Understanding Arterial Ulcers

Arterial ulcers, also known as ischemic ulcers, are painful wounds caused by reduced blood flow to the legs or feet. Early diagnosis and proper care are vital to avoid serious complications.

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What Is an Arterial Ulcer?

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An arterial ulcer is an open sore that develops when narrowed or blocked arteries limit blood supply to the skin and tissues—commonly found on the lower legs, feet, or toes.

Causes & Risk Factors

Peripheral Arterial Disease (PAD) Atherosclerosis (hardening of arteries) Diabetes Smoking High blood pressure High cholesterol Older age Physical trauma

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How to Recognize an Arterial Ulcer

Round, with well-defined "punched-out" edges Often located on toes, heels, ankles, or pressure points Wound bed may appear pale, yellow, brown, or black and rarely bleeds Surrounding skin is shiny, thin, dry, and hairless Affected area may feel cold; weak or absent pulses Severe pain, especially at night or when legs are elevated

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Complications if Left Untreated

Infection Tissue death (necrosis) Gangrene Risk of limb amputation

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Treatment & Management

Improve blood circulation (may need surgery or angioplasty) Keep the wound clean and dry Minimize pressure on the ulcer site Use doctor-recommended dressings Treat infections quickly Consult a wound care specialist

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When to Seek Medical Help

Wounds that aren't healing Signs of infection: redness, swelling, pus, or fever Increasing pain or skin discoloration Cold, numb, or bluish toes or feet

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Don’t wait—early intervention can save your limb and your life.

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Summary & Takeaway

Arterial ulcers are painful wounds from poor blood flow. Early care prevents infection and amputation. Watch for pale, non-healing sores and seek medical help quickly.