"The Leg Pain Clinic is amazing!! I walked out with less pain than I walked in with! Dr. Anwar is amazing and I love his bedside manner!! I didn't want another knee replacement surgery and now I don't have to get one!!"
Non-Healing Wounds
Vascular treatment that restores circulation to support wound healing. Image-guided, no surgery required.
Non-Healing Wounds explained
Non-healing wounds on the legs and feet are almost always caused by poor circulation, and addressing the underlying vascular problem is essential for healing to occur. In Houston, diabetic patients, those with peripheral arterial disease, and patients with chronic venous insufficiency are at highest risk. Dr. Anwer, a Stanford Fellowship trained interventional radiologist, uses image-guided angioplasty to restore blood flow to the wound site, giving the body the circulation it needs to heal tissue that it currently cannot reach. Treating the vascular cause is the most important step in wound care.
Dr. Anwer performs angioplasty using X-ray guidance to open the narrowed arteries supplying the wound area. A thin catheter is inserted through a pinhole in the wrist or groin. Restoring blood flow allows the wound to begin healing. The procedure takes 60 to 90 minutes, no general anaesthesia.
Is this the right treatment for you?
Every patient is different. These four areas will help you understand whether Non-Healing Wounds treatment at LPVI is the right fit.
Am I a good candidate?
Vascular treatment for non-healing wounds is most suitable for patients whose wound care has not produced healing progress within four to six weeks, particularly those with diabetes, peripheral arterial disease, or chronic venous insufficiency. Candidates typically have arterial or venous insufficiency confirmed on imaging. Dr. Anwer reviews your vascular imaging personally at your first consultation and will assess whether restoring blood flow through angioplasty is appropriate for your wound and overall vascular status.
Symptoms we treat
Non-healing wounds typically present as open sores or ulcers on the lower leg or foot that fail to show measurable improvement after four to six weeks of standard wound care. The wound edges may appear pale, grey, or necrotic, and the surrounding skin is often cool to the touch, discoloured, shiny, or lacking normal hair growth, all signs of poor circulation. Patients with diabetes may notice the wound is painless despite its severity due to neuropathy. Any wound on the lower leg or foot that is not progressing toward closure warrants an urgent vascular assessment with Dr. Anwer in Houston.
The procedure
Dr. Anwer performs peripheral angioplasty for non-healing wounds as an outpatient procedure using real-time X-ray imaging. A thin catheter is inserted through a pinhole in the wrist or groin and guided to the narrowed arteries supplying the wound area. A balloon catheter opens the narrowed vessel and restores blood flow. A stent may be placed in the same session if needed. The procedure takes 60 to 90 minutes. There are no surgical incisions, no general anaesthesia, and no overnight hospital stay for most patients.
Recovery and results
Recovery from vascular treatment for non-healing wounds at LPVI is quick for most patients. Most are discharged the same day or the morning after angioplasty and return to light activity within one to two days. The wound itself does not close immediately after restoring circulation. Healing progresses gradually over weeks as the improved blood flow allows the body to repair the affected tissue. Dr. Anwer will arrange follow-up imaging to confirm blood flow and coordinate with your wound care team to monitor healing progress.
What's holding
you back?
You may have more options than you've been told. Answer four quick questions and our engine matches you to the right minimally invasive treatment and connects you directly with Dr. Anwer.
Common symptoms
You do not need all of these. Even two or three are worth discussing with Dr. Anwer at your first consultation.
How Dr. Anwer treats non-healing wounds
Dr. Anwer performs angioplasty using X-ray guidance to open the narrowed arteries supplying the wound area. A thin catheter is inserted through a pinhole in the wrist or groin. Restoring blood flow allows the wound to begin healing. The procedure takes 60 to 90 minutes, no general anaesthesia.
Urgent consultation with Dr. Anwer, vascular imaging review
Arterial blockage confirmed, angioplasty plan agreed
Outpatient angioplasty, 60 to 90 minutes, local anaesthesia
Discharge same or next day, wound healing monitored over weeks
Minimally invasive vs conventional treatment
Non-healing wounds caused by vascular disease have traditionally been managed with wound dressings and debridement alone, which cannot succeed without adequate blood flow, or with major bypass surgery under general anaesthesia.
- Major surgery or invasive procedure
- General anaesthesia required
- Hospital stay of 1 to 5 days
- Recovery of 4 to 12 weeks
Dr. Anwer restores blood flow to the wound site through a pinhole in the wrist or groin under X-ray guidance. No general anaesthesia, no bypass surgery. Improved circulation gives the wound the best possible chance of healing without amputation.
- Outpatient, no hospital admission
- Light sedation or local anaesthesia
- Pinhole incision, no stitches
- Same-day or next-day recovery
A wound that will not heal is almost always telling you something about circulation. Treating the surface without addressing blood flow rarely works. Restoring circulation is the most important step, and we can usually do it through a pinhole in the wrist.
What our patients are saying
"Dr. Bilal very professional and awesome physician. My left knee pain went down from 9 to 3. Front staff, nurses, OR staff all were amazing and very professional."
