Venous Ulcer

A venous ulcer has a few clear signs that can help you figure out what’s happening with your leg.

You might notice the following: 

• A shallow sore with uneven edges and a red or yellow base
• Skin around the wound that looks dark, feels tight or feels hard
• Aching or a heavy feeling in your lower leg
• Swelling that gets worse after standing or sitting for too long
• Itchy or burning skin near the wound

Watch for the following infection signs:

• Bad smell coming from the ulcer
• Pus or thick fluid draining out
• Redness or warmth around the sore
• Extra pain that gets worse, not better

The main cause of a venous ulcer is poor blood flow in your veins. When your veins cannot move blood properly, pressure builds up and harms your skin.

Things that raise your risk include: 

• Varicose veins
• History of deep vein thrombosis
• Past injuries or surgeries on your legs
• Extra weight
• Older age
• Prolonged standing or sitting
• Pregnancy
• Smoking
• Family history of venous disease
• Lack of regular movement or exercise

If you’ve had a venous ulcer before, you’re more likely to get another one later.

Taking care of a venous ulcer involves addressing the wound itself and correcting the underlying vein problem. Your provider will help make a plan that fits your needs.

Wound Care

Keeping the wound clean and covered helps it heal more effectively and reduces the risk of infection. Your provider might change the dressing a few times a week and use special materials to keep the area moist and protected.

Compression Therapy

Compression is one of the most effective methods for helping a venous ulcer heal. Wearing compression bandages or stockings supports blood flow, reduces swelling and allows new skin to grow. Your provider will show you how to put them on and make sure they fit well.

Everyday Steps

• Raise your legs when sitting or lying down to help blood flow back to your heart
• Try to walk or do gentle leg exercises to keep your blood moving
• Avoid sitting or standing in one spot too long

More Options

If the ulcer does not heal, your provider may suggest treatments to close or remove problem veins, such as vein ablation or sclerotherapy. For big or stubborn wounds, a skin graft might help close the ulcer. You might need antibiotics if the wound is infected, but only when it’s necessary. Pain medication can also help you stay comfortable during the healing process.

After the ulcer heals, continue wearing compression stockings to help prevent another venous ulcer from forming. Keeping a healthy weight, moving often and not smoking can make a big difference in preventing future problems.

Living with a venous ulcer can feel tough, but you don’t have to go through it alone. Our providers at The Vein Institute of Hunterdon are here to guide you every step of the way. If you see a wound that’s not healing or if you have swelling or skin changes in your legs, reach out to us. Together, we’ll build a plan that supports your healing and helps you feel like yourself again.