CalMed Limb Preservation Center
Advanced Wound Care & Hyperbaric Medicine
When wounds, diabetes, poor circulation, or infection threaten the health of an arm or leg, early intervention can make all the difference. At Cal Med Physicians and Surgeons in San Bernardino, our multidisciplinary Limb Preservation Center brings together advanced wound care, vascular evaluation, hyperbaric oxygen therapy (HBOT), and personalized treatment plans designed to address the underlying causes of delayed healing. By combining multiple specialties under one roof, we help patients preserve mobility, reduce complications, and support better long-term outcomes.
Advanced wound care, vascular expertise, and hyperbaric medicine work together at Cal Med to help preserve limbs, promote healing, and improve quality of life.
Call to book an appointment: (909) 747-0371 or fill out the request form below.
Designed for patients with chronic wounds, diabetic ulcers, circulation disorders, and complex healing challenges
Combines advanced wound care, vascular assessment, infection management, and HBOT
Personalized treatment plans based on each patient's medical needs
Focused on reducing complications and lowering the risk of hospitalization or amputation
Limb preservation is a comprehensive medical approach focused on preventing tissue loss, preserving function, and reducing the risk of amputation in patients with chronic wounds or circulation-related conditions. Rather than treating only the wound itself, limb preservation addresses the underlying factors that interfere with healing.
At Cal Med Physicians and Surgeons, limb preservation may include advanced wound management, vascular evaluation, surgical intervention when necessary, infection control, pressure offloading, diabetic foot care, and hyperbaric oxygen therapy. Every treatment plan is individualized to provide the most effective pathway toward healing.
Limb preservation is not a single procedure but a coordinated treatment process involving multiple specialties. Your care begins with a comprehensive evaluation to determine why healing has slowed and identify any underlying conditions contributing to tissue damage.
When a patient is referred to the center, it is vital to assess the problem quickly, as time is often of the essence when trying to save a limb. Patients can expect to see a doctor and other members of the team. Treatments during the course of care at the center may include:
Because every patient is unique, we will begin with a thorough assessment to determine the underlying cause of your wound and then implement a treatment plan. Treatments/interventions may include:
Hyperbaric Oxygen Therapy (HBOT) is a treatment in which the patient breathes 100% pure oxygen while inside a pressurized chamber. The pressure inside a hyperbaric oxygen chamber is about two-and-a-half times greater than the normal pressure in the atmosphere. This high-pressure dose of oxygen helps your blood carry more oxygen to your organs and tissues to promote wound healing. It also activates the white blood cells to fight infection.
The Limb Preservation Center, Advanced Wound Care & Hyperbaric Medicine provides services to patients with conditions that may lead to a major lower limb amputation. Amputations related to complications of diabetes (such as peripheral vascular disease or diabetic foot infections) are the most common cause of lower-extremity amputations. Approximately 50,000-60,000 major lower-extremity amputations are performed each year in the U.S. as a result of diabetes-related complications.
These may include patients with diabetic foot ulcers, diabetic foot infections, peripheral arterial disease, or other limb-threatening conditions. The center may also treat other types of non-healing wounds, such as pressure sores, venous ulcers (from swollen legs, usually around or above the ankle), non-healing post-operative wounds, and other types of wound conditions.
Wounds and conditions that are commonly treated with HBOT include, but are not limited to:
Limb preservation most commonly focuses on the feet, toes, ankles, lower legs, and areas affected by diabetes or vascular disease. However, advanced wound care and reconstructive therapies may also help preserve tissue in the hands, arms, and other areas affected by chronic wounds or compromised circulation.
Early intervention and comprehensive treatment may help preserve tissue and prevent further complications.
Advanced therapies address the underlying causes of delayed healing rather than treating symptoms alone.
Collaboration with vascular specialists helps improve blood flow when circulation problems are present.
Multiple specialties working together provide coordinated treatment plans tailored to each patient's needs.
