Home Remedies For Leg Ulcers

Simple And Effective Home Remedies To Cure Leg Ulcers

1. Aloe Vera

Aloe vera is a medicinal plant that is used to cure a variety of diseases. It is highly successful in the treatment of leg ulcers since it not only suppresses bacterial development but also prevents infection. It contains substances such as anthraquinones and hormones that are believed to have wound-healing effects.

Ingredients required:

Make a small incision in an aloe vera leaf.Remove the jelly-like material off the leaves using a scraper.Apply the gel immediately on your leg ulcers.

How Often Should You Do This?Do this 2-3 times a day.

2. Honey

Honey has traditionally been used to treat wounds because of its anti-inflammatory and antibacterial properties. It reduces swelling and discomfort, and its wound-healing qualities help ulcers heal faster. Honey is antimicrobial and can help prevent ulcers from becoming infected again.

Ingredients required:

Apply a little amount of organic honey to your fingertips.Apply it carefully to your leg ulcers and leave it on.Wash it off with water after 10-15 minutes.

How Often Should You Do This?Do this 2-3 times a day.

3. Coconut Oil

The amazing coconut oil has antibacterial properties as it contains fatty acids like lauric acid. We are certain that by applying some coconut oil to the afflicted region, you would see positive results.

Ingredients required:1-2 tbsp virgin coconut oil.

Instructions:Apply a small amount of virgin coconut oil to your leg sores.

How Often Should You Do This?Do this twice daily.

4, Turmeric

Case Study : The Use Of Calgitrol Ag On A Patient With Recurrent Venous Ulceration

74-year- old woman with a five-year history of venous ulceration. Her current ulcer has been present for 16 months. She has osteoarthritis, hypertension and was recently diagnosed with Parkinson’s disease, which has left her with a slight tremor. She is taking propranolol 40mg, dihydrocodeine 30mg and bendroflumethazide 2-5mg. She is allergic to adhesive dressings.

Who Gets Foot And Toe Ulcers

Foot and toe ulcers can happen to many people but might be more common in Black, Native American and Hispanic people. If you have an eye, kidney or heart disease related to diabetes, youre also at a higher risk. About 15% of people with diabetes will get an ulcer, typically on the bottom of their foot. Some of those people will be hospitalized because of complications.

Youre also at a higher risk of getting foot and toe ulcers if you have any of the following conditions:

• Blood circulation issues.

If your ulcer is black, that means cells in the tissues have died. This is called necrosis .

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What To Look Our For When Applying Compression Bandaging Wrap Systems Or Hosiery

If youre using a wrap system, wear supportive stockings or tights or use compression bandaging (compression bandaging is normally only applied by your nurse or healthcare professional, here are some things to look out for:

• Does your footwear still fit the same if your footwear is tight it may mean that the swelling has increased?
• Does the bandaging, wrap or hosiery feel firm and supportive?
• Is your skin red and inflamed?
• Is your skin dry and flaky?
• Is your skin white and soggy like youve just come out of the bath?
• Do you have eczema or another skin condition that requires specific creams or ointments?

If you have concerns with any of the above, please get in touch with your healthcare professional for advice.

Treatment Of Arterial Ulcers

The most important aim in the treatment of arterial ulcers is to increase the blood supply to the affected area. The patient must stop smoking and diabetes or hypertension should be well controlled. Regular graded exercises should be encouraged to promote development of collateral circulation. Pressure areas may be protected by sheepskin or a special cushion with bony prominences, for example heel, malleoli, etc, being the vulnerable areas for leg ulcers. The head of the patient’s bed should be raised by 46 inches to encourage gravity dependent arterial flow and the limbs should be kept warm. Regular use of analgesics should be encouraged for the relief of pain, but if rest pain or acute infection is present, the patient should be referred to a vascular surgeon. Arterial reconstruction surgery may be performed to salvage the limb. After angiographic studies, endarterectomy to remove the clot or atheromatous plaques and/or reconstruction to bypass occluded artery may be performed. Balloon angioplasty may be the intervention of choice for ischaemic rest pain, ulceration, and gangrene of the leg. If angioplasty fails, femoropopliteal bypass graft may be tried. Cellulitis with or without lymphangitis needs to be treated with systemic antibiotics.

