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Open wounds with varicose veins

22 Aug 18

Trophic ulcers with varicose veins

Diagnosis: stage II hypertension, chronic venous and arterial insufficiency of the lower extremities. Trophic ulcer of the right leg measuring 15x14 cm. She is in great pain, we really want to help her somehow, but how?

A very difficult question.

How old is the patient? How long has the ulcer been open? Size of the ulcer? Location of the ulcer on the limb?

What about the etiology of the ulcer? (Varicose disease, thrombophlebitis of deep/superficial veins, diabetes mellitus, vasculitis, obliterating atherosclerosis, etc.).

Concomitant pathology? (IHD, CNC, hypertension, renal, liver failure, thyroid condition, diabetes mellitus, etc.).

“TREATMENT OF TROPHIC ULCERS” involves influencing the cause (what caused the circulatory disorder in the limb) and the effect (i.e., the trophic ulcer itself). That's the difficulty of treatment.

The telephone number for scheduling a consultation is on the website. And we will help you. Good luck.

Sincerely, vascular surgeon, Dr. Lirnik S.V.

I have this question: how to treat a trophic ulcer on the lower leg, I just don’t have the strength anymore?

I am seeing a vascular surgeon, disabled group 2, diagnosed with post-thrombophleibitis, trophic ulcers of both legs.

The ulcers first appeared 5 years ago, venous bleeding appeared repeatedly, I was saved by an ambulance, I undergo inpatient treatment 2 times a year, before that, varicose veins + thrombophlebitis for more than 20 years.

She was treated with many medications: she took a course of antibiotics. What will help me get rid of the pain?

It should be remembered that excessively moistening the wound with lotions prevents its healing. In addition, maceration of the skin around the trophic ulcer may occur. And this threatens the addition of an infectious process. There are products that accelerate the formation of collagen and the regeneration of damaged tissues (for example, solcoseryl ointment and jelly). They promote rapid healing of trophic ulcers and wound scarring. Solcoseryl jelly is better suited for wet surfaces, and ointment for dry surfaces. Solcoseryl improves oxygen access to tissues by more than 200% and improves the ability of tissues to recover. For more detailed advice, please contact your doctor.

Good health to you!

This is PTPS (post-thrombophlebitic syndrome - a condition after suffering blood clots). At what stage, and what form, I don’t know. We need to do a scan.

It is clear that in the lower limb, in the area of ​​the ulcer, there is no blood flow, and if there is no blood flow, then there is a non-healing ulcer. And no poultices or lotions will help. And it will only get worse. The issue of treatment is the restoration of the normal flow of arterial blood (rich in oxygen and nutrients) to the leg and the normalization of the outflow of venous blood (with waste products).

Against the background of poor blood supply to the skin, an infection can occur, and it can be anything, including erysipelas.

Go to my website, look at the results of treatment, read: http://lirnyk.com.ua/ru/troficheskieyazvy.html

Sincerely, vascular surgeon Lirnik S.V.

It is difficult to give advice and treatment based on letters.

I have written many times that the cause of a trophic ulcer on the lower limb is the lack of blood flow. Blood does not flow to the skin (arterial ulcers), blood does not flow from the skin (venous ulcers) and many other reasons - and as a result, the death of the skin and subcutaneous tissue. And severe pain. And secondary infection. Replant, but keep in mind that the likelihood that the grafted skin will fall off in the coming days is very high.

I don’t understand what “good culture from a purulent wound” means!

Itching with varicose veins of the legs

In addition to the fact that varicose veins are a fairly common disease, it is also too dangerous. Many people believe that the initial manifestations of varicose veins have only aesthetic problems and do not take any measures to get rid of this trouble. As the pathology develops, the patient develops unpleasant symptoms such as pain and itching. Why do the veins on the legs itch with varicose veins?

Mechanism of development of itching

When blood stagnates in the veins due to varicose veins, the tissues stop receiving the nutrition they need. At the same time, waste products are removed quite problematically. Toxins begin to be deposited in such tissues. This picture leads to swelling, and the color of the skin begins to change, accompanied by irritation, dryness and flaking. Veins, protruding above the skin, displace small vessels that become overly strained.

Causes of itching

Not everyone knows what causes itching in varicose veins and what to do about it. The appearance of such unpleasant sensations is explained by external and internal factors that occur during the progression of the disease. The main reasons for itching of the lower extremities with varicose veins are:

  • Veins that are too enlarged push small capillaries onto the surface of the skin, which provokes their strong tension, which causes unbearable itching;
  • Veins that are clogged with blood cannot provide the legs with a normal supply, as well as nutrients and oxygen. This process prevents the reverse flow of blood and stops removing waste products and dead cell tissue.
  • Such factors in their sum result in severe peeling, irritation and, as a result, itching of the feet. Over time, this situation gives the skin a brown tint. Despite the fact that such a symptom is not life-threatening, it brings him a lot of trouble and reduces his standard of living, so treatment should be started immediately. Due to constant burning of the legs, a person can become nervous and irritable. The patient cannot sleep normally and begins to suffer from severe fatigue.

    When such a disease becomes advanced, ulcers, weeping eczema and non-healing wounds may appear on the legs. When such skin diseases occur, this indicates that the condition of the veins has deteriorated significantly. With constant itching, a person scratches the skin vigorously, on which ulcers appear. Bacteria easily penetrate into such open wounds, which causes purulent and inflammatory processes. This situation can end in gangrene, which requires surgical intervention and amputation of the leg.

