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Venous Leg Ulcers

Venous leg ulcers are open sores that occur due to poor circulation. Damaged veins struggle to return blood to the heart, leading to pooling in the legs. Over time, this can cause skin breakdown and the formation of ulcers. Proper management addresses the underlying venous issues and promotes wound healing.

Venous Ulcers

What you should know about Venous Leg Ulcers

What are Venous Leg Ulcers?

Venous leg ulcers are persistent sores that develop on the lower legs, primarily due to compromised blood circulation resulting from venous insufficiency. Imagine it as a challenge where your leg veins struggle to efficiently return blood to the heart, leading to pooling in the lower extremities. This prolonged pooling damages the skin, giving rise to painful ulcers known for their slow healing and recurrent nature.


What Are The Symptoms Of Venous Leg Ulcers?

Symptoms you may notice include: 

  • Persistent swelling in your legs

  • Discoloured skin

  • Itching in the affected leg


As things progress, you'll likely spot open sores that are slow to heal and can also be recurrent. If the ulcer gets infected, it can produce a foul-smelling discharge that may also cause a fever.


What Causes Venous Leg Ulcer?

Venous insufficiency is the primary culprit behind venous leg ulcers, where leg veins struggle to return blood to the heart efficiently. This may be a result of: 

  • Obesity 

  • Diabetes 

  • Varicose veins 

  • Deep vein thrombosis

  • Poor mobility 

  • Old age


How Can You Prevent A Venous Leg Ulcer?

Preventing venous leg ulcers involves proactive measures to support overall leg health and address underlying circulation issues. These include: 


  • Compression Therapy: Wearing compression stockings aids in improving blood circulation, reducing swelling, and preventing ulcers.

  • Leg Elevation: Elevating your legs helps minimise swelling and promotes healthier blood flow.

  • Regular Exercise: Engage in activities that promote circulation, such as walking or swimming, to strengthen leg muscles.

  • Healthy Lifestyle: Maintain a balanced diet, manage weight and avoid smoking

  • Medication: To treat underlying issues such as high blood pressure or diabetes


How are Venous Ulcers Diagnosed?

Diagnosing venous ulcers involves a physical examination where the skin is assessed for any changes and the presence of ulcers. Lower limb ultrasound is commonly used to evaluate blood flow in the veins, identifying any underlying venous issues. Additionally, a pressure check, often with the ankle-brachial index, helps ensure arterial concerns are ruled out. These steps guide the development of a personalised treatment plan to manage venous ulcers effectively.

What Is The Treatment For Venous Ulcers?

The treatment for venous ulcers aims to address underlying venous insufficiency, promote wound healing, and prevent recurrence. Common interventions include:


  • Wound Care: Proper cleaning and dressing of the ulcer to prevent infection and promote optimal healing.

  • Compression Therapy: Wearing compression stockings aids in improving blood circulation, reducing swelling, and supporting ulcer healing.

  • Surgery: Surgical intervention may be recommended to improve overall blood circulation in some cases.

  • Antibiotics: Prescription of antibiotics to manage and resolve infections in the ulcer for an effective healing process.


Dr Desmond Ooi: Venous Ulcer Treatment in Singapore

Dr Desmond Ooi employs a personalised approach to address venous ulcers, integrating treatments like compression therapy and surgical interventions when necessary. His commitment to patient care extends beyond healing wounds; it encompasses holistic management to enhance overall venous health. If you're dealing with venous ulcers, book an appointment with Dr Desmond Ooi for thoughtful and effective care.

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