Healing That Goes Deeper
Prime Vitality provides expert wound care that doesn't stop at the surface. By combining advanced wound treatments with functional and internal medicine, Dr. Goel addresses why your wound isn't healing — not just the wound itself.
Types of Wounds We Treat
From chronic non-healing wounds to acute injuries, Prime Vitality delivers specialized care with a whole-body perspective.
Diabetic Ulcers
Expert management of diabetic foot ulcers with integrated blood sugar optimization for lasting healing.
Pressure Injuries
Comprehensive treatment for bedsores and pressure ulcers, including prevention strategies for at-risk patients.
Surgical Wounds
Post-operative wound management to prevent dehiscence, infection, and promote optimal scarring outcomes.
Venous & Arterial Ulcers
Targeted treatment for circulation-related wounds with comprehensive vascular assessment and optimization.
Burns
Acute and chronic burn wound management using advanced dressings and tissue regeneration techniques.
Traumatic Wounds
Lacerations, abrasions, and complex traumatic injuries treated with expert technique and infection prevention.
Non-Healing Wounds
Chronic wounds that haven't responded to other treatments — we investigate the underlying cause and restart healing.
We Treat the Wound and the Cause
Most wound centers focus only on what's on the surface. At Prime Vitality, Dr. Goel combines advanced wound care with functional and internal medicine to address the root causes of poor healing — from uncontrolled diabetes and circulation issues to nutritional deficiencies and chronic inflammation.
Expert Wound Management
Advanced dressings, negative pressure therapy, growth factor applications, and evidence-based wound protocols — administered by a board-certified physician, not a tech.
Internal Medicine Expertise
Dr. Goel's internal medicine training means he manages your diabetes, vascular health, and medications simultaneously — the conditions that caused your wound in the first place.
Functional Medicine Healing
Nutritional optimization, inflammation reduction, and lifestyle modifications that accelerate tissue repair. Your body heals faster when it has the right building blocks.
Cutting-Edge Wound Treatments
We employ the latest evidence-based therapies to accelerate healing and prevent complications.
Advanced Dressings
Bioactive, antimicrobial, and moisture-management dressings tailored to each wound's unique healing stage and requirements.
Negative Pressure Therapy
Vacuum-assisted closure (VAC) therapy that promotes granulation tissue, reduces edema, and accelerates wound closure.
Growth Factor Therapy
Platelet-derived and bioengineered growth factors that stimulate cellular repair pathways and jump-start stalled healing.
Hyperbaric Referral Coordination
When hyperbaric oxygen therapy is indicated, we coordinate referrals and co-manage your treatment plan seamlessly.
Nutritional Optimization
Targeted protein, zinc, vitamin C, and micronutrient protocols scientifically proven to accelerate tissue regeneration.
Vascular Assessment
Comprehensive circulation evaluation to identify perfusion issues, with ankle-brachial index testing and appropriate referrals.
Wound Care Where You Need It
Dr. Goel provides wound care both in-clinic and as a visiting physician — meeting patients wherever they are.
Homebound Patients
In-home wound care for those who can't easily travel to a clinic
Facility Residents
Skilled nursing & assisted living wound management on-site
Post-Surgical Patients
Wound monitoring after surgery to prevent complications
Diabetic Patients
Integrated diabetes management plus wound healing
Elderly & Immobile
Gentle, patient-centered care for seniors with chronic wounds
How It Works
A clear, structured path from consultation to complete wound resolution.
Comprehensive Assessment
Full wound evaluation plus medical history, labs, and root-cause investigation to understand what's preventing healing.
Custom Treatment Plan
A personalized protocol combining wound therapy, medical management, and nutritional optimization — tailored to you.
Active Wound Care
Regular treatments with advanced modalities, in-clinic or at your location. We track progress with photographic documentation.
Monitoring & Prevention
Ongoing follow-ups to ensure complete healing and prevent recurrence. We manage underlying conditions long-term.
Dr. Shiv Goel, MD
Board-Certified Internal Medicine | Wound Care | Functional Medicine
Dr. Goel brings a unique combination of internal medicine expertise and advanced wound care to every patient encounter. Where most wound centers treat the wound in isolation, Dr. Goel evaluates and manages the whole patient — optimizing diabetes control, addressing vascular insufficiency, correcting nutritional deficiencies, and reducing systemic inflammation.
Available both in-clinic and as a visiting physician, Dr. Goel delivers hospital-caliber wound care in the comfort of your home or care facility — without the long wait times of hospital-based wound centers.
Wound Care FAQ
Answers to frequently asked questions about our wound care services.
Unlike hospital-based wound centers that often involve long wait times and focus only on the wound, Dr. Goel treats the whole patient. He combines advanced wound treatments with internal and functional medicine to address root causes like uncontrolled diabetes, poor circulation, and nutritional deficiencies — leading to faster, more sustainable healing.
Yes. Dr. Goel provides wound care both in our San Antonio clinic and as a visiting physician. He treats patients in their homes, skilled nursing facilities, and assisted living communities — bringing the same advanced wound care to your doorstep.
Healing timelines vary depending on wound type, size, and underlying health conditions. Many chronic wounds show measurable improvement within 2-4 weeks of starting treatment. By addressing root causes, we often see accelerated healing compared to conventional wound care alone.
Your initial visit includes a thorough wound assessment, complete medical history review, and relevant laboratory testing. Dr. Goel will evaluate the wound itself, your overall health status, medications, and nutritional state to create a comprehensive treatment plan that addresses both the wound and its underlying causes.
Most insurance plans, including Medicare, cover medically necessary wound care services. Our team will verify your coverage and discuss any costs before beginning treatment. Contact us at (210) 876-1635 for specific insurance questions.
Seek professional wound care if your wound hasn't shown improvement in 2 weeks, shows signs of infection (redness, warmth, drainage, odor), you have diabetes or circulatory conditions, or the wound keeps recurring. Early intervention leads to faster healing and fewer complications.
Need wound care? Schedule with Dr. Goel today.