Frequently Asked Questions

We are open Saturday through Thursday from 3 PM to 9 PM.

Pasdaran, Farrokhi Yazdi, West Gilan, Maryam Alley, No. 2, Floor 3 — Dialine Center, Tehran

Appointments are made by phone or WhatsApp; there is no online booking form on the site. Call 09002797291 or 021-22797291, Saturday to Thursday between 3 PM and 9 PM. Take one exception seriously: if you have fever or chills, purulent discharge and a foul smell from the wound, skin or a toe turning black, or redness and swelling spreading quickly, do not wait for an appointment — see a physician or go to an emergency department the same day.

Yes. Home wound care is for patients for whom coming to the clinic is difficult or risky: a bed-bound patient, an elderly person for whom every transfer is painful, or someone who is not yet mobile after surgery. Each visit begins with an assessment of the wound itself — size, depth, tissue condition, exudate and signs of infection — and the treatment protocol is the clinic’s own protocol, not a simplified version of it; progress is recorded at every session with photographs and measurements. If the wound needs a physician’s assessment, the physician attends at the bedside. At the same time, not everything can be done at home, and we say so up front: imaging and specialist investigations are done at the clinic.

Many wounds can be treated on an outpatient basis at the clinic. However, for severe infections or cases requiring major surgical intervention, a short hospital stay may be recommended.

No. Amputation is the last option, not the inevitable outcome of a diabetic foot ulcer. Physicians consider it when tissue has been irreversibly lost, or when an infection threatens the patient’s life and cannot be controlled any other way. A wound treated early by a specialist team heals without amputation in most cases. What decides the outcome is not the ulcer itself, but how quickly it is treated. This answer is not a substitute for an in-person medical consultation.

If you have fever or chills, a foul smell and purulent discharge from the wound, a toe or area of skin turning black, redness and swelling that is spreading quickly, or sudden severe pain in a foot that was previously numb, do not wait for your next appointment — see a physician or go to an emergency department the same day. Unusual, uncontrollable rises in blood glucose are also a warning sign. This answer is not a substitute for an in-person medical consultation.

There is no fixed healing time, and any answer that gives a firm number before seeing the wound is guessing. What determines the length of treatment is assessed at the first visit: the depth and extent of the wound, whether infection is present, the limb’s blood supply, how well blood glucose is controlled, and adherence to offloading — that is, keeping pressure off the wound. For comparison, antibiotic courses usually run 1–2 weeks for a soft-tissue infection and 4–6 weeks for confirmed osteomyelitis — but that is the duration of infection treatment, not the time to wound closure. What we do know with confidence is that every week lost makes treatment harder. This answer is not a substitute for an in-person medical consultation.

Most chronic wounds are treated on an outpatient basis at a specialist clinic: assessment, debridement, a dressing chosen for that particular wound, and regular follow-up, with no hospital admission. The hospital’s role lies elsewhere — severe or systemic infection, a need for major surgery, or blood-supply problems requiring vascular intervention. The two are not competitors: if assessment shows a wound is beyond what outpatient care can handle, referral is part of the treatment, not the end of it. This answer is not a substitute for an in-person medical consultation.

In negative-pressure wound therapy (NPWT), a device applies controlled suction — usually between 75 and 125 mmHg — to draw excess exudate from the wound bed and stimulate granulation tissue, helping the wound close. It is not for every wound: its main use is in deep or complex wounds and in wounds left after extensive debridement, and the choice depends on an assessment of the wound bed. A real NPWT case can be seen in the Dialine treatment gallery. This answer is not a substitute for an in-person medical consultation.

Nerve damage that has already occurred is not reliably reversed by any medication — but that does not make treatment pointless. Sustained control of blood glucose, blood pressure and lipids, together with stopping smoking, can meaningfully slow progression, and neuropathic pain can be managed under a physician’s supervision with the drugs that carry first-line evidence: pregabalin, duloxetine, gabapentin and amitriptyline. More important still: loss of protective sensation is the single biggest risk factor for a diabetic foot ulcer, which is why periodic foot monitoring is an inseparable part of the treatment plan rather than an optional extra. This answer is not a substitute for an in-person medical consultation.