What Are Leg Ulcers
Leg ulcers are sores that develop on broken or injured skin. Usually, they are more prominent right above the ankles, on the inner side of your legs.
Other than skin injuries, leg ulcers may also develop as a result of an underlying medical condition. The diseases which may lead to the development of leg ulcers are discussed briefly below.
How To Choose Cream For Leg Ulcers: The Buying Guide
How do you choose the cream for leg ulcers? You must consider many things, such as the brand name, price, and product quality. In addition, you should also consider whether it is suitable for your needs or not.
So how do you choose the right cream for leg ulcers? Here are some tips that you can use to help you find a good product:
What you Should Keep in Mind When Buying cream for leg ulcers
When shopping for a cream for leg ulcers, there are several things to consider. You need to think about the quality of the product, the price, and even how much it will benefit your life. However, you also need to keep these factors in mind:
What Are Foot And Toe Ulcers
An ulcer is an open wound or sore that will not heal or keeps returning. When you have ulcers on your feet and toes, it can be related to diabetes specifically, a complication called neuropathy that causes you to lose feeling in your feet. A scrape, cut or puncture in your skin can turn into an ulcer, but you might not know its there if you have neuropathy.
Ulcers can lead to infections. Sometimes, the infection wont go away and you may need to have part of your foot or toe surgically removed . About 15% of people with diabetes will get a foot or toe ulcer. Around 14% to 24% of people with diabetes in the U.S. need an amputation after they get an ulcer.
Recommended Reading: What Does A Skin Ulcer Look Like
Treating An Infected Ulcer
An ulcer sometimes produces a large amount of discharge and becomes more painful. There may also be redness around the ulcer.
These symptoms and feeling unwell are signs of infection.
If your ulcer becomes infected, it should be cleaned and dressed as usual.
You should also elevate your leg most of the time. You’ll be prescribed a 7-day course of antibiotics.
The aim of antibiotic treatment is to clear the infection. But antibiotics do not heal ulcers and should only be used in short courses to treat infected ulcers.
How Should I Treat A Leg Infection
The most appropriate treatment for a leg infection depends on the particular type of infection. Some affect a persons skin cells while others may involve the bone or lymph nodes. If a person suspects he has an infected leg, he should see a doctor for a diagnosis and treatment recommendation. Some seemingly minor infections can become severe if left untreated or if theyre treated with the wrong types of medication.
One type of infection that may affect a persons leg is called cellulitis. This infection involves the cells right below the skins surface, causing inflammation in the affected area. It develops when the skin is broken, such as because of a cut, broken blister or animal bite. The broken skin allows bacteria to enter the body, which leads to the infection. There are many types of bacteria that cause cellulitis, but those in the strep family are the most common.
Oral antibiotics are usually used to treat a cellulitis leg infection and usually cure it within a week or so. A patient may return to his doctor after about a week to check whether it has gone away entirely. In a severe case, a person may need to be hospitalized and treated with intravenous antibiotics.
Read Also: How To Cure Mouth Ulcer Permanently
Antibiotics For Wound Infection
Jennifer is a contributing health writer who has been researching and writing health content with PlushCare for 3 years. She is passionate about bringing accessible healthcare and mental health services to people everywhere.
Dr. Katalin Karolyi
Dr. Katalin Karolyi
Katalin Karolyi, M.D. earned her medical degree at the University of Debrecen. After completing her residency program in pathology at the Kenezy Hospital, she obtained a postdoctoral position at Sanford Burnham Prebys Medical Discovery Institute, Orlando, Florida.
Read Also: Best Antibiotic For Intestinal Infection
Characteristics Of Studies Awaiting Assessment
|41 people with venous, arterial or mixed leg ulcers.|
|Interventions||Nitrous oxide oxygen mixture or lidocaineprilocaine cream.|
|Outcomes||Pain before and after debridement on VAS and VRS.|
|Inclusion criteria unclear from abstract.|
|Interventions||A hydrobalanced cellulose based dressing or a foam wound dressing with Ibuprofen.|
|Outcomes||Pain on VAS, quality of life, wound size reduction or healing time.|
|Notes||Contacted authors requesting results for VLU participants only. Awaiting reply.|
You May Like: How To Ease An Ulcer
Causes Of Venous Ulcers
Venous ulcers most often form around the ankles.
Venous ulcers typically occur because of damage to the valves inside the leg veins. These valves control the blood pressure inside the veins. They allow it to drop when you walk. If the blood pressure inside your leg veins doesn’t fall as you’re walking, the condition is called sustained venous hypertension. That increase in blood pressure causes ulcers to form on your ankles.
Venous ulcers may also be caused by other problems with your leg veins. These include:
Varicose veins. These are large, bulging leg veins. They occur when valves in the leg veins dont work well, allowing blood to collect in the lower leg.
Chronic venous insufficiency. Like varicose veins, this condition occurs when your leg veins cant pump blood back up to your heart. Blood then pools in your lower legs, causing your legs to swell. Since the blood can’t flow well in your legs, the swelling may be extreme. This extreme swelling can put so much pressure on your skin that venous ulcers form.