    Itchy legs with varicose veins due to severe damage to blood vessels. Therefore, before you start getting rid of this unpleasant symptom, you need to undergo an examination. When a diagnosis of varicose veins is made, it is necessary to begin treatment measures as quickly as possible in order to prevent the development of pathology from being neglected. There are several methods to remove the unpleasant itching that accompanies varicose veins:

    With the right treatment, your feet will stop itching very quickly. At the same time, you can remove the accompanying unpleasant symptoms of varicose veins and prevent its further development.

    Treatment with medications

    The following medications will help relieve itching from varicose veins:

  • Antihistamines. Such drugs are good at relieving burning sensation and swelling in the legs. But such drugs also have a drawback: they cause fatigue, drowsiness, and headaches. These drugs are prohibited for women in the first trimester of pregnancy;
  • Sedatives. When a person’s legs itch from varicose veins, he becomes nervous and irritable, to calm down, you can take sedatives that will restore night’s sleep and eliminate excessive temper;
  • Antibacterial ointments. Such drugs are aimed at rapid healing of wounds and scratches. Ointments will protect the affected areas from harmful bacteria and the occurrence of purulent processes.
  • When varicose veins are accompanied by itching, traditional medicine recipes can be used along with medications to enhance the effect. Contrasting foot baths help a lot in the morning and evening. Decoctions and various infusions based on medicinal herbs will not only reduce itching, but also soothe irritated skin, relax your legs and remove heaviness in them.

    For example, a decoction of birch buds relieves swelling and itching well. Feet will stop itching when using baths made from a decoction of hop cones. Kalanchoe and horse chestnut will restore the tone of the vein walls and relieve swelling of the lower extremities. Traditional medicine recipes are considered quite effective and have a positive effect on the course of the disease; in addition, they have no contraindications or side effects.

    What not to do

    Despite the fact that with varicose veins in the legs, the patient is very bothered by itching, the skin should not be scratched under any circumstances. Microbes very quickly enter open wounds and all this leads varicose veins to an even more advanced stage. With varicose veins you cannot:

  • When sitting, cross your legs;
  • Self-medicate;
  • Comb the skin of your feet;
  • Wear uncomfortable shoes and clothes.
  • If you notice early manifestations of varicose veins and they are accompanied by itching, it is necessary to consult a phlebologist as soon as possible, who will conduct the necessary examinations and give effective recommendations for getting rid of the unpleasant manifestations of the disease.

    How to treat an open wound on the leg at home?

    The muscles of the human body, if their integrity is damaged, are capable of self-recovery. If an open wound on the leg is treated in time to remove dead cells, new healthy tissue begins to grow in their place, gradually closing the wound opening.

    The healing process of an open wound on the leg takes place in three stages:

  • Independent primary cleansing, in which blood flows abundantly into the wound cavity.
  • Inflammation that begins after injury provokes tissue swelling. Leukocytes are formed en masse, helping to cleanse the wound area of ​​dead cells.
  • The final stage is characterized by the formation of connective tissue, which gradually tightens the edges of the wound, forming a scar.
  • Classification of injury

    Wounds on the leg are divided according to the following characteristics:

  • Violations of the tissue surface (penetrating and non-penetrating). The first are characterized by damage to the integrity of the joint membrane, in the second case the skin and subcutaneous muscles are susceptible to injury.
  • The presence of an infection of unknown, purulent, aseptic origin.
  • Changes in the wound cavity depend on the type of object that caused a violation of the integrity of the tissue.
  • Open wounds are:

    • Stab - the depth of penetration is greater than the diameter of the superficial wound.
    • Cutted - characterized by a wide entrance, but shallow depth.
    • Chopped - characterized by a deep wound, often with bone damage.
    • Torn - obtained when the skin and muscle layer are torn. The wound surface is characterized by uneven edges, and in some places the epidermis is absent.
    • Gunshots - the degree of damage to muscle tissue depends on the type of weapon.
    • First aid

      If a laceration is received on the leg, it is advisable to take the victim to a doctor, having first provided first aid. The speed of healing of an injury, the prevention of purulent inflammation of the wound cavity, and sometimes even a person’s life depend on the correct pre-medical actions.

      Instructions on how to treat an open wound at home:

    • If there is bleeding, then it is imperative to stop it. The injured leg should be elevated so that the foot is higher than the level of the head. If an artery is damaged, it is recommended to pinch the vessel with a finger and apply a tourniquet, recording the time of manipulation.
    • The wound on the leg should be disinfected using antiseptics: 3% hydrogen peroxide, furatsilin solution (1 tablet per 100 ml of boiled water), weak pink solution of potassium permanganate. You can crush the Streptocide tablet into powder and sprinkle it on the affected area. As a last resort, you need to treat the wound with brilliant green or apply a thin layer of anti-inflammatory ointment to it.
    • The fragments of a foreign object present in the wound cavity must be removed with tweezers treated with alcohol. If the fragment is large and the wound is deep, it is better not to touch anything and leave assistance to a specialist.
    • Cover the injured surface with a sterile napkin and apply a tight bandage.
    • If a bone in the leg is broken, or a joint is damaged, it is necessary to ensure that the limb is immobile by applying a splint from available material.
    • How to properly bandage

      It is recommended to change the bandage on your leg daily; to do this you need to:

    • Remove the dressing material. If the bandage sticks to the wound, you should soak the scab with boiled water with the addition of any available antiseptic: furatsilin solution, hydrogen peroxide and others.
    • Wash the edges of the wound on the leg with warm boiled water, disinfect with brilliant green or an alcohol solution of calendula, chamomile, St. John's wort. If the surface is contaminated with automotive lubricant mixtures, purified gasoline should be used for hygienic procedures. Treat with gauze balls. Iodine should not be used due to the high risk of burns.
    • Inspect the inflamed cavity for the presence of pus and fragments of foreign objects. It is not recommended to remove large, deeply located fragments yourself. It is safer to go to a medical facility to provide qualified assistance.
    • If purulent contents have formed on the surface, it is recommended to clean the wound with gauze swabs, blotting each one only once.
    • If there is suppuration inside, cleaning should be entrusted to a surgeon in order to eliminate the consequences of inflammation, including blood poisoning and death. Only a doctor who will make a prescription, combining medications for external and internal use, can know how to properly treat a purulent injury.
    • After cleansing, cover the wound surface with sterile material and secure with a gauze bandage.
    • In what cases is it necessary to visit a doctor?

