Prevention and treatment of leg ulcers (2022)

Venous and arterial leg ulcers

A leg ulcer occurs when skin breaks down, usually on the lower leg area, just above the ankle.Leg ulcers affect about 1 in 1000 people in Europe and are more frequent in elderly people: about 20 out of 1000 people are affected by the time they reach their eighties.

The majority of leg ulcers, about 80%, are caused by venous disease (venous leg ulcers),about 20% are of arterial (arterial leg ulcers) or mixed origin. If not treated correctly, a leg ulcer can become a chronic wound which requires longer healing time (sometimes more than 6 months), and they have a tendency to reoccur.

Venous leg ulcers

What is a venous leg ulcer?

The cause of venous leg ulcers is venous insufficiency due to damage in the valves in the larger veins. Venous leg ulcers can be painless, but some are very painful. They can become infected. There is often an inflammation (dermatitis) around the venous leg ulcer.

Competent and wellfunctioningvalves are necessary for:

  • Fractionating blood flow
  • Ensuring one-way circulation
  • Low blood pressure

When you valves are damaged:

  • Blood accumulates in the lower legs
  • High blood pressure

This means that the veins or blood vessels by which the blood returns to the heart, are not functioning efficiently, which results in accumulation of the blood in peripheral blood vessels and increased pressure in lower leg veins.The consequence is fluid leackage from the veins beneath the skin. This results in swelling, thickening and damage to the skin. The damaged fragile skin may break down and form an ulcer.

Risk factors:

People most at risk of developing venous leg ulcers are those who have previously had have a leg ulcer. Other risk factors are:

  • Varicose veins
  • Previous deep vein thrombosis in the affected leg
  • Phlebitis in the affected leg
  • Previous fracture, trauma, or surgery
  • Family history of venous disease
  • Symptoms of venous insufficiency: leg pain, heavy legs, aching, itching, swelling, skin breakdown, pigmentation and eczema

Prevention of venous leg ulcers:

If your patient is at risk, a few simple measures can help reduce the risk of developing a venous leg ulcer in several ways, such as wearing a compression stocking, losing weight and taking care of the skin.

  • Compression stockings:Ifthe patient isat risk of developing venous leg ulcers, or previously had a venous leg ulcer, you will probably prescribe compression stockings.These stockingsare specially designed to steadily squeeze patient's legs, which improves circulation. They areusually tightest at the ankle and get gradually looser as they go further up the leg, ensuring blood flow upwards towards patient's heart.To be most effective, these stockings need to be wornat all times when patient is out of bed.
  • Losing weight:If your patient is overweight, losing weight can help prevent venous leg ulcers. Excess weight contributes to increased pressure in the veins in your legs, which can damage patient's skin. Venous ulcers are much more common among people who are obese than in people of normal weight.The combination of a balanced diet and regular moderate physical activity will help patient lose weight. Walking as often as possible is an excellent exercise avoiding long periods of sitting or standing and elevating legs whenever possible.
  • Treating underlying problems:Venous disease manifests as varicose veins, one of the main causes of venous leg ulcers. They can be treated with various methods, all designed to remove the damage veins. Varicose veins can be treated using laser, by injecting the products which will close the affected veins, or by using a procedure where a catheter (a thin, flexible tube) is inserted into the affected veins, and high-frequency radio waves or lasers are used to seal them. Alternatively, your patient may need surgery to repair the damage to his/her leg veins or to remove the affected veins altogether.

Venous leg ulcer treatment:

If your patient has a venous leg ulcer, you will apply the wound management procedures with custom cleansing products and wounds dressings. It is very important to know that the treatment will only be successful if the compression bandages are worn as advised. This may be a perceived as a constraint, but the healing rates are considerably improved if the compression is maintained. Elevating legs and other preventive measures are very important to achieve rapid wound closure and to avoid re-occurrence of venous leg ulcers.

Arterial ulcers

What is an arterial ulcer?

Arterial leg ulcers are caused by insufficient arterial blood flow to the lower extremities. The direct cause of reduced blood flow is vessel wall arteriosclerosis and atherosclerotic plaque accumulation causing vessel occlusion. Peripheral vascular disease associated with arterial insufficiency may result in limb tissue ischemia. In case this condition is prolonged, the skin on the leg becomes thin with loss of hair, subcutaneous tissue and muscles atrophy, nails become thickened, leg color and temperature change becoming pale and cool, pulses become difficult to palpate and pain increases with exercise or leg elevation.

