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Writer's pictureDelma Duffus

Venous leg ulcers

Updated: May 18

Venous leg ulcers are indeed a significant challenge in healthcare, affecting individuals across various age groups. The underlying causes, often related to venous reflux disease and varicose veins, can lead to complications that necessitate careful management.


The initial assessment and evaluation play a crucial role in devising an effective treatment plan. Doppler and ultrasound scans are invaluable tools in identifying the underlying venous insufficiencies and assessing the extent of the damage.


Understanding the role of the venous system in returning blood to the heart underscores the importance of the calf muscle pump and the one-way valves within the veins. Any disruption in this system can result in blood back-flow, leading to the leakage of irritants and fluids that contribute to ulceration.


When a leg ulcer fails to show signs of healing within six weeks, it becomes classified as a chronic wound, necessitating specialized care and attention. The holistic approach to treatment often involves addressing the underlying venous insufficiency while also focusing on wound care, compression therapy, and lifestyle modifications to promote healing and prevent recurrence.


Educating patients about preventive measures, such as regular exercise, elevation of the legs, and proper skincare, is essential in managing and preventing the recurrence of venous leg ulcers. Collaboration among healthcare professionals, including wound care specialists, vascular surgeons, and nurses, is crucial in delivering comprehensive care to individuals affected by this challenging condition.







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