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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.

Pathogenesis Of Venous Leg Ulcers

The association between ulceration at the ankle and venous disorders of the lower limbs has been known for more than 2000 years. This connection between deep vein damage and ulceration was noted by Gay and later by Homans, who also noticed that venous ulcers often had few visible varicose veins.

Loots and colleagues demonstrated the important differances in cellular infiltrates and extracellular matrix of chronic diabetic and venous ulcers compared with acute wounds. The CD4/CD8 ratio in chronic ulcers was significantly lower due to a relatively lower number of CD4+T cells. There was a significantly higher number of macrophages in the edges of both types of ulcers.

Hahn et al found that the upregulation of endothelial adhesion molecules and dermal infiltration by T-lymphocytes and macrophages in chronic venous insufficiency patients is limited to the region of the ulcer, or at least to skin areas with a severe microangiopathy, and is part of a secondary elimination of necrotic tissue .

The skin may break down, due to three mechanisms: damage to blood vessels leading to ischaemia, inflammation, and/or infiltration. In many instances, it is the inability of the damaged skin to repair itself normally that results in ulceration.

Similar to fibrin cuff theory, growth factors and cytokines are held in the fibrin cuff preventing the maintenance of the normal homoeostatic environment.

There are many predisposing factors, which may prevent healing of leg ulcers, shown in table .

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Care Of Your Compression Bandage

It’s important to wear your compression bandage exactly as instructed. If you have any problems, it’s best to contact your GP or practice nurse instead of trying to remove it yourself.

The compression bandage may feel too tight and uncomfortable in bed at night. If it does, getting up for a short walk will usually help.

In rare circumstances you may need to cut the bandage off if:

• you get severe pain at the front of your ankle
• you get severe pain on the top of your foot or toes
• your toes become blue and swollen

Once you remove the bandage, make sure you keep your leg elevated. You should contact your GP or nurse as soon as possible.

What Is The Best Way To Heal A Leg Ulcer

Latest research confirms that the fastest way to heal the commonest type of leg ulcer is Early endovenous ablation of superficial venous reflux, in addition to compression therapy and wound dressings.

This method reduces the time to healing of venous leg ulcers, increases ulcer-free time and is highly likely to be cost-effective .

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Risk Factors For Leg Ulcers

• Age peripheral circulation becomes less efficient with old age.
• Varicose veins the one-way valves that stop blood from travelling backwards in the vein stop working. The pooling of blood stretches and distorts the vein.
• Cigarette smoking tobacco is known to constrict the vessels of the circulatory system.
• Arterial disease vein problems are more likely if the person already has other diseases of the arteries.
• Certain disorders these include diabetes and arthritis.
• Pressure sores bed-bound people are at risk of pressure sores, which are areas of damage to the skin caused by constant pressure or friction.
• Medication some cardiovascular medications can contribute to leg oedema and altered circulation.

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.

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How Are Leg Ulcers Diagnosed

• A physical examination is the most common way to diagnose it.
• A doppler machine can also be used to diagnose leg ulcers based on the blood supply to your legs.
• In some cases, your doctor may refer you to a vascular specialist if he is not able to confirm your condition.

Once you are diagnosed with leg ulcers, you tend to look for different options to treat the condition. And what could be better than being able to do so naturally? Listed below are some of the best home remedies that can help you in treating leg ulcers naturally.

After The Ulcer Has Healed

Once you have had a venous leg ulcer, another ulcer could develop within months or years.

The most effective method of preventing this is to wear compression stockings at all times when youre out of bed.

Your nurse will help you find a stocking that fits correctly and you can manage yourself.

Various accessories are available to help you put them on and take them off.

