San Diego Foot & Wound Care brings Chula Vista's Fourth Avenue medical corridor a podiatry practice focused on diabetic limb preservation, led by Alayna Puccinelli, DPM, a Des Moines University College of Podiatric Medicine and Surgery graduate (2014) board-certified through both the American Board of Podiatric Medicine and the American Board of Foot and Ankle Surgery. Post-surgical foot and ankle rehabilitation coordinates with physical therapy providers across western Chula Vista, with Performance Plus Physical Therapy handling gait retraining and lower-extremity strengthening protocols. Affiliated with Scripps Mercy Hospital San Diego, the practice emphasizes wound care for at-risk diabetic feet, combining offloading techniques, advanced wound-healing modalities, and surgical debridement to prevent amputation. Diabetic patients requiring comprehensive metabolic management alongside podiatric wound care are co-managed with primary care providers at San Ysidro Health Chula Vista for glucose optimization and vascular screening referrals. Highest-acuity procedures include partial ray amputation with primary closure for gangrenous digits, matrixectomy with phenol cauterization for recurrent ingrown nails, and plantar fascia release with endoscopic visualization.