      The patient should be shown to a specialist if:

    • the integrity of blood vessels and tendons is compromised;
    • it is necessary to stitch up a deep wound;
    • puncture wound with infection;
    • damaged bone, damaged joint;
    • the leg does not perform functional movements;
    • the person is in shock.
    • If the wound surface is contaminated with soil, it is necessary to treat the leg with an antiseptic to prevent suppuration. You should definitely get a tetanus vaccination.

      The formation of a purulent wound is accompanied by the following symptoms:

    • increased body temperature;
    • throbbing pain at the site of inflammation;
    • the occurrence of a tumor.
    • Treatment of an open wound on the leg must be carried out under the guidance of a doctor, strictly following all his prescriptions and recommendations. A deep cut injury should be sutured no later than six hours after the injury. If there is a suspicion that the wound is infected, stitches are not recommended. High-risk areas for infection are the upper third of the thigh and the sole of the foot.

      What to do at home to speed up the healing of an open wound on the leg:

    • daily dressing, each time treating the injured area with an antiseptic and applying a sterile napkin;
    • Lubricate the treated area with wound-healing ointments, after consulting with your doctor.
    • It should be remembered that fat-based medicinal ointments applied to the wound surface in a thick layer can cause inflammation and the formation of pus.

      Trophic ulcers that occur with varicose veins of the lower extremities are considered a type of open wounds on the leg. Endocrine diseases and diabetes mellitus provoke the formation of weeping injuries. People suffering from these diseases should take special care.

      Why do open wounds take a long time to heal?

      As a rule, the following reasons prevent rapid healing:

    • high sugar content in tissues;
    • subcutaneous layer of fat;
    • loss of vitality due to anemia, iron deficiency;
    • skin diseases.
    • Traditional methods for treating and treating open leg injuries

      It happens that it is not possible to receive timely medical care. In this case, you can start treating the open wound using traditional recipes.

      When choosing how to treat a wound surface, it is recommended to use medicinal plants with a disinfecting effect. These include:

      • A water decoction or alcohol tincture of calendula, birch buds, and wormwood.
      • Leaves of indoor plants - aloe or Kalanchoe. Remove the thin skin and apply the fleshy side to the wound, securing with a bandage or plaster.
      • Bee honey, spread a thin layer on the wound surface, place a sterile napkin on top and bandage it.
      • Yarrow greens should be chewed until smooth and applied to a cut or punctured shallow wound.
      • Treat the affected area with celandine juice.
      • The following folk remedies help speed up the treatment of a wounded limb:

      • Ointment made according to the recipe of Valentina Seimova. Apply a thin layer of ointment to the injured surface overnight. Do not apply a bandage.
      • St. John's wort. Fill a dark glass container with dry or fresh flowering herb St. John's wort for ?. Fill to the brim with refined sunflower oil and leave in a warm and dark place for three weeks. Apply the resulting mixture to the wound 3-4 times a day until healing.
      • White wormwood, coltsfoot, plantain, calendula. Make lotions on the wound surface using infusion of water.
      • Plantain leaves. Apply to the wound with the smooth side, securing with a gauze bandage.
      • The patient chooses how to treat an open wound on the leg, but it is advisable to consult a doctor before so as not to harm your health. During treatment, it is advisable to provide the diet with vitamins to speed up the healing process. It is recommended to take additional multivitamins.

        Non-healing leg wounds treatment

        Treatment of trophic ulcers on the leg at home

        With various diseases of the lower extremities, non-healing wounds may appear - trophic ulcers on the leg, treatment of which at home is very effective. Recovery is a rather difficult and lengthy process that includes a number of activities and methods.

        Trophic ulcers are open wounds of various sizes, usually located in the area of ​​the legs and feet. The disease usually manifests itself in circulatory disorders and problems with blood vessels. Treatment of a trophic ulcer on the leg with folk remedies consists of local action on the defective area of ​​the skin, and in eliminating the causes of the development of the pathology. In the absence of proper therapy, the process of wounds begins to fester, in which inflammation spreads to the muscles, joints and tendons.

        Causes and characteristics of the disease

        When problems arise with blood flow, blood microcirculation becomes difficult, which leads to insufficient supply of nutrients and oxygen to tissues, and disturbances in metabolic processes. Necrosis (death of tissue cells) develops in the defective area of ​​the skin, and sensitivity to external influences and infection increases.

        The causes of trophic ulcers on the legs are:

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      • disorders of venous blood flow: varicose veins, thrombophlebitis;
      • disturbances of arterial blood flow in diabetes, atherosclerosis;
      • systemic diseases (vasculitis);
      • mechanical damage to the skin (trauma, frostbite, burns);
      • chronic skin pathologies (eczema, dermatitis);
      • poisoning with toxic substances (arsenic, chromium);
      • disturbance of blood flow due to forced immobility of the patient.
      • Treatment of trophic ulcers of the lower extremities depends on the causes of the disease and the nature of the venous pathology.