How Are Foot And Toe Ulcers Treated
The treatment of all ulcers begins with careful skin and foot care. Inspecting your skin is very important, especially for people with diabetes. Detecting and treating foot and toe sores early can help you prevent infection and keep the sore from getting worse.
The goal of treating a foot or toe ulcer is to heal your wound and relieve any pain. Your treatment plan will be individualized based on what medical condition is causing your ulcers. If you cant correct the cause of your ulcer, its likely to come back after treatment.
There are both surgical and nonsurgical treatments for foot and toe ulcers. For early-stage foot and toe ulcers, nonsurgical treatments might work. More advanced ulcers especially ones that are infected might require surgery.
Nonsurgical treatments include:
- Topical wound care.
- Reconstructive surgery using skin grafts.
Read Also: Best Supplement For Gastric Ulcers In Horses
Epidemiology And Risk Factors
Pressure ulcers are areas of necrosis caused by compression between bony prominences and external surfaces. The damage may be relatively minor, or it may lead to massive destruction of deeper tissues, which can cause significant morbidity and mortality. The incidence and prevalence of pressure ulcers depends on the definition of pressure ulcers used and the patient population studied. The National Pressure Ulcer Advisory Panel has classified pressure ulcers according to 4 stages :
Stage I: Nonblanchable erythema of intact skin.
Stage II: Partial-thickness skin loss involving the epidermis or dermis lesions may present as an abrasion, blister, or superficial ulcer.
Stage III: Full-thickness skin loss that may extend to, but not through, the fascia the ulcer may be undermined.
Stage IV: Full-thickness skin loss involving deeper structures, such as muscle, bone, or joint structures.
Risk factors for the development of pressure ulcers are either intrinsic or extrinsic. Limited mobility and poor nutrition are the strongest intrinsic predictors of pressure ulcer formation. Incontinence, increased age, diabetes mellitus, stroke, white race, skin abnormalities, and male sex have also been implicated by multivariate analysis in some studies . Extrinsic factors include pressure, friction, shear stress, and moisture of these, the most important is pressure.
Recommended Reading: Bacterial Vaginosis Caused By Antibiotics
Management Of Venous Leg Ulcers
CLEANSING AND EMOLLIENT THERAPY
Good skincare is paramount in managing venous leg ulcers. Emollient therapy has two different modes of action:
- PASSIVE emollients are lipids that occlude the skin surface, thus preventing water loss from the epidermis
- ACTIVE Moisturisers are lipid emulsifiers that actively hydrate the skin by the application of a humectant to the surface of the skin.The active mode of action is the movement of water from the dermis to the epidermis
Emollients work to moisturise the skin by increasing the amount of water held in the epidermis. This occlusion for passive emollient therapy is achieved if greasy substances such as petrolatum are used. The active mode of action is the movement of water from the dermis to the epidermis. As the emollients increase the amount of water in the epidermis and make the skin less dry, they also have an anti-pruritic effect which is often beneficial to people wearing compression or hosiery.
Note to prescribers regarding Aqueous cream sodium lauryl sulphate is a detergent and surfactant and has been used extensively for its thickening and emulsifying properties. However, recent studies have shown that it should not be used as wash product or leave-on emollient as it has potential to damage skin and compromise barrier function.
2. INFECTION IN VENOUS LEG ULCERS
- New or increased wound pain
- Delayed healing
Before taking a wound swab, ensure the ulcer is cleaned with tap water.
3. PAIN ASSESSMENT
Don’t Miss: How To Check For Ulcerative Colitis
Medical History And Examination
Your GP or practice nurse will ask whether you have any other symptoms associated with venous leg ulcers, such as:
- swelling in your ankles
- discoloured or hard skin
They’ll try to determine the cause of the ulcer by asking about underlying conditions or previous injuries, such as:
Read more about how venous leg ulcers are treated.
How Are Leg Ulcers Treated
At Cleveland Clinic, patients are treated by a team of world-class experts in the Lower Extremity Wound Clinic in the Department of Vascular Medicine. This Clinic includes doctors, nurses and other medical specialists.
These experts work together to determine the cause of the ulcer and develop an individualized treatment program.
The goals of treatment are to relieve pain, speed recovery and heal the wound. Each patients treatment plan is individualized, based on the patients health, medical condition and ability to care for the wound.
Treatment options for all ulcers may include:
- Antibiotics, if an infection is present
- Anti-platelet or anti-clotting medications to prevent a blood clot
- Topical wound care therapies
- Prosthetics or orthotics, available to restore or enhance normal lifestyle function
Venous Ulcer Treatment
Venous ulcers are treated with compression of the leg to minimize edema or swelling. Compression treatments include wearing compression stockings, multi-layer compression wraps, or wrapping an ACE bandage or dressing from the toes or foot to the area below the knee. The type of compression treatment prescribed is determined by the physician, based on the characteristics of the ulcer base and amount of drainage from the ulcer.
