthetic services for diabetic patients.
Advanced therapies include hyperbaric when indicated, stem cell therapies,
total contact casting and others.
Lymphedema, a condition of persistent swelling, can occur after certain
cancer surgeries where lymph nodes are removed. Swelling can slow down
the rate of healing in wounds. Healthcare providers can refer their patients
to the Clinic for treatment using advanced techniques by staff who specialize
in Wounds and Lymphedema.
Diabetic Foot Clinic
The Diabetic Foot Clinic is a specialty clinic within the Wound and Hyperbaric
Center. We perform nail care and preventative wound management and assist
in connecting patients to referral services. We can assist with your orthotic
and shoe management with referrals to community professionals. Our board
certified wound specialists and physicians are trained in the most up-to-date
techniques for diabetic foot care. We work with your primary healthcare
provider to ensure your feet are in proper health.
Our teamwork, interdisciplinary approach and genuine concern for your care
makes our facility the place to come for your diabetic foot care needs.
Hyperbaric oxygen therapy uses a special chamber to allow a person to receive
intermittent, high-dose oxygen inhalation therapy. The body’s healing
process and its defenses against infection are enhanced by increasing
the amount of oxygen that reaches tissues. The air inside the pressurized
chamber is typically two times greater than normal atmospheric pressure,
which results in the patient’s blood carrying larger amounts of
oxygen. Hyperbaric oxygen therapy helps the healing process, combats infection
and is given in conjunction with other treatments such as antibiotics
For years, hyperbaric oxygen has been the definitive treatment for decompression
sickness, air embolism, and carbon monoxide poisoning. Today it is used
as an adjunctive therapy for deep-seated bone and soft tissue infections,
non-healing wounds, preservation of compromised soft tissue flaps and
grafts, and the management of wounds in radated tissue.
Our hyperbaric facility offers two Sechrist monoplace chambers. A hyperbaric
chamber is necessary to adjust the ambient pressure required for hyperbaric
oxygen therapy. At normal sea level pressure, breathing 100 percent oxygen
will not achieve healing results. Our hyperbaric chamber allows us to
safely and effectively deliver 100 percent oxygen at increased pressures.
Conditions that may benefit from hyperbaric therapy include:
- Gas gangrene
- Decompression sickness (for example, a diving injury)
- Air or gas embolism
- Carbon monoxide poisoning
- Wound healing
- Necrotizing soft tissue infections
- Osteomyelitis (bone infection)
- Radiation tissue damage
- Skin grafts and flaps
- Radiation cystitis
- Sensorineural hearing loss
Hyperbaric vs “Mild” Hyperbaric Therapy
For more than ten years, Bozeman Health Wound Clinic and Hyperbaric Medicine
has used a hard sided hyperbaric oxygen chamber with our patients. We
frequently are asked about the difference between Hyperbaric Oxygen Therapy
vs “Mild” Hyperbaric Therapy.
What is the difference between the chambers?
Soft-sided or inflatable chambers do not provide the same benefit as hard-sided
chambers. Ours is a hard-sided chamber that delivers 100% medical grade
oxygen. Mild Therapy uses a soft inflatable chamber that delivers ambient
air, which is mostly nitrogen and only 21% oxygen. The hard chamber is
pressurized to a maximum of 3.0 ATA while the soft chamber only can pressurize
to a max of 1.3 ATA. (Sea level is at one atmosphere of air pressure absolute or ATA.)
What is the benefit of the higher pressurization?
Chamber pressure needs to be above 1.3 ATA to kill bacteria. Pressures
below that level cannot kill bacteria, and can actually promote undesirable
growth of aerobic bacteria. The FDA does not recognize soft chambers as
a medical device for hyperbaric oxygen treatments.
Does insurance pay for both therapies?
Many hard-sided chamber treatments are reimbursable by insurance companies
and the federal government. Currently there are no conditions reimbursed
by insurance companies for soft chambers.
What conditions can be covered by insurance for treatment?
Treatments in hard-sided hyperbaric chambers are approved by the Undersea
and Hyperbaric Medical Society. Eligible conditions include wounds compounded
by diabetes, radiation tissue damages, carbon monoxide poisoning and compromised
skin grafts. There is no measurable scientific evidence which backs the
claims by soft chambers to cure fibromyalgia, Alzheimer’s disease,
Autism Spectrum Disorder, sinusitis or other conditions.
Is there any condition for which a soft chamber is useful?
Yes. They were initially designed to deliver temporary treatment to mountain
climbers and divers who are in route to treatment with a hard chamber.
Bozeman Health Wound and Hyperbarbic Center
TEL: (406) 414-5512
935 Highland Blvd., Suite 2180
Bozeman, MT 59715
HOURS: Monday-Friday, 8:00 am - 5:00 pm