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Doctor insights on: Chronic Venous Leg Ulcers

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What's chronic venous insufficiency?

What's chronic venous insufficiency?

There are two types: Chronic venous insufficiency is when veins do not pump enough oxygen-poor blood back to the heart. This is caused by the valves in the veins leaking or flowing backwards. It usually occurs in the leg . It can be caused by the deep veins leaking [ less common ] or the superficial veins leaking[ more common] . Superficial venous insufficiency is the underlying cause of varicose and spider veins. ...Read more

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Ulceration (Definition)

Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more


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Does arterial insufficiency cause edema like chronic venous insufficiency?

Does arterial insufficiency cause edema like chronic venous insufficiency?

Venous edema: One of the hallmarks of chronic venous insufficiency is ankle and leg swelling. In the early stages of venous insufficiency, ankle and leg swelling occur at the end of the day and are relieved by leg elevation. In longstanding venous insufficiency, leg swelling is constant. Arterial insufficiency patients do not typically complain of lower extremity swellling. ...Read more

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How are venous and arterial leg ulcers different?

How are venous and arterial leg ulcers different?

Different cause: Arterial ulcers are caused by lack of blood supply to the area, seen in diabetics with small vessel disease, venous ulcers are due to pooling and stagnation of blood as seen as in with long standing varicose veins.Varicose veins ...Read more

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Can stress cause venous stasis ulcers to worsen?

Can stress cause venous stasis ulcers to worsen?

Stress Veins: Not specifically. Stress is never a helpful thing--we do not recommend stress to help cure our patients no matter what the disease may be. Venous stasis ulcers will worsen if the underlying pathology, increased pressure of the veins, is not addressed nor treated appropriately. Other causes of worsening ulcers can include an infectious etiology also. ...Read more

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Do compression stockings help with venous stasis ulcers?

Do compression stockings help with venous stasis ulcers?

Venous Ulcer RX: Compression is the key to treating venous stasis ulcerations. In a comprehensive wound care center, there are many different types of compression used. First, make sure that the level of compression that is being used is safe to use. Your wound care professionals will be able to assist you through this process. ...Read more

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Compression stockings help with chronic venous insufficiency?

Compression stockings help with chronic venous insufficiency?

Yep...sure can: Compression stockings can be very useful and actually the primary treatment in those patients with venous insufficiency, whether of the deep veins or the superficial veins. They aid in lessening the distention of varicose veins which causes aching, decreasing fluid accumulation in the tissues, and also help by decreasing inflammation. ...Read more

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Could chronic venous insufficiency (fluid retention in lower legs) be reversed?

Could chronic venous insufficiency (fluid retention in lower legs) be reversed?

CVI treatable.: Chronic venous insufficiency is due to malfunctioning of valves in the superficial, deep or both venous systems. Although not reversible, it is treatable. The superficial valves, if leaking, can be closed via laser. The deep valves are treated symptomatically with elevation, compression hose, possibly lymphedema massage and compression pumps. The goal is to prevent worsening of the cvi ...Read more

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What is the difference between chronic venous stasis and chronic arterial insufficiency?

What is the difference between chronic venous stasis and chronic arterial insufficiency?

Significant: Chronic venous stasis (cvi) is a result of long standing venous insufficiency due to malfunctioning of the valves of either the superficial, deep or both systems of veins. Chronic arterial insufficiency is due to long standing decrease arterial blood flow into either the legs or arms. Venous problems cause leg swelling and discoloration while arterial problems cause pain and even gangrene. ...Read more

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Do bruises cause leg ulcers?

Do bruises cause leg ulcers?

Bruises Leg Ulcers: When the injury is severe enough --and this may not be evident for days-- to the lower legs (and elsewhere), there may injury to the surface of the skin and then a hematoma forms under the superficial break in the skin. As the hematoma matures, it swells (think of jello in the refrig) and the pressure then breaks through the skin and begins to ooze currant colored material. Seek wound care! ...Read more

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Does Venous insufficiency cause DVTS ?

Does Venous insufficiency cause DVTS ?

Dvt: DVT happens in veins where blood movement is sluggish or even minimal. Venous stasis predisposes to DVT. Particularly when leg muscles are not active. ...Read more

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What causes leg ulcers?

What causes leg ulcers?

Leg ulcers: There are many possible reasons for leg ulcers, to include venous disease, diabetes, arterial disease, lymphedema, or vasculitis. It is important to determine the underlying source for the ulceration, to appropriately treat it. ...Read more

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When younger people get venous leg ulcers they are caused by deep vein thrombosis? True?