The treatment of arterial leg ulcers requires a multidisciplinary approach. It is necessary to ensure a proper blood flow, which often involves surgical intervention. The patient must be encouraged to adopt and maintain healthy lifestyle changes which will help to improve tissue perfusion.

Risk factors:

  • Coronary heart disease
  • History of stroke or transient ischemic attack
  • Diabetes mellitus
  • Peripheral arterial disease including intermittent claudication
  • Obesity and immobility

Prevention of arterial ulcers:

The lifestyle changes that the patient can adopt will contribute to improve peripheral circulation and help prevent arterial leg ulcers.

  • Stop smoking:Smoking severely reduces the tissue perfusion and is one of aggravating factors for arterial leg ulcers.
  • Healthy diet and weight loss: It Is important to reduce the intake of fat and to keep your cholesterol levels low. The patient should exercise as much as possible: this will help improve the blood circulation in your legs. If during exercising the patient feel some pain in his/her legs, it is normal. If the pain is more pronounced, or severe, it may be a sign that his/her arteries are seriously narrowed due to atherosclerosis. This needs to be addressed by a doctor.
  • Take good care of patient's feet: Advice shoes which fit correctly and are not too small; Advice to keep feet warm avoiding feet and legs injuries; Examinate feet and legs daily for any changes in color or developing sores; Moisturizing the skin well to prevent skin damage which can develop ulcers.
(Video) Leg ulcers - Diagnosis and treatment of leg ulcers

Best practice videos in preventing and managing venous leg ulcers

These product & practice videos aim to update clinicians on best practices and explain how products can be used as preventing and managing infection in wound care can often be challenging. The series of videos was produced by Wounds International with the support of B. Braun.

Case studies

  • Case study 1: Using Prontosan® Wound Irrigation Solution and Gel X on a patient with recurrent venous leg ulceration. 72-year-old woman with a seven-year history of recurrent venous ulcerations.

    Her current ulcer has been present for 14 months. She has a history of recurrent local and systemic infections. She has osteoarthritis, which gives her back and knee pain. She is taking anti-inflammatory medication regularly for the pain.

  • (Video) How to Cure Venous Leg Ulcers Mark Whiteley

    Case study 2: 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.

  • Case study 3: Using Calgitrol® Paste on a patient with recurrent venous ulceration

    89-year-old man with a history of bilateral venous ulceration. His current ulcers on his left leg have been present for eight years. He has osteoarthritis and anemia. He is currently taking bendroflumethiazide, tramadol, Oramorph and a calcium supplement.

  • Creating a clean environment for dressing changes

    This video will give viewers a step-by-step guide preparing a clean environment prior to changing a dressing, using B. Braun products.

    (Video) Pressure Ulcers (Injuries) Stages, Prevention, Assessment | Stage 1, 2, 3, 4 Unstageable NCLEX

Expert opinion

  • Interview 1:

    Using Prontosan® Wound Irrigation Solution and Gel X on patients with recurrent venous leg ulceration.

  • Interview 2:

    Using Calgitrol® Ag on patients with recurrent venous ulceration.

    (Video) Treating Venous Leg Ulcers

Treatment of leg ulcers

Prontosan® Wound Irrigation Solution The solution for acute, chronic and burn wounds
Prontosan® Wound Gel X Highly viscous gel for acute, chronic and burn wounds
Askina® Calgitrol® Thin Silver alginate dressings
Askina® Calgitrol® Paste Silver alginate wound paste
Askina® Calgitrol® Ag Silver alginate dressings
Askina® Sorb Highly absorbing alginate dressing
Askina® Foam Hydrophilic foam dressing
Askina® DresSil Foam dressing with silicone adhesive
Askina® DresSilBorder Foam dressing with silicone adhesive and additional adhesive border

Wound Management solutions

Remove barriers to healing

Prevent and treat Wound infection Acute and chronic wounds have a tendency to get infected and compromise the normal healing process. Learn how to prevent and treat infections
(Video) Treating and Preventing Diabetic Foot Ulcers

FAQs

How do you prevent ulcers on your legs? ›

There are several ways to help prevent a venous leg ulcer in people at risk, such as:
  1. wearing compression stockings.
  2. losing weight if you're overweight.
  3. exercising regularly.
  4. elevating your leg when possible.
1 Nov 2021

What is the best treatment for lower leg ulcers? ›

Treatment for leg ulcers
  • cleaning the wound – using wet and dry dressings and ointments, or surgery to remove the dead tissue.
  • specialised dressings – a whole range of products are available to help the various stages of wound healing. ...
  • occlusive (air- and water-tight) dressings – ulcers heal better when they are covered.