        Open wounds on the legs do not heal for a long time. Symptoms of the disease appear gradually. At the initial stage, dryness and tension of the skin, swelling, and the appearance of a shiny skin tone occur. Then pigment spots appear and ulcers form.

        Complex of therapeutic measures

        For the disease, two directions of treatment are provided: general and local effects. General therapy is necessary to normalize blood circulation and localize the underlying disease. Local treatment is required to directly eliminate trophic ulcers on the legs.

        In the initial stages of the disease, treatment is possible at home, without surgery. Basic principles of conservative therapy:

      • suppression of fungal or bacterial infection;
      • removal of areas with tissue necrosis;
      • regeneration of affected skin areas.
      • The patient is prescribed bed rest and hygiene of the lower extremities. To reduce the risk of infection, bandages with a special solution are applied to the wound. Medicinal gels and ointments are used to regenerate and disinfect the affected skin area. Any medications should be prescribed only by the attending physician.

        The most effective treatment method is surgery. But this method does not guarantee the absence of relapses. During the operation, the affected areas of the skin are completely removed, eliminating the main cause of the disease.

        Treatment at home

        Treatment of trophic ulcers on the legs can be done at home, subject to certain rules:

      • a diet that involves limiting the amount of carbohydrates consumed, avoiding hot and spicy foods, and increasing the amount of fresh vegetables and fruits;
      • regular rest (lying down, with your legs raised up);
      • performing special exercises that prevent blood stagnation and improve metabolic processes;
      • wearing orthopedic shoes with the correct soles to eliminate the risk of tissue injury.
      • Treatment of purulent diseases on the leg at home involves taking medications that improve blood circulation, as well as eliminating the cause of development:

      • aspirin (acetylsalicylic acid): the drug has antiplatelet properties (blocks the processes of platelet adhesion and aggregation);
      • venotonic drugs: prescribed for the development of varicose ulcers;
      • broad-spectrum antibiotics;
      • non-steroidal anti-inflammatory drugs;
      • antihistamines.
      • Local treatment for trophic ulcers is aimed at cleansing the wound of dead skin and eliminating pathogenic microbes:

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      • washing the wound with antiseptic solutions (potassium permanganate, chlorhexidine, furatsilin);
      • applying bandages using medicinal gel (ointment): levomikol, dioxykol, streptolaven.
      • When treating the affected area of ​​skin with antiseptic solutions, it is necessary to remove as much as possible all non-viable areas of tissue. Then apply a bandage. Dressing should be done once every three days. More frequent processing may cause tissue injury. Ulcerative defects begin to heal after 2 weeks of regular treatment. But treatment and dressings must be performed until the wounds are completely healed.

        Treatment with folk remedies

        Trophic ulcers can be cured using traditional medicine. There are a large number of different recipes that promote rapid healing of wounds.

      • Streptomycin. Crush several tablets of the drug and apply the powder to a clean and dry wound. The product has an analgesic and healing effect.
      • Tatarnik (camel thorn leaves). Grind and sift the dry leaves, put them in a container and put them in a cool, dark place. After treating the wound with rivanol (a pharmaceutical preparation), apply a small layer of dust and secure with a bandage. After 12 hours, wash the ulcer again, cover it with dust, and bandage it. This treatment dries out the weeping wound.
      • Wood ash. Pour boiling water over the ash and leave in a dark place for 3-5 hours. Rinse the trophic ulcer on the leg with cotton wool soaked in the infusion. After treatment, water the wound with calendula infusion. When the ulcer is dry, streptomycin powder can be used instead of calendula.
      • Curd whey. Make yogurt from homemade milk (0.5 l). Pour it into gauze and hang it. Lubricate the festering wound with the released serum, and apply the resulting curd to the affected area of ​​the skin. After treatment, the ulcer is bandaged. The dressing is kept overnight.
      • Hazel and yolk. Mix crushed hazel kernels (4 pieces) with dried egg yolk (3 pieces). Add iodoform powder (1 tsp) and grind the mixture. After washing the wound with hydrogen peroxide, apply the resulting composition to the skin in a thin layer. After 2 hours, the leg is bandaged. The dressing is kept for 2 days.
      • Hydrogen peroxide. By adding streptocide to the peroxide, the purulent wounds are washed, after which the leg is bandaged with a towel or polyethylene. After 10 days of regular treatment, the ulcer should heal.
      • Cabbage leaves. A leaf of fresh white cabbage is cut, smeared with sea buckthorn oil, and applied to the wound. The bandage must be changed once a day. It should be treated in this way until the ulcer is completely healed.
      • Tar. Apply compresses every 2-3 days using sterile cotton swabs soaked in tar.
      • Onion oil. Fry the onion in vegetable oil until golden brown, transfer to a suitable container. Apply to ulcers daily.
      • Flax seeds. Pour 100 grams of seeds into 3 liters of hot water and leave for two hours. It is necessary to keep the affected limbs in the resulting decoction for as long as possible.
      • Egg film. Treat the ulcer with a weak solution of potassium permanganate. Apply an eggshell film (raw egg) and bandage it. Treat the wound daily until complete healing.
      • Saline solution. Dissolve 1 tbsp in 1 liter of water. l. table and sea salt. After moistening the gauze, apply it to the wound and bandage it. Should be kept for 3 hours. The bandage is applied 2 times a day.
      • Boric alcohol. Wash the ulcer with a soap solution (with baby or laundry soap), treat with miramistin. A sterile bandage soaked in boric alcohol is applied to the wound overnight.
      • Treatment of diseases of the lower extremities with folk remedies is a long and labor-intensive process. Recovery occurs only with regular treatment of the affected areas of the skin, adherence to a diet, and a proper lifestyle. The folk remedies used must also be prescribed by the attending physician. Self-medication can lead to complications.