The type of dressing prescribed for ulcers is determined by the type of ulcer and the appearance at the base of the ulcer. Types of dressings include:
- Moist to moist dressings
Arterial Ulcer Treatment
You May Like: How Do You Get Ulcers On Your Legs
What Does A Venous Leg Ulcer Look Like And What Causes Them
Venous leg ulcers are sores that develop between your knee and ankle, but they typically form inside the leg near or around the ankle. They are large, shallow ulcers with uneven edges that drain or weep a lot.
Youll likely see swelling in your leg, with red, itchy skin around the wound. You may also experience tightness in your calves, as well as aching, throbbing or a feeling of heaviness in your legs. Pooled and trapped blood often causes discolored splotches in the area.
The sores sometimes affect only the skin or they may sink deeper into the fat layer, muscle, tendon and bone, she says. Severe ulcers are more likely to become infected and take longer to heal.
Your veins carry blood back to your heart, and valves in the veins stop the blood from flowing backward. When your veins have trouble sending blood from your limbs to the heart, its known as venous insufficiency. In this condition, blood doesnt flow back properly to the heart, causing blood to pool in the veins in your legs.
Our veins are just like pipes, says Ehren. When theres persistently high blood pressure in the veins of the legs with a valve that doesnt work correctly, it causes damage to the skin, which eventually breaks down and forms an ulcer.
Other possible causes for venous leg ulcers include:
- Varicose veins.
- Swelling of a superficial vein .
Caring For Venous Ulcers
Venous ulcers need proper care and treatment to prevent infection and to heal. It’s important to have any venous ulcers checked right away by your healthcare provider.
Treatment may require focusing on the circulatory or vein problems that are causing the ulcers. Or it may mean removing some tissue around the wound. You may be asked to:
Clean the wound regularly
Apply a dressing to the ulcer
Avoid products that cause skin sensitivity
Wear compression stockings to prevent blood from pooling in the legs and to speed healing
Apply an antibacterial ointment or another topical medicine to prevent or treat an infection
Take oral antibiotic medicines to prevent or treat an infection
Have allergy testing done
Wearing a compression wrap to keep blood flowing back up to your heart can also help ulcers heal more quickly. In some cases, surgery or a skin graft is needed to close up the opening in the skin.
You May Like: Symptoms Of Gastric Ulcer In Adults
What Are Todays Most Popular Wound Healing Cream Models
There are many wound healing cream items accessible today for men and women seeking quality and reliability. Every wound healing cream model follows the same essential premise. But they appeal to various users.Its no secret that certain products appeal to specific populations. What if you could see which products were the most popular across all consumers? You can, and weve got the list. Check out our collection of products that appear to appeal to all ages, genders, and locations.
Can I Buy Something Similar Cheaper Elsewhere
One of the most common questions that a lot of customers ask is, Can I buy something similar cheaper elsewhere? The short answer is no. When you are looking for a quality cream for venous ulcers, the most important thing to know is that cheap is not always better. You should carefully research the best cream for venous ulcers before buying and consult the prices on some online sales websites to make the best decision.
Don’t Miss: Home Remedies For Intestinal Ulcers
Treatment What Treatment Will I Be Offered For My Leg Ulcer
If your wound isnt healing because of venous hypertension and there are no problems with the blood supply to your legs, then you should be offered compression therapy.
Compression therapy improves blood supply by applying pressure to the leg. This can be done by bandaging the lower leg or by wearing supportive socks, stockings or tights. Compression therapy is very effective at reducing swelling, improving blood flow in the veins and healing or preventing sores or ulcers.
There are lots of different types of compression therapy so ask your nurse to find something that is right for you.
Compression can be a little uncomfortable when you first start treatment but should not cause you any pain. Any discomfort should reduce as the swelling goes down. If you do experience discomfort, talk to your nurse or doctor about it and they will advise you on ways of alleviating this.
In addition to the compression, your nurse should also advise you on wound care and dressings to keep your wound healthy.
What To Expect After Treatment With Cvm
At CVM, were ready to help diagnose and treat your leg ulcers at our select wound care locations:
Our expert team will carefully consider all potential chronic pelvic pain causes, with a special emphasis of diagnosing any potential vascular disorders.
We provide complete chronic pelvic treatment for pain. Aside from implementing innovative techniques to treat your pain, including treatments for vascular issues, were committed to listening to your concerns and treating your pain seriously. Many of our patients go on to have significant improvement or resolution of their symptoms.
Also Check: Symptoms Of A Bleeding Ulcer In Your Stomach
Also Check: How To Treat Ulcerative Colitis Flare Up
Things You Need To Know About Cream For Leg Ulcers
Leg ulcers are a type of skin wound from the skin-substance barrier that can develop on any part of the lower extremity. Leg ulcers are very common, but they are often misdiagnosed as other conditions. It is estimated that about 50% of patients with leg ulcers also have diabetes. Leg ulcers are caused by repeated friction between the skin and underlying tissues, which can happen if you walk for long periods of time or if your footwear is not appropriate for your foot type. The most common way to treat leg ulcers is to use topical medications or oral antibiotics. Other treatments may include surgical removal, pressure therapy, laser therapy, or phototherapy .
Recommended Reading: Whey Protein And Ulcerative Colitis