What Are Venous Ulcers?

Venous ulcers are reoccurring or persistent wounds which are typically found in the lower legs. Venous ulcers are often  treated in wound care centers for significant periods of time without much success. This is because the underlying problem, a poorly functioning vein, is not being treated.

Over time, varicose veins can develop aggravated symptoms like leg aching, pain, and swelling. This is a reflection of the increasing venous pressure from progressive valve failure inside the veins. Skin changes, like dermatitis, may become evident over the medial aspect of the lower leg and ankle. Eventually, the skin can break down (ulcerate) with dramatic wounds that are challenging to heal.

Are There Symptoms?

For most people, an ulcer is the last stage in a progressive issue which develops over years. Usually, the skin near or above the ankle becomes discolored, may lose elasticity, thicken, and become swollen and irritated. Leg swelling increases after prolonged time on your feet, at the end of the day, and can also be a result of high salt intake.

Left untreated, the skin rash develops into an open wound that is persistent and hard to treat.

Treating Venous Ulcers

The most important step in treating a venous ulcer is a proper diagnosis and evaluation.

Using venous mapping with diagnostic Duplex ultrasound, we can identify areas of venous reflux and successfully treat with laser ablation and sclerotherapy. These procedures can significantly reduce healing time and recurrences in combination with compression wraps and garments,

(Pictured above: Before and after venous ulcer treatment)

Unna Boot

(Pictured above: Wound care with an Unna Boot)