        Healed trophic ulcers of the lower extremities heal. Scars also need to be treated to reduce the risk of relapse. As a preventive measure, you can treat them with natural oils (chamomile, St. John's wort, calendula). Prolonged stress on the legs, walking long distances can trigger the re-development of the disease.

        Treatment at home for a trophic ulcer on the leg is advisable only at the initial stage of the disease, and with an integrated approach to the problem. In particularly severe cases, surgical intervention is required. With timely treatment, complete recovery is possible.

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        Chronic non-healing wounds or ulcers on the legs

        Patients with chronic leg ulcers go from dermatologist to surgeon to internist to vascular surgeon to naturopath and the wound remains open.

        Leading scientists around the world have been trying to solve the problem of poorly healing wounds and ulcers for decades. Their danger is not only that the open wound surface remains a source of pain and other inconvenience for a long time, but also becomes a gateway to infection, which is fraught with dangerous consequences, such as, for example, sepsis. In the online magazine Dermatology News (1), Dr. Teodora Mauro shares her experience in treating long-term non-healing wounds and ulcers on the legs. We publish a summary of her advice, along with recommendations from the journals Wound Treatment and Nursing Care, in this material.

        Is the diagnosis of Chronic leg ulcer correct?

        Most often, poorly healing wounds are the result not of one disease, but of a whole bunch of pathological conditions, where venous insufficiency is one of the leading causes. Same with leg pain. It is necessary to remember about other causes of ulcers:

      • Diabetes. causing damage to the small arteries of the extremities, leading to the development of the so-called “diabetic foot”. The latter is characterized by varying degrees of tissue destruction of the foot and leg, osteomyelitis, which ultimately leads to amputations. A simple technique during examination of the patient, checking the sensitivity of the skin to light touch and vibration, helps to establish the diagnosis of diabetic neuropathy and treat diabetic foot.
      • From 6 to 10% of ulcers are caused not by venous, but by arterial insufficiency and require evaluation of the arterial circulation of the legs. You need to start by simply checking the pulse in the legs; if it is not detected in the foot, then arterial insufficiency is probably present.
      • Pressure ulcers are becoming more common as the number of older people increases. This reason is indicated by the localization of ulcers close to the bony protrusions on the legs.
      • Fungal infections of the feet are quite common and rank third on the list of causes of slow wound healing.
      • Skin cancer often leads to ulceration and should be considered in the diagnosis of non-healing ulcers. Example: Basilioma, or basal cell cancer of the skin, may look like a non-healing ulcer. A biopsy of the area of ​​skin adjacent to the ulcer will help establish this diagnosis.
      • Other diseases that can cause ulcers: vasculitis, blistering skin diseases (bubbly dermatitis), pyoderma gangrenosum.
      • What body conditions slow down the healing of ulcers?

        — Smoking is a significant cause of slow recovery from injury that can be completely eliminated.

        — Taking certain medications (for example, methotrexate, azathioprine, prednisone, anti-inflammatory drugs, some anticancer drugs) can significantly reduce the rate of healing of wounds and ulcers. Some of these side effects can be easily treated, such as by adding folic acid with methotrexate.

        - Both oncological diseases and benign tumors, accompanied by damage to the skin or blood, lead to a slowdown in regenerative processes.

        — Eating disorders (2), e.g.

      • protein deficiency in the body
      • lack of vitamin C (ascorbic acid)
      • Zinc deficiency
      • Is the treatment for the ulcer correct?

        Sometimes the reasons for slow healing of wounds and ulcers include inadequate diagnosis, incorrectly chosen treatment strategy and improper wound care conditions. Frequently used hydrocolloid dressings can cause obstruction of the outflow of contents and worsening of the ulcer. Tight bandages impair blood and lymph circulation with the same result. Folk remedies for the treatment of chronic wounds and ulcers deserve special attention; recently, studies have appeared confirming the effectiveness of some old folk remedies, for example

      • using honey as a healing agent
      • using fly larvae to cleanse chronic purulent wounds
      • We hope to return to the topic of folk remedies in more detail in the future.

        Summary: Management of patients with leg ulcers and wounds involves identifying and maximizing correction of the cause (or multiple causes), lifestyle modifications (decreasing the number of hours spent standing or sitting, changing diet, quitting smoking) and reducing the severity of symptoms. If these approaches are followed, healing of wounds and ulcers should occur faster and more fully.

        1. When sores won't heal, try these approaches. Interview with Dr Mauro in Dermatology News.

        2. Nutrition and wound healing. Nutrition and wound healing. A. R. Sherman and M. Barkley

        Journal of Wound Care 2011 20. 8. 357-367

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        Leg ulcers due to varicose veins

        Varicose ulcers, as an unpleasant and dangerous form of the disease, require mandatory competent treatment. To fix the problem, you should follow the recommendations of specialists.

        Varicose ulcer - causes, symptoms and treatment features

        Varicose or trophic ulcer is a disease that brings trouble with its non-healing wounds on the surface of the skin, as well as constantly weeping wounds and even suppuration. The danger and peculiarity of the pathology is the spread of damaged areas to healthy skin and organs of the body.