When younger people get venous leg ulcers they are caused by deep vein thrombosis? True?

False: Not typically but they may be preceded by venous stasis dermatitis with darkish purple appearance of the skin typically located on the inner ankle skin area. ...Read more

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Venous insufficiency of lower limbs make veins worse?

Venous insufficiency of lower limbs make veins worse?

Valves malfunction.: Bad veins lead to venous stasis and insufficiency which is a result of the valves in the venous system malfunctioning . This can be due to the valves in the deep system, superficial system or connecting system. Deep system valve malfunction could be due to prior clots, superficial problems could lead to varicose veins and perforator malfunction could lead to venous ulcers.See a vein specialist. ...Read more

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Does staph cause leg ulcers?

Does staph cause leg ulcers?

Yes, but...: If skin dries/cracks, then staph or strep may infect the soft tissue as the dermal opening creates a portal of entry... Mrsa is is quite prevalent... Be careful. ...Read more

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How to relieve extreme leg pain possibly caused by lupus, vericose veins, restless leg syndrome, or fibromyalgia?

How to relieve extreme leg pain possibly caused by lupus, vericose veins, restless leg syndrome, or fibromyalgia?

Need more specifics: First you need to see a doctor and get a specific diagnosis then the appropriate treatment can be prescribed. ...Read more

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How does wrapping my leg help with venous stasis ulcers?

How does wrapping my leg help with venous stasis ulcers?

Lowers vein pressure: Wrapping the leg with a venous stasis ulcer will dramatically decrease te pressure in the veins. This reverses the process which caused the ulcer in the first place. Healing does not occur overnight. It will take weeks to months depending on how large the wound is. ...Read more

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What conditions apart from chronic cerebrospinal venous insufficiency (ccsvi) require ijv angioplasty?

What conditions apart from chronic cerebrospinal venous insufficiency (ccsvi) require ijv angioplasty?

Few: Aside from ccsvi angioplasty of the central veins is most commonly done to relieve narrowings caused by previous intrumentation (central lines, dialysis access, pacemakers, etc). In the ijv it is usually done to restore or improve access for insertion of a central venous catheter of some sort. Tumors can also narrow the central veins to the point where dilation is needed. ...Read more

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Arterial venous malformation can it cause psychosis?

Arterial venous malformation can it cause psychosis?

One report: I did find one report of an avm (arteriovenous malformation) involving the vein of galen associated with psychotic symptoms: http://tinyurl.Com/mqzwd2j this is not a usual presentation, though -- just to say it can happen. Please do not assume that having psychotic symptoms means you have an avm. It doesn't! having these symptoms does mean you need evaluation and treatment, though. ...Read more

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How are venous and arterial leg ulcers different?

Different cause: Arterial ulcers are caused by lack of blood supply to the area, seen in diabetics with small vessel disease, venous ulcers are due to pooling and stagnation of blood as seen as in with long standing varicose veins.Varicose veins ...Read more

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Can you explain the difference between venous and arterial leg ulcers?

Can you explain the difference between venous and arterial leg ulcers?

Arteries vs. Veins: Venous ulcers are usually due to venous hypertension (unusually high pressures in the veins for a long period of time). They occur most commonly on the inside of the ankles. Arterial ulcers occur due to poor circulation or blockage in the arteries. These most commonly occur in the toes or the heels. Among other things, diabetes affects the circulation in the toes and feet. ...Read more

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What is the difference between venous and arterial leg ulcers; and how do they look?

What is the difference between venous and arterial leg ulcers; and how do they look?

Clearly different : Arterial ulcerations appear necrotic. No evidence of pink healing tissue at the base and the wound edges are grey or black. Venous ulcers usually have clean pink bases with pearly borders. ...Read more

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What are alternative treatments for venous leg ulcers ?

What are alternative treatments for venous leg ulcers ?

See vein specialist: Leg ulcers are often caused by chronic venous insufficiency which is a problem that causes to much pressure to be in the veins near the skin. A venous specialist can diagnose and treat this condition. Our cure rate with venous ulcers is 97%. ...Read more

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When younger people get venous leg ulcers they are caused by deep vein thrombosis? True?

False: Not typically but they may be preceded by venous stasis dermatitis with darkish purple appearance of the skin typically located on the inner ankle skin area. ...Read more

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What causes leg ulcers?

Leg ulcers: There are many possible reasons for leg ulcers, to include venous disease, diabetes, arterial disease, lymphedema, or vasculitis. It is important to determine the underlying source for the ulceration, to appropriately treat it. ...Read more

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What are cures for leg ulcers?