Page last reviewed: 11 January 2019 Next review due: 11 January 2022

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Referral To A Specialist

In some cases, your GP or nurse may decide to refer you to a specialist in conditions affecting the blood vessels .

For example, you may be referred to a vascular specialist if your GP or nurse is unsure about your diagnosis, or if they suspect your ulcer may be caused by artery diseases, diabetes or rheumatoid arthritis.

After taking your medical history and examining you, the vascular specialist may need to arrange further investigations to plan your treatment.

Signs Of An Infection

A venous leg ulcer can be susceptible to bacterial infection. Symptoms of an infected leg ulcer can include:

A number of factors can increase your risk of developing a venous leg ulcer, including:

• obesity or being overweight this increases the pressure in the leg veins
• if you have difficulty walking this can weaken the calf muscles, which can affect circulation in the leg veins
• previous deep vein thrombosis blood clots that develop in the leg can damage valves in the veins
• varicose veins swollen and enlarged veins caused by malfunctioning valves
• previous injury to the leg, such as a broken or fractured bone, which may cause DVT or impair walking
• previous surgery to the leg, such as a hip replacement or knee replacement, which can prevent you from moving about
• increasing age people find it harder to move around as they get older, particularly if they suffer from arthritis

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Treatment Of Leg Ulcers

Assessment of a patient with leg ulcer consists of the following:

• Comprehensive clinical history and physical examination in order to determine the aetiology of the ulcer.

• Doppler measurement of the pressure at the ankle and brachial artery to determine ankle:brachial pressure index .

• The wound size and shape must be documented either by measuring the length and width of the ulcer by tracing onto an acetate sheet or by photographic record.

• The ulcer should be swabbed for microbiology.

• Full blood count, random blood sugar, chemical profile, and plasma viscosity should be done.

• Ulcers of unusual appearance should be biopsied.

• Deep ulcers should have plain radiography of the affected areas and computed tomography, magnetic resonance imaging, etc to exclude osteomyelitis, especially in chronic non-healing ulcers.

• Patch tests may be indicated if there is an extensive eczema or local allergy.

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What Should I Do If I Think I Might Have A Leg Ulcer

If you have any concerns about the condition of your legs, even if you dont have exactly the same symptoms as described above, its important to seek advice. If you have a wound or sore that isnt healing, make an appointment at your GP practice as it could turn into or be the beginnings of a leg ulcer. You might be given an appointment to see the nurse rather than the doctor as nurses are often responsible for caring for patients with leg problems.

How Can I Reduce My Risk Of Foot And Toe Ulcers

There are several things you can do to help reduce your risk of getting foot and toe ulcers. Sometimes, adopting these habits can even stop them from coming back. Try to:

• Manage your diabetes. If you have diabetes you should wear appropriate footwear and never walk barefoot.
• Examine your legs as well as the tops and bottoms of your feet and the areas between your toes every day. Look for any blisters, cuts, cracks, scratches or other sores. Also check for redness, increased warmth, ingrown toenails, corns and calluses. Use a mirror to view your leg or foot if necessary. If its difficult to see, ask a family member to look at the area for you. See a healthcare provider immediately if you notice any problems.
• Talk to your healthcare provider about ways you can stop smoking.
• Manage your blood pressure.
• Control your cholesterol and triglyceride levels by changing your diet. Limit salt in your diet.
• Care for your toenails frequently. Cut your toenails after bathing, when they are soft. Cut toenails straight across and smooth with a nail file. Take care of ingrown toenails.
• Wear appropriate shoes and socks. Talk to your podiatrist about what you need.

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Wound Dressing And Care

A venous leg ulcer is an open sore that can catch an infection from microbes very quickly. It is important to keep it clean at all times. Advanced Wound Care Dressings can help keep them free from infection as well as aid in faster wound healing. After dead tissue is removed and the wound is cleaned, it should be covered with a light, wound healing dressing. This can be easily done at home by following the instructions of a wound specialist regarding the method of cleaning and the number of dressings required.

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