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What are Leg Ulcers?

A leg ulcer is simply a break in the skin of the leg, which allows air and bacteria to get into the underlying tissue.

What causes Leg Ulcers?
  • Vein problems: 85% of leg ulcers are due to varicose veins or deep vein thrombosis.
  • Arterial problems  10% of leg ulcers are due to arterial disease.
  • Miscellaneous: 5% of leg ulcers may be due to other causes like vasculitis, rheumatoid arthritis and neuropathy.

What are the diagnostic methods for Leg Ulcers?

Usually a proper examination by a vascular specialist gives a clue about the possible cause of the ulcer, and depending on the cause, certain investigations may be performed which include:

  • Doppler
  • CT Angiography
  • Blood Investigations
  • Skin Biopsy

How are Venous Ulcers treated?

  • Controlling the high pressure in the leg veins by leg elevation, compression bandaging or 4 layer bandages
  • Treatment of the ulcer by dressings. Different materials may be recommended depending on the type and healing pattern of ulcer
  • Treatment of underlying cause:
    • Varicose veins can be treated by laser or foam sclerotherapy
    • Deep vein obstruction may need vein angioplasty & stenting
    • Non-healing ulcers may require skin grafting or muscle flaps

How are Arterial Ulcers treated?

  • Treatment of the underlying cause by angioplasty or bypass surgery to re-establish blood flow in the leg.
  • Adjuvant medical treatment by Prostacyclin therapy injections can also help in ulcer healing.

How are Diabetic Ulcers treated?

Over the recent years, lot many advances are made in the treatment of varicose veins. The type of treatment offered depends on many factors and no single method is the best! Your vascular specialist who is trained in all modalities can guide you to choose the best possible treatment for you!
  • Treatment of infection by systemic antibiotics
  • Wide spread removal of all infected and bad tissues
  • Regular dressings
  • NPWT (Negative Pressure Wound Therapy) or VAC (Vacuum Assisted Closure) Dressings
  • HBOT (Hyperbaric Oxygen Therapy)

Some patients with extensive diabetic foot infections treated successfully are shown here.

Frequently asked questions

Leg ulcers are treatable diseases although leg ulcers can be challenging to eliminate, even with treatment leg ulcer wounds can persist for months. In leg ulcer treatment, as a part of one of the therapy your doctor will suggest compression therapy with putting bandages on leg to stimulate blood flow into the legs.

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