Treatment Options Explored

The first step starts with a formal diagnosis. It is important to see a provider that specializes in the management of venous ulcers. Sometimes what was thought to be a venous ulcer turns out to be another diagnosis, which normally requires a different treatment plan.

Starting with compression therapy is the mainstay of treatment. This helps reduce the amount of fluid in the leg. Increased fluid in the leg creates a buffer zone between the delivery of nutrients and oxygen to the outer surface of the skin. It is more difficult for these nutrients and oxygen to reach the skin if there is too much fluid to traverse. Compression therapy helps reduce the buffer zone making it easier for nutrients and oxygen to reach the skin surface to allow for healing.

If infection has been resolved, and compression has been performed but there is still inadequate healing, your provider may recommend a vein procedure to be performed by either the vein expert or the vascular surgeon. This typically involves closing down the incompetent veins through a minimally invasive procedure.

In some cases, skin grafting can be considered and can be performed either in the office setting or in the OR, depending on the patient’s situation.

What is debridement?

Typically, patients with the wound will be recommended to follow-up every week. This is important to assess how the wound is progressing, to ensure that there is no infection present, and most importantly for a surgical debridement of the wound. Debridement is a medical term used to clean the wound more aggressively that can be done at home. Surgical instrumentation is utilized. There are many benefits to debridement, including eradication of infection/bacteria, improving blood flow to the wound and increasing good growth factors to the wound bed to promote a healing response.

We have encountered many wounds that have failed to heal as second opinions because the SINGLE factor that was missing was debridement.

Pain is always a concern with debridement, however anesthesia can be utilized typically in the form of a topically applied anesthetic, like lidocaine.

Frequently Asked Questions

How Does a Venous Leg Ulcer Impact Daily Life and Activities?

Living with such a condition can dramatically affect your daily life. It may limit your mobility, making routine tasks challenging. You might experience constant pain and discomfort, disrupting sleep and overall well-being.

Wound care can also consume a significant portion of your day and require special supplies. Additionally, the appearance of the affected area might impact your self-esteem. It’s important to seek professional help to manage these challenges effectively.

Can Certain Professions or Lifestyles Increase the Risk of Developing a Venous Leg Ulcer?

Yes, your job or lifestyle can up your risk of health issues. Professions requiring long periods of standing or sitting, like nursing or truck driving, can stress your venous circulatory system.

Additionally, sedentary lifestyles, with little physical activity, can also affect your overall health. So, it’s important to keep moving and to take breaks if you’re in a job that requires extended periods of either standing or sitting.

What Is the Psychological Impact of Having a Venous Leg Ulcer?

Living with a chronic condition can take a toll on your mental health. You might face anxiety, depression, or stress due to constant pain, impaired mobility, or worries about your appearance.

It’s also common to feel frustrated because of the ongoing care the condition requires. The emotional impact may affect your relationships, work, and overall quality of life.

It’s essential to seek professional help if you’re struggling emotionally with a long-term health issue.