        Trophic ulcers with varicose veins never appear on their own; as a rule, they are a complication from the varicose veins themselves and from pathologies such as diabetes and other ailments. So, what are the characteristics of varicose ulcers and how to treat them?

        Causes of the disease and diagnosis

        The main reason for the occurrence of a wound is the complete destruction and disruption of the structure of blood vessels, based on the complete cessation of the supply of nutrition and oxygen cells to the body tissues into the epidermis. Pathology appears in the complete absence of high-quality, well-thought-out treatment or when hygiene rules are neglected.

        Determining the onset of pathology is not very difficult. The surface of the nails becomes close to a purple hue, becomes inflamed, open wounds may appear next to the nail, and all this is accompanied by severe pain, itching, and the patient constantly feels discomfort.

        If, against the background of these manifestations, highly pigmented spots, bruises and seals appear, this is a guaranteed harbinger of a future phenomenon such as varicose ulcers. Treatment of the pathology must begin immediately.

        The insidiousness of complications

        The main danger of this disease is that a varicose ulcer on the leg, which is not treated, during its development affects not only the surface of the skin; bones, tendons and other tissues are gradually affected. Severe inflammation can only be relieved with the most serious medications; hospitalization is often required.

        As certain medical statistics have shown, of all the possible complications of varicose veins, ulcers occur in every fifth person. It is for this reason that it is so important to start the treatment process in a timely manner, otherwise you may encounter rather unpleasant consequences.

        If formations of this type are isolated, you can get by using traditional medicine methods, the main thing is to first get advice from a specialist.

        Rules for modern drug treatment

        The field of medicine is constantly evolving, every year newer and more effective drugs appear, new techniques are developed. Successfully dealing with ulcers is not at all easy; eliminating the problem and its complications can take a lot of time and require spending a significant amount of money. To achieve success, you will need to contact a specialist who will prescribe the most adequate therapy.

        In the process of prescribing medications and developing a treatment system, the doctor relies on the degree of development of the pathology and the location of the inflammation.

        The standard system includes the following terms and conditions:

        1. Daily treatment with modern antiseptics will be required, which is required to completely prevent possible suppuration, and the growth of bacteria can be inhibited. To carry out such treatment, drugs such as Miromistin and Furacilin are often used.
        2. External wound-healing preparations must be used. These are high quality ointments that promote effective skin regeneration. Such remedies effectively relieve irritation and also soothe the skin. Lecomikol, which is characterized by an ideal restorative and at the same time wound-healing effect, helps greatly here.
        3. Strictly general purpose drugs are used, which have a bactericidal and general anti-inflammatory effect.
        4. Without fail, the specialist prescribes venotonics, which are indispensable in the treatment of varicose veins. They ideally support damaged veins, and the formation of dangerous blood clots is optimally prevented.
        5. Properly developed vitamin therapy, that is, taking supporting medications, is important. This is important because any form of illness will lead to certain complications. Eliminating them will require more serious energy and material expenditure, which is why it is so important to seriously strengthen the entire body as a whole.
        6. If the ulcers begin to fester, Argosulfan is used. This is a special antibacterial drug for external use, which is able to cope with microbes as effectively as possible, completely suppressing their harmfulness.
        7. If varicose ulcers cause trouble with constant itching, antihistamines - Fenistil, Zodak or Suprastin - can be prescribed. They quickly eliminate all unpleasant symptoms. If possible, trophic ulcers can be effectively treated through laser procedures using ultraviolet radiation.

          Traditional medicine

          Modern medical workers, despite the development of medicine, simultaneously prescribe traditional medicine products and methods along with medications. They are quite easy to use and do not require serious material and time expenditure.

          To quickly cure varicose ulcers, you can use various time-tested recipes. With their help, you can quickly heal all wounds and at the same time you won’t have to wait long for a quick result.

          To achieve a positive result, folk remedies are used strictly in combination with the main therapy, but also after preliminary consultation with a specialist. The most commonly used are ointments, lotions and compresses, less often decoctions that are taken orally.

          The following treatments are used:

        8. Kalanchoe and aloe;
        9. Chicken eggs and onions;
        10. Propolis and honey;
        11. Laundry soap;
        12. Lard and cooking oil;
        13. Various roots and herbs;
        14. Healthy flax seeds.

      Pharmacy blue clay is good for varicose ulcers. This is not only a therapeutic, but also a preventive remedy. Regardless of the chosen alternative treatment, it is important to remember its ideal sterility. All components used must be processed very carefully; it is better to cook in clean dishes.

      Before applying medications, the skin must be treated with high-quality antiseptics. Dressings should be as sterile as possible.

      To prepare a medicinal dressing, you will need to take honey and the white of one egg. The resulting composition is thoroughly mixed and applied to the skin affected by ulcers. If the course of procedures falls in the summer, you can lay burdock leaves on top, then wrap everything with cling film and natural fabric.

      This compress can be left overnight or longer. To achieve positive dynamics and rapid wound healing, 7 procedures are often sufficient. After the course, barely visible spots remain on the surface of the skin. After two weeks they disappear completely.

      Using the Yolk

      An ointment made on the basis of yolks can effectively cure the disease not only at the initial stage, but also quite old ulcers. The advantage of this treatment method is that after the course, no scars remain on the skin.

