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Do Varicose Ulcers Spread?
Suffering from varicose vein and varicose ulcer. Does the varicose ulcer spread? Any treatment which is not very expensive? Hi Doctor, My husband is suffering from varicose veins and varicose ulcer . We went to see a specialist before this. He had to change the 4-layer of bandage every week. And we stop after going to the specialist after the ulcer heal. (due to financial). Since then i help him to change the bandage myself. Thinking that everything is ok, we stop using the bandage. But lately, the ulcer strike again. This time is swells watery (plain & thick) discharge . It was not this watery when he had a varicose ulcer previously. So can i know if then varicose has spread? For your info, we had previously get the scan done for both leg. The right leg blackening. He is overweight . Can i know if there s any treatment that doesn t cost expensive.? Can i just self treated him, doing the 4-layer compression bandage on him? I wish i can post you the picture. To which email shall i sent it to, so that you can see the leg/varicose ulcer to get a better view? I need help ASAP...because my husband has been complaining of pain. :( Regards, Sasha Lee
Thu, 29 Sep 2022
Hello,
Varicose ulcers are recurrent and there is a possibility of appearance of ulcer exactly at the previous ulcer site. It's not called spreading but it's just recurrence. An open ulcer may persist for weeks to many years, and it tends to recur. Larger ulcer size and longer duration of the ulcer usually signify a worse prognosis.
The following are the treatment options for varicose ulcer. Leg elevation reduces edema and should be used for 30-minute sessions, 3 or 4 times a day. Compression therapy (inelastic, elastic) is the standard of care and is associated with a decreased rate of ulcer recurrence. Pentoxifylline (400 mg 3 times daily) or aspirin (300 mg daily) is effective when used with compression therapy. If the ulcer base has pus, it means wound is infected. So antibiotics are to be used orally. Topical antiseptic can be used.
The following are treatment options for varicose veins. Sclerotherapy is the most widely used medical procedure for varicose veins apart from laser and intense-pulsed-light therapy, radiofrequency (RF) or laser ablation and ambulatory phlebectomy. You can also go for surgical approach in refractory cases.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
Varicose ulcers are recurrent and there is a possibility of appearance of ulcer exactly at the previous ulcer site. It's not called spreading but it's just recurrence. An open ulcer may persist for weeks to many years, and it tends to recur. Larger ulcer size and longer duration of the ulcer usually signify a worse prognosis.
The following are the treatment options for varicose ulcer. Leg elevation reduces edema and should be used for 30-minute sessions, 3 or 4 times a day. Compression therapy (inelastic, elastic) is the standard of care and is associated with a decreased rate of ulcer recurrence. Pentoxifylline (400 mg 3 times daily) or aspirin (300 mg daily) is effective when used with compression therapy. If the ulcer base has pus, it means wound is infected. So antibiotics are to be used orally. Topical antiseptic can be used.
The following are treatment options for varicose veins. Sclerotherapy is the most widely used medical procedure for varicose veins apart from laser and intense-pulsed-light therapy, radiofrequency (RF) or laser ablation and ambulatory phlebectomy. You can also go for surgical approach in refractory cases.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
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