Successful healing can help patients maintain mobility and continue participating in everyday activities.
Preserving limb function often translates into greater confidence, comfort, and long-term wellness.
You may be a candidate for limb preservation if you have:
An evaluation at Cal Med's Limb Preservation Center can help determine which therapies are appropriate for your condition.
Recovery varies depending on the severity of the wound and the underlying medical condition being treated. Many patients require ongoing wound care visits, specialized dressings, offloading devices, vascular management, or hyperbaric oxygen therapy sessions.
Patient education is an essential part of recovery. Following wound care instructions, managing blood sugar levels, maintaining proper nutrition, and attending follow-up appointments all play important roles in achieving successful outcomes.
Healing is often gradual, but close monitoring and personalized care help support steady progress.
The goal of limb preservation is to promote wound healing while maintaining tissue function and preventing complications. Patients often experience improved healing, reduced pain, better circulation, and greater mobility as treatment progresses.
Results vary based on the severity of the condition and overall health, but early intervention and multidisciplinary care can significantly improve healing outcomes. For many patients, successful limb preservation means maintaining independence, avoiding hospitalization, and returning to everyday life with greater confidence.
Cal Med Limb Preservation Center Advanced Wound Care & Hyperbaric Medicine was created to provide patients with specialized care for complex wounds and conditions that threaten mobility. Unlike traditional treatment models, our center combines advanced wound management, vascular expertise, podiatry, hyperbaric oxygen therapy, and multidisciplinary collaboration under one roof.
Our team focuses on identifying the root causes of delayed healing and developing individualized treatment plans designed to preserve tissue, improve circulation, and support long-term health. By bringing multiple specialties together, we provide patients with comprehensive care centered on healing, mobility, and quality of life.
Our Medical Director
The team consists of doctors, nurses, and other staff, all dedicated to helping you achieve a healed wound.
Our medical director, Sam Lee, MD, a vascular and endovascular surgeon, oversees clinical operations in the center, ensuring high standards of patient care, safety, and outcomes. They guide treatment protocols, lead interdisciplinary teams, support staff education, and drive quality improvement initiatives—playing a vital role in achieving optimal healing and advancing evidence-based wound management.
Appointments
A physician’s referral is not needed to begin treatment at our center. However, we would like to communicate with your primary care doctor in order to best coordinate your care, so we encourage you to discuss your wound care appointment with your doctor.
You may also need an authorization, depending on the type of insurance. To schedule your appointment, please call 909-906-9025.
The center is open Monday through Friday from 8 a.m. – 5 p.m.
Call us today to book an appointment.
Limb preservation is a comprehensive approach to treating chronic wounds and circulation-related conditions with the goal of avoiding amputation and maintaining mobility.
A wound that remains open for more than four weeks or fails to show meaningful improvement within eight weeks should be evaluated by a wound care specialist.
Many diabetic foot ulcers can be successfully managed with early intervention, advanced wound care, circulation assessment, and hyperbaric oxygen therapy when appropriate.
Yes. Hyperbaric oxygen therapy may be incorporated into treatment plans for certain chronic wounds, radiation injuries, infections, and compromised tissues when medically appropriate.
If you are a candidate for HBOT, a staff member will tell you how many treatments you will need. Before beginning your treatment, you will be given 100% cotton clothing to wear in the chamber. No cosmetics, perfumes, hair preparations, deodorants, wigs, jewelry, or electronic devices are allowed in the chamber (most pacemakers are allowed).
Most treatments last about two hours. During treatment, you may watch television, a movie, or take a nap. The number of treatments can vary depending on your diagnosis, but thirty treatments (5 days per week) is common.
No. Limb preservation also addresses wounds caused by diabetes, infection, pressure injuries, radiation therapy, and surgical complications.
Yes. By promoting healing and preserving mobility, limb preservation can help patients maintain independence and continue participating in daily activities.