      The essence of treatment is to perform the following actions:

    • Fresh yolks are taken.
    • Iodine is added in a one to one proportion in a 5% solution.
    • Everything is mixed until a homogeneous dark yellow mass is obtained.
    • The mixture is poured onto the ulcers with a regular spoon, but care must be taken to ensure that the mixture does not get on healthy areas of the skin.
    • The top of the wound is covered with a clean napkin and everything is bandaged.
    • The ointment is stored at room temperature and in a dark place. The dressings are changed every 12 hours and after a relatively short period of time an optimal result can be achieved. This form of treatment is ideal for treating varicose ulcers. You can quickly, effectively and completely painlessly remove wounds without leaving any scars.

      Baths are indispensable in the treatment of varicose ulcers. To prepare the simplest recipe, you will need to dissolve a small amount of potassium permanganate in water. The part of the body on which the ulcer has formed is immersed in the solution and left for at least half an hour. To enhance the effect, you can add tincture of calendula flowers to the container at the rate of 100 ml per liter of water.

      After this, eucalyptus oil is added to the water and the wounds are kept in the resulting solution for about another half hour. At the end of the water procedure, the ulcer is wrapped in a clean bandage, pre-folded in several layers. After three to four treatment procedures, the ulcer completely disappears.

      Cabbage leaves for ulcers

      You need to take a cabbage leaf, moisten it in sea buckthorn oil and apply it to the affected areas. As soon as the sheet is completely dry, it is replaced with a new one. A similar procedure should be carried out until the lesions on the skin completely disappear.

      If ulcers appear simultaneously with venous nodules, cabbage leaves should first be doused with boiling water and left in the refrigerator for a day. Thanks to this, the sheet will become wet, which will increase its effectiveness. Before applying the leaf to the ulcer, you should first drip apple cider vinegar onto its surface. The compress should be applied at night, and in the morning, remove everything and do this for 10-15 days. After about a week, patients experience a significant reduction in pain and a feeling of lightness in their legs.

      Universal ointment for varicose veins

      There is a recipe for a universal ointment, which is a real panacea for a huge number of diseases and varicose veins. the advantage lies in the special combination of components included:

    • A glass of refined oil;
    • Beeswax the size of a box of matches;
    • Egg.
    • The oil is poured into a previously prepared container and heated over a fire until the wax is completely melted. Boiled yolk is added to the mixture. For each procedure, you need to take half the yolk. The ointment should be stored in the refrigerator, in a glass container, and the composition must be heated before use. This is a universal remedy against varicose ulcers.

      Prevention of complications

      Like all diseases, varicose ulcers are much easier and simpler to prevent than to treat them later. If a patient already has varicose veins, he should know all the complications that may arise in the absence of treatment, and he should also know the basic methods of preventing them.

      Among the main methods of protection and protection from complications are the following actions:

    • It is necessary to use drugs that support blood vessels and improve blood circulation. Among the most popular medications are Detralex, Phlebodia, and Venoruton.
    • The doctor prescribes special external remedies that can quickly eliminate the severity and other symptoms associated with care. The drug Horsepower is optimal for this purpose. This is an affordable remedy that has a positive effect.
    • It is recommended to wear special compression stockings at all times. In pharmacies you can buy knee socks, stockings, socks and special tights. There are insulated and lightweight models to choose from. This underwear should be stopped as soon as more dangerous open wounds appear.
    • It is important to lead a fairly active sports lifestyle, but you should not overexert yourself. Activities such as swimming, walking, dancing or cycling are helpful.
    • Yoga is very useful, in particular the vertical birch tree pose, which should be done at least three times a day.

    The best prevention is to constantly visit a specialist, undergo examinations and follow his recommendations. Speaking of specialists, pathology should be carried out by a phlebologist or surgeon. A professional is able to promptly notice changes occurring in tissues, and can also give information regarding the development of pathology.

    Only in this way can the patient count on achieving optimal success, which will be based on competent treatment of trophic ulcers in varicose veins.

    There are quite a few methods for treating trophic ulcers. If you choose them wisely, you can very quickly get the desired effect and improvement. Traditional methods of treatment are best suited for the initial stage of the disease; at more advanced stages of development, medications are prescribed.

    If you do not delay the treatment of varicose ulcers of the lower extremities, you can get by with inexpensive drugs that cope with the pathology without unnecessary expenses and as safely as possible.

    How to treat trophic ulcers with varicose veins

    A complication of varicose veins of the lower extremities are trophic ulcers formed due to insufficient nutrition of the epidermis. Ulcers due to varicose veins are difficult to cure if the cause of their formation is not eliminated. The treatment regimen and methods depend on the stage of development of the pathology.

    Stages of development of trophic ulcers

    The formation and development of trophic ulcers of the lower extremities occurs in several stages:

  • Pre-ulcerative – in the context of a blood supply disturbance, an area of ​​so-called “lacquered” skin appears. Due to severe swelling, the epidermis becomes stretched, becomes thinner, and hyperemia (redness) is observed. Then the swelling increases, exudate sweats through the pores in the form of drops. Whitish spots appear - areas of dead tissue.
  • Ulcer formation – an ulcer forms under the dead tissue, affecting the surface of the epidermis. When an infection occurs, the ulcer develops deep into the tissue. The scattered areas merge, forming an open wound surface.
  • Cleansing - depending on the treatment and the type of infectious agent, mucous, purulent, bloody or fibrinous (with white fibrin threads) discharge is observed. An unpleasant odor emanates from the wound. Its intensity depends on the type of infection.
  • Granulation and scarring - with adequate treatment, granulation begins in the center, with the formation of pink areas and along the edges. Areas of the new epithelium merge, and whitish foci of epithelialization form on their surface. The wound tightens around the edges. With proper treatment, trophic ulcers heal, forming a scar.
  • Depending on the stage of development of ulcers, an individual course of treatment is prescribed.

