Treatment of Leg Ulcers

HOME Treatment of Leg Ulcers

Treatment of Leg Ulcers

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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?

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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?

 

  • 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)

 

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Treatment of Leg Ulcers

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