How are leg ulcers treated? ›

Treating leg ulcers

Infections are treated with antibiotics to avoid further complications. Compression bandages are also used to help ease swelling, close the wound, and prevent infection. Your doctor may also prescribe an ointment to apply to the ulcer.

What is the latest treatment for leg ulcers? ›

The main treatment for leg ulcers is compression bandages or stockings, to improve the vein function in the legs. There are also surgical treatments such as endovenous ablation – a 'keyhole' treatment to close varicose veins.

How can ulcer be prevented? ›

To reduce your risk of developing a peptic ulcer:
  1. Avoid tobacco products.
  2. Avoid alcohol.
  3. Use caution with aspirin and/or NSAIDs.
  4. Don't ignore your ulcer symptoms.
  5. Protect yourself from infections by washing hands regularly and consuming foods that have been cooked thoroughly.
31 Aug 2015

How can I treat leg ulcers at home? ›

To help treat a venous ulcer, the high pressure in the leg veins needs to be relieved.
  1. Wear compression stockings or bandages every day as instructed. ...
  2. Put your feet above your heart as often as possible. ...
  3. Take a walk or exercise every day. ...
  4. Take medicines as directed to help with healing.
16 Jun 2020

What is the main cause of leg ulcers? ›

arterial leg ulcers – caused by poor blood circulation in the arteries. diabetic leg ulcers – caused by the high blood sugar associated with diabetes. vasculitic leg ulcers – associated with chronic inflammatory disorders such as rheumatoid arthritis and lupus. traumatic leg ulcers – caused by injury to the leg.

What cream is best for leg ulcers? ›

The most frequently used topical antimicrobials in wound care practice are chlorhexidine, iodine, silver containing products, mupriocin and fucidic acid.

What is the best dressing for leg ulcers? ›

Graduated compression hosiery is recommended to prevent recurrence of venous leg ulcers.

How do you treat skin ulcers? ›

Your treatment may include:
  1. Dressing. Dressings protect the wound and keep it clean. ...
  2. Antibiotics. If your ulcer is infected, you'll need antibiotic ointment. ...
  3. Pain medication. At first, changing the dressing will be painful. ...
  4. Surgery. Typically, noninfected skin ulcers don't need surgery.
20 Mar 2019

What antibiotics treat leg ulcers? ›

Choice of antibiotic
Antibiotic[A]Dosage and course length[B]
Doxycycline200 mg on first day, then 100 mg once a day (can be increased to 200 mg daily) for 7 days in total
Clarithromycin500 mg twice a day for 7 days
Erythromycin (in pregnancy)500 mg 4 times a day for 7 days
25 more rows
27 Feb 2020

How many types of leg ulcers are there? ›

There are two main types of leg ulceration: venous and arterial. Because of their underlying pathology, each requires different management approaches.

What is the best antibiotic for skin ulcers? ›

Both amoxicillin and doxycycline fulfil these roles as broad-spectrum and bactericidal antibiotics that help prevent bacterial growth and help ulcers and wounds heal within a short period.

Can medication cause leg ulcers? ›

Numerous systemic medicaments can lead directly or indirectly to the onset of a leg ulcer. Therefore it is important to recognize this potentially relevant factor and adjust the medications as part of the therapeutic plan.

What are the first signs of a leg ulcer? ›

Leg ulcers symptoms often include a dull ache, tenderness or pain in the legs, swelling, eczema of the surrounding skin, varicose veins, and hyperpigmentation. Early signs of venous stasis ulcers include darkened or discolored skin around the ankle, or skin that feels leathery or waxy to the touch.

What are 12 ways to avoid the development of pressure ulcers? ›

Keep your skin conditioned and clean, and do not expose it to urine and stool. Avoid prolonged sitting on wet clothes or on moist surfaces. Eat a nutritious diet and drink adequate fluids. Properly maintain and check your cushions – this is an important step.

How can I prevent my ulcer from getting worse? ›

Use common sense: If it upsets your stomach when you eat it, avoid it. Everyone is different, but spicy foods, citrus fruits, and fatty foods are common irritants. Stop smoking. Heavy smokers are more likely to get duodenal ulcers than nonsmokers.

