A member asked:

What are things that would need constant attention with regards to venous ulcers?

11 doctors weighed in across 7 answers

Discuss with doctor: This is a problem that requires a face-to-face meeting with your doctor. In that meeting, your doctor will listen to you, perform a throrough examination and possibly order labs or other tests. Based on this information, he/she will be able to tell you what's wrong and what to do about it.

Answered 1/11/2013

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Stockings: Must wear tight support stockings. Get to a qualified vascular surgeon to see if minimally invasive surgery may help.

Answered 6/10/2013

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Dr. Ted King answered

Compression: As dr. Oweida said, compression is the mainstay of treatment for venous leg ulcers. Keep the ulcer clean. Soap and water generally works just fine. Fancy salves, ointments, pads, and dressings are rarely necessary. Antibiotics are also only needed rarely. Ultimately, the venous hypertension that is causing the ulcer needs to be corrected with vein treatment and a vein specialist should be seen.

Answered 4/7/2013

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Dr. John Landi answered

Specializes in Phlebology

Aggressive treatment: Venous ulcers can be healed but they require many combined modalities of treatment. The most important factor is to treat the cause of the problem which is the high venous pressure due to mafunctioning valves. This can be done with catheter ablation. Next the wound must be cleaned and kept clean, compression bandages or stockings are necessary and, most importantly, see a vein specialist.

Answered 6/9/2013

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Appropriate: Care to treat the ulcer. Apligraf works fine here. Manage the venous hypertension with compression therapy. Ablate the veins by a vein specialist.

Answered 11/25/2016

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Dr. Douglas Joyce answered

Specializes in Phlebology

See a venous dr: Keep the area clean and see a venous specialist. We also send patients to a wound care specialist to address the ulcer while we correct the underlying venous disease. This approach is very effective.

Answered 5/1/2015

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Venous ulcer: underlying source should be treated evaluation by venous doppler sonogram the ulcer will not heal without treating the underlying venous disease

Answered 3/12/2017

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