expert Wound Care, Close To Home
Compassionate and effective care for pressure wounds, diabetic foot ulcers, venous ulcers, postoperative or other slow‑healing wounds - close to home.
Slow‑healing wound? Our multispecialty team treats complex wounds with options like debridement, advanced dressings/Unna boot, Wound VAC therapy, Ultrasound Therapy, topical therapy, and skin grafting when appropriate. Same‑week appointments are often available; we’ll work to see you as soon as possible.
Multispecialty practice with wound care, general surgery, and vascular surgery services under one roof - supporting coordinated care when needed.
Why Wyoming Medical Associates?
Local & Convenient
Care at our Casper clinic, close to home
6500 East 2nd Street Suite 101, Casper, WY 82609
Phone: (307) 257-8433
Genuine Care
Led by Dr. Rinker, a trained surgeon with roots deep in Wyoming, Dr. Rinker takes pride in offering world-class wound care to the state that raised him.
Comprehensive Options
Wound VAC, debridement, advanced dressings/Unna boot, topical therapy, and discussion of skin grafting when appropriate.
Coordinated Expertise
On‑site general and vascular surgery services streamline care if your wound needs surgical or blood‑flow evaluation.
Insurance Help
We accept all insurances, including Medicare and Medicaid. We’ll verify benefits and explain costs before treatment.
When to Seek Wound Care
If you have any of the following, please call:
- A wound that hasn’t improved in 4 weeks or won’t close
- Diabetes‑related foot ulcers, pressure sores, or venous leg ulcers
- Increasing redness, swelling, drainage, odor, warmth, or pain
- Concerns after surgery (incision opening, drainage)
- Dressing questions or skin irritation from bandages
Safety note: If you have fever/chills, spreading redness up the limb, severe pain, or feel very unwell, go to the emergency department or call 911.
How We Treat
We use a step‑wise, evidence‑informed approach designed around your wound type and health history.
Debridement
Gentle removal of dead or infected tissue helps the healthy tissue grow and supports better healing. This may be done during clinic visits and may be repeated over time.
Advanced Dressings & Unna Boot
Moisture‑balancing dressings protect the wound while it heals. For venous leg ulcers or swelling, an Unna boot (a specialized compression wrap with zinc oxide) can reduce fluid and support skin recovery.
Wound VAC (Vacuum‑Assisted Closure)
A small device applies controlled negative pressure over a foam dressing to remove excess fluid, reduce swelling, and support blood flow. VAC therapy is particularly helpful for larger or deeper wounds.
Topical Therapy
Antimicrobial or anti‑inflammatory ointments/gels are used when indicated to improve the wound environment.
Ultrasound Therapy (ask Wyoming Medical)
Ultrasound uses gentle sound waves to help a wound clean and repair itself. A small device sends energy into the top layers of the wound. This loosens and lifts dead tissue and breaks up the slim “shield” some bacteria make, so dressings and your body’s healing cells can do their job. It can also boost local blood flow, which brings in oxygen and nutrients the tissue needs to grow.
Skin Grafting/Substitute (when appropriate)
When a wound lacks enough healthy tissue to close, your provider may discuss skin grafting/ substitutes. Skin grafting works by covering a wound with healthy skin. In addition to traditional grafts, we also use engineered human grafts, including placenta or amniotic-based tissue grafts. These specialized grafts provide a natural barrier and help speed up recovery. It’s considered when medically necessary; we’ll review candidacy, benefits, and risks before proceeding.
After‑visit support
You’ll leave with clear, written dressing instructions and follow-up timing. If your wound is related to blood flow issues or surgery, our general and vascular surgery team can evaluate the cause and discuss treatment options.
Hands demonstrating dressing change on patient
What to Expect at Your Visit
2: Evaluation
Upon visiting, we'll review your history, check circulation when needed, clean the wound, and select the right dressing or therapy.
3: Your Care Plan
We'll discuss home care, supplies, warning signs, and follow‑ups. If appropriate, we’ll talk about Wound VAC or skin grafting/substitutes and coordinate next steps.