Your doctor will first examine the wound and then take blood pressure readings at the ankle and arm to measure the blood flow in your lower leg. [3] X Research source Venous leg ulcers are more common than arterial ulcers, making up over 90% of all cases. [4] X Trustworthy Source Johns Hopkins Medicine Official resource database of the world-leading Johns Hopkins Hospital Go to source
Your doctor may refer you to a vascular surgeon who may perform surgery either to clear out the blocked artery (angioplasty) or to add a new route for blood to flow along and bypass the blockage. While your external wound may heal in as little as 2 weeks after the surgery, it may take several months for the underlying tissues to fully heal. [6] X Research source
You should clean and dress the ulcer under the supervision of a medical professional. Most venous ulcers heal in 3-4 months, but some need more time. Be patient and follow the advice of your doctor. [8] X Research source
Only a trained healthcare professional can apply a compression bandage properly, so follow the treatment regimen recommended by your doctor. Some medical professionals will use compression stockings and other compressive devices instead of compression bandages, but these work in the same way. [10] X Research source Compression treatment cannot be used to treat arterial ulcers because it would reduce rather than increase blood supply to the leg. [11] X Trustworthy Source PubMed Central Journal archive from the U. S. National Institutes of Health Go to source
A daily 30-minute walk will help reduce swelling and improve blood flow in your leg. Be sure to wear comfortable shoes and socks that don’t aggravate your leg ulcer.
You can use a sofa cushion, pillows, a suitcase, or a foam wedge to keep your legs raised. Put one of the above items under your mattress, so that your legs will be elevated when you sleep during the night. Elevate your feet for at least a few minutes every hour. Keep your legs hanging down if you have an arterial leg ulcer.
You should move your legs around whenever you’re sitting for a prolonged period. Moving them for a few minutes once an hour is a good rule of thumb.
Losing weight can also help prevent and heal ulcers. [16] X Trustworthy Source MedlinePlus Collection of medical information sourced from the US National Library of Medicine Go to source
You should also consider moderating your consumption of alcohol. Cognitive Behavioral Therapy may help you quit smoking naturally. A therapist can help you change your thinking about smoking and can give you a set of skills to cope with the difficult process. [18] X Trustworthy Source American Psychological Association Leading scientific and professional organization of licensed psychologists Go to source
Many people with venous leg ulcers experience rashes and itchy skin. Varicose eczema is often the cause. Keep your skin well moisturized with a moisturizing lotion.
Other symptoms of leg ulcers include itching, redness, swelling, and fluid leaking from the wound. The affected leg may also feel heavy, achy, or tight.
Worsening redness, swelling, pain, or warmth around the wound Pus, blood, or yellowish or cloudy fluid coming from the wound A bad odor Fever, chills, or a general feeling of being unwell
You may be at risk of developing leg ulcers if you have an arterial disease (such as peripheral artery disease), diabetes, or arthritis. Some medications can also put you at risk. If your doctor thinks your medication is causing your ulcers, talk to them about adjusting your dose or taking other measures to reduce unwanted side effects.
