The human body has the ability to renew and heal damaged tissues, but one of the vital components of that healing process is a healthy environment that will allow healing to occur. When chronic swelling and elevated venous pressures are present, as seen in chronic venous insufficiency, the body is unable to regenerate and heal, even if there is normal arterial circulation. At The Vascular Experts Florida, venous ulcers can be treated to promote faster wound healing.
Venous ulcers are open skin sores, caused by elevated pressures inside the veins that carry blood from the legs to the heart and lungs. Flow inside these veins is favored by muscle contraction during normal walking or exercise. Valves inside these veins should prevent any backflow of blood towards the feet and away from the heart. When valves don’t function properly, the pressure inside the veins is elevated as blood refluxes. As a result, this venous hypertension will eventually lead to soft tissue swelling and chronic inflammatory changes that ultimately affect the skin, making it prone to ulceration. Venous ulcers can take several weeks to months to heal or may not heal at all without proper treatment.
Venous ulcers need adequate care to prevent progression and infection and may even require removing some tissue around the wound to promote healing from healthy tissue.
Compression stockings are essential in preventing blood from pooling in the veins and avoiding elevated venous pressures. Compression stockings do not address the main problem but are effective in preventing chronic swelling.
The most important aspect is to determine the underlying cause(s) of the ulceration and provide treatment in a timely fashion to prevent progression. There are different types of veins in the legs that can lead to ulceration. Abnormal flow inside superficial and perforator veins can be reduced by closing the veins that are insufficient and there are several treatment options depending on the type of vein, the location as well as the patient’s preference. The goal with any of the available options is to achieve closure and scarring of the diseased veins with laser (EVLT), FDA-approved medications such as Polidocanol, or actually removing the veins in the comfort of our office (ambulatory microphlebectomy). In cases of deep venous obstruction, more invasive procedures may be required to further evaluate and treat the disease. The goal is always to restore normal flow and eradicate diseased veins so that a healthy environment is restored for venous ulcer healing.
With compression stockings, venous hypertension and circulation are improved over time, and the healing of venous ulcers may take several weeks. With any of the available procedures such as laser or chemical ablation, the damaged vessels are quickly addressed resulting in the faster restoration of venous pressures and a healthy environment for optimal wound healing.
There is no downtime with any of the procedures and return to normal activities is favored. Walking and light exercise following ablations is encouraged to promote venous circulation and to prevent complications such as blood clots. The use of compression stockings for 1-2 weeks, as instructed, is essential following the ablation to ensure optimal results.
*Individual Results May Vary
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*Individual Results May Vary