"Brought my mother in law to get help with her knees. She literally could not walk. After procedure she walked to car with minimal discomfort. Each day is getting better and better. I rate the entire place 10 of 10."
"Fantastic doctor, very thorough, explained everything. Staff is outstanding!!! I first heard of them via Facebook and after looking more into it I saw they can treat shoulder pain too. I feel great after my procedure."
"Doctor Anwer and his staff is totally awesome, they are very kind and respectful. Dr. Anwer does amazing work. I love them all."
"Excellent staff and doctor! Excellent care and caring!!! I would recommend this clinic to anyone who is looking for a caring, professional medical team."
"My husband thinks very highly of the doctor. The entire experience from start to finish was professional and compassionate."
"Sabrena Cummings: Fantastic doctor very thorough explained everything. Staff is outstanding!!!"
"The Leg Pain Clinic is amazing!! I walked out with less pain than I walked in with! Dr. Anwar is amazing and I love his bedside manner!! I didn't want another knee replacement surgery and now I don't have to get one!!"
"Dr. Bilal very professional and awesome physician. My left knee pain went down from 9 to 3. Front staff, nurses, OR staff all were amazing and very professional."
"Brought my mother in law to get help with her knees. She literally could not walk. After procedure she walked to car with minimal discomfort. Each day is getting better and better. I rate the entire place 10 of 10."
"Fantastic doctor, very thorough, explained everything. Staff is outstanding!!! I first heard of them via Facebook and after looking more into it I saw they can treat shoulder pain too. I feel great after my procedure."
"Doctor Anwer and his staff is totally awesome, they are very kind and respectful. Dr. Anwer does amazing work. I love them all."
"Excellent staff and doctor! Excellent care and caring!!! I would recommend this clinic to anyone who is looking for a caring, professional medical team."
"My husband thinks very highly of the doctor. The entire experience from start to finish was professional and compassionate."
"Sabrena Cummings: Fantastic doctor very thorough explained everything. Staff is outstanding!!!"
Common questions about Non-Healing Wounds
Yes. Angioplasty for non-healing wounds caused by vascular disease is covered by Medicare and most major insurance plans in Houston when arterial insufficiency has been confirmed on imaging. Our team at LPVI will verify your specific coverage and confirm prior authorisation requirements before your consultation. Call us on 713-242-1139 and we will check your benefits and answer any questions about wound treatment costs in Houston.
Wound healing after angioplasty is gradual. Most patients notice early signs of healing progress within two to four weeks as blood flow to the wound area improves. Full wound closure depends on the size, depth, and duration of the wound, as well as overall health and blood sugar control in diabetic patients. Dr. Anwer coordinates with your wound care team and will arrange follow-up imaging to confirm blood flow has been restored and monitor your healing progress.
Wound dressings and debridement cannot heal a wound if there is insufficient blood flow to the affected tissue. Without adequate circulation, the body cannot deliver the oxygen, nutrients, and immune cells needed for tissue repair. A wound that is not progressing after four to six weeks of standard care almost always has an underlying vascular cause. A vascular assessment with Dr. Anwer in Houston can identify and treat the arterial or venous problem that is preventing healing.
Yes. Non-healing wounds caused by poor circulation are a leading cause of lower limb amputation, particularly in patients with diabetes and peripheral arterial disease. Without adequate blood flow, the wound cannot heal, infection risk increases, and tissue death progresses. Early vascular intervention at LPVI to restore circulation is the most effective way to prevent amputation and give the wound the best possible chance of healing. Time is critical with non-healing wounds.
Angioplasty opens the narrowed arteries supplying the wound area, restoring the blood flow that the body needs to heal damaged tissue. Without adequate circulation, wound dressings alone are rarely sufficient. By improving blood flow through a minimally invasive procedure, Dr. Anwer gives the wound the biological conditions it needs to begin closing. Most patients treated at LPVI in Houston notice measurable wound progress within two to four weeks of successful angioplasty.
Most patients notice early healing progress within two to four weeks of angioplasty as circulation to the wound area improves. The wound edges begin to show new tissue formation and the wound bed becomes healthier in colour. Full closure depends on the wound size and the patient's overall health. Dr. Anwer will arrange follow-up imaging to confirm blood flow and work with your wound care team. The majority of patients at LPVI in Houston see meaningful healing progress within the first month.
We accept most major insurance plans
Dr. Anwer treats non-healing wounds caused by vascular disease at LPVI clinics in Houston and Webster, serving patients from Pasadena, Baytown, League City, Clear Lake, and Pearland. Angioplasty for wound healing is covered by Medicare and most major insurance plans. Patients across Greater Houston choose Dr. Anwer because he is Stanford Fellowship trained and addresses the root vascular cause of non-healing wounds rather than treating the surface alone.
Ready to address the vascular cause of your wound?
Speak with Dr. Anwer about your non-healing wounds. Same-day appointments available. Most insurance accepted.
This information is not a medical diagnosis. A consultation with Dr. Anwer will confirm your treatment options. Individual results may vary.


