A venous skin ulcer is a shallow wound that occurs when the leg veins don't return blood back toward the heart the way they should. This is called venous insufficiency. Venous skin ulcers are caused by poor blood circulation from the legs, such as from venous insufficiency. Early signs include:
• Leg swelling, heaviness, and cramping
• Dark red, purple, brown, hardened skin (this is a sign that blood is pooling)
• Itching and tingling
HOW IS VENOUS ULCER DIAGNOSED?
A General Surgeon diagnoses Venous Ulcer based on the CHEAP i.e. clinical, etiology, anatomy and pathophysiology classification system.
HOW IS VENOUS ULCER TREATED?
Treatment options for venous ulcers include conservative management, mechanical treatment, medications, and surgical options (Table 2).1,2,7,10,19,22–44 In general, the goals of treatment are to reduce edema, improve ulcer healing, and prevent recurrence. Although numerous treatment methods are available, they have variable effectiveness and limited data to support their use.
DID YOU KNOW?
Venous ulcers are costly to treat, and there is a significant chance that they will recur after healing, one study found that up to 48% of venous ulcers had recurred by the fifth year after healing. However treatment with local anaesthetic endovenous techniques suggests a reduction of this high recurrence rate is possible. Without proper care, the ulcer may get infected leading to cellulitis or gangrene and eventually may need amputation of the part of limb in future. Some topical drugs used to treat venous ulcer may cause venous eczema