What Are Venous Leg Ulcers?

Venous leg ulcers are chronic, open sores that develop between the knee and ankle, most often around the inner ankle. They result from poor blood flow due to problems in the leg veins, leading to tissue breakdown and delayed healing.

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What Causes Venous Leg Ulcers?

These ulcers are caused by damage to the valves inside the leg veins. When these valves don’t work properly, blood pools in the lower legs, increasing pressure and causing swelling. Over time, this pressure weakens the skin and can lead to ulcer formation.

Who Is at Risk?

Have varicose veins or chronic venous insufficiency Are overweight or obese  Have a history of deep vein thrombosis (DVT) Have limited mobility or leg injuries

Signs and Symptoms

Pain, itching, or swelling in the affected leg  Discolored or hardened skin around the ulcer A shallow, irregular sore that may ooze or have a foul smell Skin changes like darkening or thickening

How Are Venous Leg Ulcers Diagnosed?

Diagnosis is based on a physical exam and medical history. Your healthcare provider may check for signs of venous insufficiency, swelling, and skin changes. Sometimes, tests are needed to rule out other causes of leg ulcers.

Treatment and Care

Cleaning and dressing the wound Using compression therapy (bandages or stockings) to improve blood flow Managing infection with topical or oral antibiotics if needed Addressing underlying vein problems

Most ulcers heal within 6 months with proper care, but some may take longer.

Preventing Venous Leg Ulcers

Prevention tips include:

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Wearing compression stockings

Exercising regularly and maintaining a healthy weight

Exercising regularly and maintaining a healthy weight

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Elevating your legs when possible

Elevating your legs when possible

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When to Seek Medical Help

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A sore on your leg that doesn’t heal in 2 weeks Increasing pain, swelling, or redness Signs of infection, such as pus or a foul odor

Summary & Takeaway

Venous leg ulcers are chronic wounds caused by poor vein function and blood pooling in the legs. Early diagnosis, proper wound care, and compression therapy are key to healing and preventing recurrence.