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Venous Ulcer Treatment in Orlando

Struggling with a painful leg ulcer that won’t heal? Venous ulcers are open sores caused by poor circulation, most common in the lower leg, ankle, or foot. 

At our Orlando center, we specialize in treating venous ulcers with effective, personalized care.

What are Venous Ulcers?

Venous ulcers are caused by a condition called chronic venous insufficiency. Venous insufficiency occurs when the veins in the legs do not function properly and blood is not able to return to the heart efficiently. This can lead to pooling of blood in the legs, which can damage the skin and cause ulcers to form. 

Venous ulcers are often chronic, meaning they can last for months or even years.

Causes & Symptoms of Venous Ulcers

Venous ulcers develop when poor circulation prevents blood from flowing properly back to the heart. This condition (venous insufficiency) can be caused by:

  • Age: Risk increases over 60.
  • Gender: Women are more likely to develop venous ulcers.
  • Family history: Genetics may play a role.
  • Prolonged standing: Jobs like teaching or nursing increase risk.
  • Obesity: Added pressure affects circulation.
  • Smoking: Damages vein valves.
  • Varicose veins: Not direct causes, but they increase your risk.

Concerned about your risk? Learn more about vascular disease risk factors.

 

Symptoms of Venous Ulcers

Venous ulcer symptoms can range from persistent pain to skin discoloration and swelling. Common symptoms include:

  • Open Sores
    Venous ulcers manifest as open wounds, typically found on the lower leg, ankle, or foot. These wounds may be painful and slow to heal.
  • Skin Changes
    The skin surrounding the ulcer site can exhibit a range of changes, including discoloration, hardening, and inflammation. These changes are indicative of compromised blood circulation.
  • Swelling
    Individuals with venous ulcers often experience swelling, particularly in the lower leg and ankle. The pooling of blood contributes to this symptom.
  • Persistent Pain
    Venous ulcers are often accompanied by persistent pain, which can vary in intensity and may worsen when standing or walking.
  • Itching and Tingling
    Sensations of itching and tingling may arise in the area surrounding the ulcer. These sensations are often attributed to impaired blood flow and skin damage.
  • Discharge
    Venous ulcers can produce a foul-smelling discharge, indicating the presence of infection or compromised wound healing.
  • Delayed Healing
    The chronic nature of venous ulcers means that they tend to heal slowly and may recur if not managed effectively.

Testing & Diagnosis for Venous Ulcers

Diagnosing venous ulcers accurately is key to effective treatment. At our Orlando vascular center, we use the latest diagnostic tools to assess your veins and circulation. 

These tests include:

  • Doppler ultrasound
    This non-invasive imaging technique evaluates blood flow in the veins and identifies any obstructions or abnormalities that could contribute to venous insufficiency.
  • Duplex ultrasound
    A combination of traditional ultrasound and Doppler ultrasound, this test provides detailed images of blood flow and vein structure, aiding in the assessment of venous reflux and valve dysfunction.
  • Venous refill time test
    This test measures how quickly blood returns to the lower leg after being drained by raising the leg. Prolonged refill time can indicate venous insufficiency.
  • Ankle-brachial index (ABI)
    ABI is a comparison of blood pressure readings in the ankles and arms. It helps assess blood flow and detect potential blockages.
  • Venogram
    In more complex cases, a venogram involves injecting a contrast dye into the veins and using x-rays to visualize blood flow and identify any obstructions.

Explore our full range of vascular diagnostic tests.

Treatments for Venous Ulcers

At our Orlando center, venous ulcer treatment focuses on improving circulation and healing the skin. 

The most effective treatment options for leg ulcers depend on several factors, including the severity of the ulcers and the needs of the patients.


Non-Surgical Treatment Options

  • Compression Therapy
    This technique involves the utilization of specialized compression stockings or bandages. By exerting gentle pressure on the legs, compression therapy encourages improved blood circulation, aiding in the healing of ulcers.
  • Leg Elevation
    Elevating the legs above the level of the heart serves as an effective strategy to mitigate swelling and bolster circulation. This simple yet impactful approach can significantly contribute to the healing process.
  • Dressings
    Dressing the ulcer is paramount in safeguarding it against infection while facilitating the healing process. These dressings create an optimal environment for tissue regeneration and ulcer closure.
  • Medications
    An array of medications can be employed to address various aspects of venous ulcer treatment. Antibiotics play a crucial role in preventing infections that can impede healing, while diuretics assist in reducing swelling and enhancing circulation.

 

Surgical Treatment Options

  • Vein Ablation
    This minimally invasive procedure uses heat or laser energy to close off damaged veins, redirecting blood flow to healthier veins and reducing the pressure that contributes to ulcer formation.
  • Ulcer Debridement
    Debridement involves removing dead or infected tissue from the ulcer to promote faster healing and reduce the risk of infection. It is often used in combination with other treatments.
  • Vein Bypass Surgery
    In more severe cases, bypass surgery may be performed to reroute blood flow around a blocked or damaged vein, improving circulation in the affected leg.

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Why Prompt Treatment Is Important

Venous ulcers can lead to serious health complications if left untreated. Without proper care, these ulcers can:

  • Become infected
  • Cause permanent skin damage
  • Lead to cellulitis or other soft tissue infections
  • Increase your risk of blood clots and deep vein thrombosis (DVT)
  • Significantly impact your mobility and quality of life

Seeking early treatment for venous ulcers can prevent these complications and support faster, more complete healing. 

Our Orlando cardiac and vascular specialists are here to help you address the root causes, not just the symptoms.

Meet Our Orlando Cardiovascular Specialists

Get to know the trusted cardiac and vascular specialists who bring a wealth of expertise and precision to your heart health. 

From intricate procedures to comprehensive evaluations, our specialists are dedicated to delivering the highest level of skilled and compassionate care.

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