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Venous Ulcers- Prognosis, risk factors, and treatment


Venous ulcer or vascular ulcer is a slow healing and often painful leg wound that typically develops due to Venous insufficiency, a condition when the veins in the leg stop effectively circulating blood back to the heart. Blood that pools in the veins builds up pressure and may cause open skin sores. Such ulcers are generally found on the sides of the lower leg, above the ankle, or below the calf. If proper medical treatment is provided as soon as they develop, it could prevent various skin and bone infections that may be associated with ulcers.

To know if you are susceptible, it is essential to find out if you are among those who have a high risk of developing ulcers. Read on to learn more about your risk.

Vein conditions

Conditions that physically change your veins also increase your risk for venous ulcers. 

Twisted, enlarged varicose veins leads to reduced functioning of leg veins. 

Phlebitis is a term for inflammation of the vein and can occur both in the surface (superficial) or deep veins. Thrombosis or blood clots that form in the deep veins of the leg can damage the valves in the veins. 

Obesity which exerts pressure on the veins can impair their function and cause leg ulcers.

Leg injury or surgery

A fracture of a bone in your leg, burns, or a serious leg injury with muscle damage can also lead to venous ulcers. Inability to move around normally may hinder healthy blood circulation and can cause venous ulcers. Due to the same reason, being bedridden post-surgery, such as a hip or a knee replacement increases your risk of developing venous ulcers. 

Age, Gender, or Pregnancy

As we age our veins lose elasticity, and the weakened valves can lead to leg ulcers. Women are more susceptible to this condition than men, especially those over 50.

In younger females’ pregnancy and weight gain can add extra pressure on the lower leg veins and ulcers can develop.

Treatment alternatives

Venous ulcer treatment includes controlling the high pressure developed in the leg veins and treating the sores.

Proper cleaning and dressing the ulcer 

The first step of treatment is to remove any debris or dead tissue around the sores and then apply a suitable dressing. Appropriate re-dressing at regular intervals is necessary which provides the best conditions for the ulcer to heal.

Compression bandages

Treatment for ulcers must ensure that the high pressure in the leg veins is controlled. To improve the circulation in your legs and eliminate any swelling developed, specially designed compression bandages need to be applied over the affected leg.


Surgery for the venous disease involves removing the defective veins from the leg. Blood is then diverted through the remaining healthy veins and thus the pressure in the veins is reduced which further helps prevent the recurrence of ulcers.

  Endovenous ablation

Endovenous ablation, a minimally invasive technique, is found very effective in the treatment of ulcers related to varicose veins. Ablation, or heating process, usually takes less than 10 minutes and involves injecting medicines into the skin along the area of the vein to be treated and heating the deceased veins with radio waves or laser. 

Once you have had a venous ulcer, chances of occurrence of another ulcer within months or years cannot be ruled out. 

Have more queries on treatment options? Call or visit our Vascular Specialists at Avis Vascular Centre to know more.

Venous Ulcer Treatment In Hyderabad | Chennai 

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