A member asked:

Hi, i have a wound on my ankle and it is there since 4 years , it irritates me very much sometimes but so far it has not healed , used dermovate?

40 doctors weighed in across 10 answers

Get a biopsy: Chronic nonhealing wound, and steroid use, ...This is concerning.. In rare case, skin cancer such as basal cell can ulcerate and thus prompting topical cream treatment. If you are not a diabetic etc..You definitely should have this checked out for a possible biopsy to see why... Good luck.

Answered 3/26/2013

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Non-healing leg sore: There are several reasons why a leg wound may not heal. These may be attributable to arterial, venous, lymphatic, neurologic changes as well as due to a tumor or infection to name a few. This cannot be determined here. Some solutions are simple but require compliance and other solutions may require a culture or biopsy. In any event you should be evaluated by a physician to guide the proper route.

Answered 12/9/2013

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Dr. Mike Bowman answered

Specializes in ENT and Head and Neck Surgery

See your doctor: Any wound which has not healed in 4 weeks, let alone 4 years, needs to be evaluated by your doctor. It could represent a cancer or another serious condition which needs to be addressed.

Answered 2/21/2014

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Dr. Francisco Agullo answered

Specializes in Plastic Surgery

See a doctor: It is not normal for a wound to heal for 4 years. There could be a vascular disease causing this. You should see a doctor for evaluation and referral.

Answered 7/3/2013

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Dr. Steven Harris answered

Specializes in Plastic Surgery

Needs good exam: This "wound" should be evaluated promptly by someone with experience in treating leg ulcers. It may be a skin cancer (easily cured by simple surgery), it might be a true ulcer coming from too little blood reaching the ankle due to clogged arteries, or, most commonly, it might be a venous ulcer caused by varicose or otherwise damaged veins. See a doctor soon!

Answered 9/11/2014

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Chronic ankle ulcer: I agree with all of the previous docs. With respect to my specialty, phlebology (assessment/treatment of chronic vein disease), ankle ulcers may be related to venous insufficiency (as suggested by drs harris/placik). In the course of your workup by a doc, make sure that such a possibility is explored. It is possible to heal ulcers in weeks if underlying venous insufficiency is properly addressed.

Answered 5/19/2012

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Dr. Todd Sisto answered

Specializes in Plastic Surgery

Must have biopsy: After thorough history & physical.

Answered 4/25/2015

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Non-healing wound: Don't mess around with this one. See a doctor to make sure it is not a cancer. Things should heal after a few weeks so any non-healing wound needs to be evaluated by a physician.

Answered 4/23/2013

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Dr. Vasu Brown answered

Specializes in Integrative Medicine

Lipoprotein a levels: It could be vasculitis due to high lipoprotein a levels - they cause itching check your levels if high need Niacin in high dose 2gm per day use Niacin flush to prevent flushing reaction.

Answered 6/30/2014

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Nonhealing wound: Non healing wounds are always worrisome. Sometimes, a wound comes to our attention after a minor trauma, and we associate that trauma with causing the wound. Frankly, however, a wound that has been present for so long is more suspect as being a skin cancer than as a result of a minor injury. I would see a dermatologist or plastic surgeon. A biopsy of that wound may be necessary.

Answered 12/24/2014

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