How can you prevent pressure ulcers at home? ›

Tips to prevent pressure sores
  1. change position and keep moving as much as possible.
  2. stand up to relieve pressure if you can.
  3. ask your carer to reposition you regularly if you can't move.
  4. change position at least every 2 hours.
  5. use special pressure relieving mattresses and cushions.

What foods help heal leg ulcers? ›

Zinc plays an essential role in promoting cell regrowth, especially skin cells. Zinc-rich foods - Red meat, fish, shellfish, chicken, eggs, milk and milk products, bread, cereal, green vegetables and pulses How much should I have? - Aim for one portion of a zinc-rich food per day.

Is walking good for leg ulcers? ›

Conclusion: Participants who took more steps per day showed faster venous ulcer healing times when compared with those who took fewer steps, emphasising the benefit of walking in this patient group.

What is the best medicine for venous ulcer? ›

Pentoxifylline is an effective adjunct to compression bandaging for treating venous ulcers and may be effective in the absence of compression.

How do ulcers start? ›

The most common causes of peptic ulcers are infection with the bacterium Helicobacter pylori (H. pylori) and long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). Stress and spicy foods do not cause peptic ulcers.

Are leg ulcers serious? ›

“Never ignore a venous leg ulcer,” says wound care specialist Jocelyn Ehren, CNP. “While the majority of vein illness symptoms are temporary and easily treated, venous leg ulcers are more severe and, when left untreated, can negatively affect your health.”

Does diabetes cause leg ulcers? ›

Diabetes makes you more likely to have sores and ulcers. Ulcers are open sores (also referred to as wounds) on your skin that don't heal the way they should. You're most likely to get ulcers in your feet and legs, but they can also form in other areas, like your hands or in folds of skin on your stomach.

How do you treat leg ulcers in elderly? ›

The mainstay of treatment for venous ulcers is compression therapy, exercise and leg elevation at rest. Long term treatment with double bandages (zinc paste bandages and elastic compression), changed once weekly, is the recommended standard treatment in the elderly.

Should you wash leg ulcers? ›

Cleaning solutions can be applied to the ulcer using a swab (similar to a cotton bud), a syringe with a needle, or a spray canister. Ulcers can also be bathed in the cleaning solution, using a basin or bucket, or during a shower. Cleaning can cause discomfort, and may be painful.

Is Vaseline good for ulcers? ›

The Vaseline-Glucose paste alone sterilizes the ulcers and promotes the healing when combined with the etiological treatment. Its low cost, efficiency, easy application could represent a first intention treatment.

What are the 4 types of wound dressing? ›

Wound Dressing Selection: Types and Usage
  • Gauze Dressings. Gauze dressings are made of woven or non-woven materials and come in a wide variety of shapes and sizes. ...
  • Transparent Films. ...
  • Foams. ...
  • Hydrocolloids. ...
  • Alginates. ...
  • Composites.
4 Aug 2011

What causes leg ulcers not to heal? ›

Other co-morbidities, such as diabetes, may also impact ulcer development and healing potential. Diabetes interferes with normal wound healing. Diabetic neuropathy may decrease sensation in the feet. Ingrown toenails, cuts, bites, and other wounds may go unnoticed for longer, which may lead to unchecked ulcers.

Is Aloe Vera good for leg ulcers? ›

Aloe vera appears to speed up the healing of damaged epithelial tissue in bums and leg ulcers by: Providing essential micronutrients. An anti-inflammatory effect. An antimicrobial effect.

What are the 3 types of ulcer? ›

gastric ulcers: ulcers that develop inside the stomach. esophageal ulcers: ulcers that develop inside the esophagus. duodenal ulcers: ulcers that develop in the upper section of the small intestines, called the duodenum.

What are the 4 types of ulcers? ›

3 Common Types of Ulcers
  • Peptic Ulcer. Peptic ulcers are ulcers that develop in the stomach lining or small intestine. ...
  • Duodenal Ulcer. Duodenal ulcers are a type of peptic ulcer that form in the upper small intestine. ...
  • Esophageal Ulcer. ...
  • Gastroenterologist in MN.

What are leg ulcers? ›

A leg ulcer is simply a break in the skin of the leg, which allows air and bacteria to get into the underlying tissue. This is usually caused by an injury, often a minor one that breaks the skin. In most people such an injury will heal up without difficulty within a week or two.

How long does it take for a leg ulcer to heal? ›

Contents. With appropriate treatment, most venous leg ulcers heal within 3 to 4 months. Treatment should always be carried out by someone trained in compression therapy for leg ulcers.