What are cures for leg ulcers?

See vein specialist: Leg ulcers are often caused by chronic venous insufficiency which is a problem that causes to much pressure to be in the veins near the skin. A venous specialist can diagnose and treat this condition. Our cure rate with venous ulcers is 97%. ...Read more

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What are the symptoms of leg ulcers?

What are the symptoms of leg ulcers?

Open wound: When you have an leg ulcer there is a breakdown of the skin and an open wound forms. This could be painful, draining and even infected. If you have any concerns you should see a vascular specialist for further evaluation. ...Read more

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Do sun and air help leg ulcers heal?

Do sun and air help leg ulcers heal?

No: Leg ulcers are a very complicated problem that needs specialty care. Leaving a leg ulcer exposed to the elements may cause more harm than good. ...Read more

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What is a good way to cure leg ulcers?

What is a good way to cure leg ulcers?

See a vein specialis: Leg ulcers are often caused by chronic venous insufficiency which is a problem that causes to much pressure to be in the veins near the skin. A venous specialist can diagnose and treat this condition. Our cure rate with venous ulcers is 97%. ...Read more

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What's the best way to treat leg ulcers?

What's the best way to treat leg ulcers?

Depends: There are many causes for leg ulcers, and depending on the cause, ther treatment will be different. You should be seen by a vascular surgeon our a round clinic. There are many topical therapies. Swelling, if present, needs to be treated and it is important to net sure there is adequate circulation. ...Read more

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Is terrasil commonly used for leg ulcers?

Is terrasil commonly used for leg ulcers?

No: Terrasil (tacrolimus) is a potent immunosuppressant used during organ transplantation or topically for difficult to control eczema. Leg ulcers most commonly occur from venous insufficiency. Treatment of the venous reflux in combination with compression therapy will give the best lasting results. ...Read more

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What are some home remedies for leg ulcers?

What are some home remedies for leg ulcers?

Keep it clean: First see your doctor and find out what they are. Most common leg ulcers are venous stasis ulcer, which resist to heel , then home remedy will be clean them free of necrotic tissue, place dressings, elevate the legs if possible, and wear elastic stockings most of the time. ...Read more

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How effective are septiclense on leg ulcers?

How effective are septiclense on leg ulcers?

Yes, but: It is not just septiclense on the leg ulcer that helps to heal , depends on other issues are addressed to heal the ulcer , like control of infection , diabetes along with other systemic diseases , removal of dead tissue ( necrotic tissue ) , improving blood supply etc are to be corrected ...Read more

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Does anyone know the best way to treat leg ulcers?

Does anyone know the best way to treat leg ulcers?

Yes: Prevention is always best! accurate diagnosis is critical. Venous stasis -post phlebitic syndrome is cause of a large number. Cure is possible but management and stabilizing is most common. Vascular surgeons are the usual specialists. ...Read more

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What is the definition or description of: Leg ulcers?

What is the definition or description of: Leg ulcers?

Breakdown: An ulcer is essentially a breakdown in the normal layer of skin and can have a number of potential causes. A leg ulcer occurs in the lower extremity and can be superficial or deep. ...Read more

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What should I do to prevent leg ulcers?

What should I do to prevent leg ulcers?

See a vein specialis: Leg ulcers are often caused by chronic venous insufficiency which is a problem that causes to much pressure to be in the veins near the skin. A venous specialist can diagnose and treat this condition. Our cure rate with venous ulcers is 97%. ...Read more

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Why do diabetics get leg ulcers?

Why do diabetics get leg ulcers?

Diabetic leg ulcers: Diabetics get ulcer due to multiple causes including healing problems, nerve issues, circulation problems with the large and small arteries and pressure issues. ...Read more

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What are good treatments for leg ulcers?

What are good treatments for leg ulcers?

Leg ulcers: the answer this question depends upon the underlying source for the ulcerations. Evaluation of the circulatory system is crucial, to include arterial flow, and vein flow. Ulcerations occur secondary to an underlying problem, and the treatment protocol requires treatment of this underlying problem for successful outcomes. I would seek evaluation by a vascular surgeon. ...Read more

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Dr. Scott Bolhack
2,109 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more


Dr. Scott Bolhack
103 doctors shared insights

Leg Ulcers (Definition)

An ulcer is essentially a breakdown in the normal layer of skin and can have a number of potential causes. A leg ulcer occurs in the lower extremity and can ...Read more