Venous ulcer pain. A number of things contribute to venous ulcer pain, as drs. Schwartz and lerner said. Venous ulcers often don't hurt much but if they are infected or have become complicated in some other way, have a lot of swelling, or aren't entirely venous in origin, they can hurt more. Generally compression, leg elevation as needed, and treatment of the underlying vein disease will take care of the pain.
Yes. But remember that pain from venous ulcers is not typical, and you want to evaluate other reasons you could be having pain. That being said, wound closure of the ulcer will help the discomfort quite a bit.
Yes. Pain from a venous ulcer is generally due to the open wound itself, or from the underlying venous insufficiency which caused it. Adequate wound care via debridement, topical wound dressings and compression will help with the healing of the ulcer, thereby improving the symptoms. More importantly would be treatment of the underlying cause. An ultrasound is mandatory to identify if reflux is present.
Treat the disease. The use of hyperbaric oxygen is not indicated in treating venous ulcers and is an expensive and inconvenient way to even consider. Treating the underlying cause using multilayer compression wraps and adequate pain control with non-nsaids (no Motrin or advil) are the best treatment that are cost effective and diagnoses appropriate.
Black walnut oil. For inflammatory ulcers - home remedy with black walnut oil extract we had good results.
Treat venous disease. Often an over the counter cream with an anesthetic can help but the condition remains until the venous disease is treated. See a specialist in venous disease.