Do leg ulcers need antibiotics? ›

Only offer an antibiotic for adults with a leg ulcer when there are symptoms or signs of infection (for example, redness or swelling spreading beyond the ulcer, localised warmth, increased pain or fever).

Is Betadine good for leg ulcers? ›

Results: Compression increases the ulcer healing rate compared with no compression. Using the same local povidone-iodine (Betadine) treatment with compression bandages is more effective (82%) for ulcus healing than without compression therapy (62%).

Can leg ulcers lead to amputation? ›

Leg ulcers are serious. In fact, they can even lead to amputation. The good news is that, while leg ulcers can lead to amputation of part of the leg, these stubborn sores rarely lead to the loss of a foot or leg.

Do leg ulcers grow? ›

These ulcers typically appear between the ankle and knee. Leg ulcers often seep (ooze fluid or pus) and can grow larger if left untreated. A sore on your leg that doesn't heal after three months of treatment is considered a chronic condition.

Can heart failure cause leg ulcers? ›

Leg Ulcers and Poor Circulation

In these cases, a condition such as congestive heart failure or peripheral artery disease prevents the affected tissue from receiving an adequate amount of oxygen rich blood. In turn, the tissue begins to break down, and an ulcer develops.

Which cream is best for wound healing? ›

Elastoplast Wound Healing Ointment creates a breathable film that protects the wound from external influences while preventing the wound from drying out. This is clinically proven to promote faster wound healing and reduce the risk of scarring.

Which tablet is used for wound healing? ›

Drugs used to treat Wound Infection
Drug nameRatingRx/OTC
Expand current row for information about cefuroxime cefuroximeRateRx
Generic name: cefuroxime systemic Drug class: second generation cephalosporins For consumers: dosage, interactions, side effects For professionals: AHFS DI Monograph, Prescribing Information
1 more row

What bacteria causes skin ulcers? ›

Buruli ulcer, caused by Mycobacterium ulcerans, is a chronic debilitating disease that affects mainly affects the skin and sometimes bone. The organism belongs to the family of bacteria that causes tuberculosis and leprosy, which provides an opportunity for collaboration with these disease programmes.

Can leg ulcers turn cancerous? ›

All forms of chronic leg ulcer have a risk of undergoing malignant transformation and squamous cell carcinoma is the most common type. Known as Marjolin's ulcers, they have a high metastatic potential and their prognosis is poor if they are not detected at an early stage.

How do you treat a wound that won't heal in your leg? ›

If your wound isn't 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.

What medications can cause skin ulcers? ›

Drug-induced skin ulcers
  • Hydroxyurea. Hydroxyurea is used in the treatment of myeloproliferative disorders and to prevent painful attacks in sickle-cell disease. ...
  • All-trans-Retinoic Acid. ...
  • Systemic Retinoids. ...
  • Methotrexate. ...
  • Interferon-Beta. ...
  • Antiviral Medications. ...
  • Kinase Inhibitors. ...
  • Nicorandil.
10 Oct 2019

How does a leg ulcer become infected? ›

The most common complication of venous leg ulcers is infection, which can arise from a variety of sources, including the following: Bacterial: furuncles, ecthyma, mycobacterioses, syphilis, erysipelas, anthrax, diphtheria, chronic vegetative pyoderma, tropical ulcer.

What are the warning signs of an ulcer? ›

The most common symptom of a stomach ulcer is a burning or gnawing pain in the centre of the tummy (abdomen). But stomach ulcers aren't always painful and some people may experience other symptoms, such as indigestion, heartburn and acid reflux and feeling sick.

Why are leg ulcers so painful? ›

The increased blood pressure created by pooling blood in the leg prevents nutrients and oxygen from getting to tissues, causing cells to die, damaging the tissue, and an ulcer (wound) can form that may or may not be painful.

What is the main cause of leg ulcers? ›

arterial leg ulcers – caused by poor blood circulation in the arteries. diabetic leg ulcers – caused by the high blood sugar associated with diabetes. vasculitic leg ulcers – associated with chronic inflammatory disorders such as rheumatoid arthritis and lupus. traumatic leg ulcers – caused by injury to the leg.

How do you prevent leg ulcers naturally? ›

Venous ulcers are much more common among people who are overweight. To help you lose weight, regular exercise and a healthy, balanced diet are recommended. You should also avoid sitting or standing for long periods.
...
Losing weight
  1. losing weight.
  2. health and fitness.
  3. healthy eating.

Why do people get ulcers on legs? ›

A leg ulcer is a chronic sore that can take months to heal. Leg ulcers are usually caused by underlying medical conditions like venous disease, lymphedema, deep vein thrombosis (DVT), peripheral arterial disease, or having had a leg ulcer before. Injury or surgery in the infected leg is another cause of leg ulcers.

Should I put cream on a leg ulcer? ›

Some people with venous leg ulcers develop rashes with scaly and itchy skin. This is often caused by varicose eczema, which can be treated with a moisturiser (emollient) and occasionally a mild corticosteroid cream or ointment.

What cream is best for leg ulcers? ›

The most frequently used topical antimicrobials in wound care practice are chlorhexidine, iodine, silver containing products, mupriocin and fucidic acid.

What is the best dressing for leg ulcers? ›

Graduated compression hosiery is recommended to prevent recurrence of venous leg ulcers.

What are the symptoms of leg ulcers? ›

Symptoms of an infected leg ulcer can include: worsening pain.
...
If you have a venous leg ulcer, you may also have:
  • swollen ankles (oedema)
  • discolouration and darkening of the skin around the ulcer.
  • hardened skin around the ulcer, which may make your leg feel hard.
  • a heavy feeling in your legs.
  • aching or swelling in your legs.

What is the best treatment for skin ulcers? ›

Skin ulcers treatment
  • Dressing. Dressings protect the wound and keep it clean. ...
  • Antibiotics. If your ulcer is infected, you'll need antibiotic ointment. ...
  • Pain medication. At first, changing the dressing will be painful. ...
  • Surgery. Typically, noninfected skin ulcers don't need surgery.
20 Mar 2019

What foods help heal leg ulcers? ›

Zinc plays an essential role in promoting cell regrowth, especially skin cells. Zinc-rich foods - Red meat, fish, shellfish, chicken, eggs, milk and milk products, bread, cereal, green vegetables and pulses How much should I have? - Aim for one portion of a zinc-rich food per day.

What is the best medicine for venous ulcer? ›

Pentoxifylline is an effective adjunct to compression bandaging for treating venous ulcers and may be effective in the absence of compression.

Are leg ulcers serious? ›

“Never ignore a venous leg ulcer,” says wound care specialist Jocelyn Ehren, CNP. “While the majority of vein illness symptoms are temporary and easily treated, venous leg ulcers are more severe and, when left untreated, can negatively affect your health.”

Can leg ulcers turn cancerous? ›

All forms of chronic leg ulcer have a risk of undergoing malignant transformation and squamous cell carcinoma is the most common type. Known as Marjolin's ulcers, they have a high metastatic potential and their prognosis is poor if they are not detected at an early stage.

How do ulcers start? ›

The most common causes of peptic ulcers are infection with the bacterium Helicobacter pylori (H. pylori) and long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). Stress and spicy foods do not cause peptic ulcers.

Should you wash leg ulcers? ›

Cleaning solutions can be applied to the ulcer using a swab (similar to a cotton bud), a syringe with a needle, or a spray canister. Ulcers can also be bathed in the cleaning solution, using a basin or bucket, or during a shower. Cleaning can cause discomfort, and may be painful.

How do you treat leg ulcers in elderly? ›

The mainstay of treatment for venous ulcers is compression therapy, exercise and leg elevation at rest. Long term treatment with double bandages (zinc paste bandages and elastic compression), changed once weekly, is the recommended standard treatment in the elderly.

Is Vaseline good for ulcers? ›

The Vaseline-Glucose paste alone sterilizes the ulcers and promotes the healing when combined with the etiological treatment. Its low cost, efficiency, easy application could represent a first intention treatment.

Videos

1. Using Sugar to treat wounds and leg ulcers - BBC Northwest Tonigh
(David Gregory-Kumar)
2. Patient-Centric Approaches to Managing Venous Leg Ulcers: An Interdisciplinary Case-Based Discussion
(HMP Education)
3. Patient Testimonial - Leg ulcer cured after years of suffering - Whiteley Clinics London
(The Whiteley Clinic)
4. What Are Arterial Ulcers? Arterial Ulcer Treatment
(Wound Care OC)
5. Part One - Leg Ulcers: Immediate care to prevention of recurrence
(Journal of General Practice Nursing)
6. Venous Leg Ulcer solutions for highly contoured legs | 3M Critical & Chronic Care Solutions
(3M Health Care)

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