    Types of treatment for trophic ulcers

    Various methods are used in the treatment of trophic ulcers:

  • conservative;
  • drug therapy (general and local);
  • physical therapy;
  • ethnoscience;
  • operational.
  • Violation of tissue trophism with varicose veins of the lower extremities requires treatment even before the stage of ulceration. After consulting a doctor, treatment of the underlying venous disease is prescribed, often with surgical methods. Modern minimally invasive techniques include:

  • endovascular electrocoagulation;
  • microphlebectomy;
  • laser coagulation;
  • radiofrequency coagulation;
  • sclerotherapy, etc.
  • At this stage, drug therapy is used with the use of drugs that improve tissue trophism and nutrition.

    General treatment regimen for ulcers with varicose veins

    When ulcers appear on the legs, general and local treatment is used.

    Local treatment consists of selecting a safe medication in the form of a gel and ointment. The drug must have regenerating and antibacterial properties. Stimulate blood supply, gas exchange and tissue nutrition.

    The active substance is absorbed through the wound surface, so the product must be safe . Most often, in the treatment of trophic ulcers with varicose veins, it is recommended to use Solcoseryl. The drug is produced in the form of ointment and gel. Solcoseryl gel is used for treatment at the stage of appearance, development and purification. At the stage of granulation and scarring, Solcoseryl ointment is used.

    After cleansing the wound surface, a thin layer of Solcoseryl in the form of a gel is applied to the ulcer 2-3 times a day. The ointment is used 1-2 times a day. Solcoseryl not only protects the ulcer from the penetration of microbes, but also accelerates granulation and epithelization. During the healing stage, it promotes the formation of an elastic scar.

    At the first stage, Actovegin is also used . In the first four days, 20% gel is applied to the lesion. Then, from 4 to 11 days, apply the cream and until the effect is achieved, use 5% ointment. The use of Algofin ointment with antimicrobial properties is no less effective. The ointment can also be used at the developmental stage, since it contains natural substances - chlorophyll, carotenoids and fatty acids.

    They form a film that prevents the penetration of pathogenic microorganisms. The ointment has anti-inflammatory, regenerating and repairing properties, helps cleanse ulcers. Good results are achieved when using Levomikol and Levosin ointments.

    In the second stage, it is necessary to regularly clean the ulcer from exudate. To do this, use hydrogen peroxide and aqueous antiseptics specially developed for this purpose, for example 0.01% Miramistin solution or 0.05% Chlorhexidine solution. These substances do not act on living tissues of the body and cleanse the wound of dead cells, discharge from the ulcer, and also prevent its infection.

    The area around the ulcer is treated with water and antiseptic soap, such as Furanilin. It prevents the formation of new ulcers and effectively cleanses the skin of impurities. After thorough cleaning, an aseptic dressing is applied. In order not to destroy the granulation, I use special dressings Voskopran and Branolind.

    Voskopran is a mesh bandage impregnated with beeswax and drugs (Levomikol, Dioxidin, Methyluracil); it not only does not stick to the wound, but also ensures the outflow of fluid, prevents the penetration of microbes, and stimulates healing. At the granulation stage, a bandage without ointment is used. The Brandolind dressing is impregnated with Peruvian balsam and has air and secretion permeability. To enhance granulation, ointments are used: Betadine, Methyluracil-D, Etonia, Dermazin, etc. Wundekhil ointment has a reparative effect and eliminates necrotic phenomena due to its phytocomposition. Etonia ointment also has an analgesic effect.

    In the third stage, ointment is also used, but it is applied along the edge of the ulcer and on areas with new skin. Ointments with wound-healing properties are Curiosin, Bepanten, Alantan Plus, Mephenate, etc.

    During the scarring stage, plant-based ointments are used that promote the formation of elastic tissue, such as 10% ointment Comfrey, St. John's wort, Calendula.

    General treatment of trophic ulcers involves taking drugs that improve venous outflow, stimulate trophism and tissue healing . After a doctor's prescription, you can use venotonics - Phlebodia, Tanakan, Detralex, Aescin, Ginkgo biloba, etc.

    For large wounds, surgical treatment is recommended . To cover the wound surface, a skin flap from the patient's thigh or buttock is used. It becomes an additional epithelialization center and healing is accelerated.

    Attention! Video from an expert

    Traditional medicine uses honey, propolis, eggs, herbal infusions, etc. to treat trophic ulcers.

  • Periwinkle, balsam, butterbur, thistle, watchwort, field bindweed, permelia lichen, red pigweed, etc. have wound-healing effects.
  • Budra, geranium, elecampane, golden rod, comfrey, physalis, etc. enhance tissue regeneration.
  • The following have an anti-inflammatory effect: marshmallow, bergenia, clover, bear's ear mullein, cinquefoil, linden, burdock, toadflax, etc.
  • It is necessary to approach the use of folk remedies with particular caution when there is an open wound surface. Treatment should be coordinated with a doctor and carefully monitor sterility when preparing decoctions and ointments.

    In the complex treatment of trophic ulcers, physiotherapy is used. Laser irradiation of long-term non-healing wound surfaces is used. After cleansing the wound, it is exposed to red spectrum radiation. When foci of epithelization are formed - infrared. When using pulsed laser systems, the procedure can be carried out through a gauze bandage. Irradiation is carried out for up to 5 minutes, once a day for a course of 10-15 procedures.

    Magnetotherapy is carried out using the Polyus-2D apparatus. The surface of the wound is treated with contact, through a bandage, moving from the edge to the center. Treatment lasts up to 10 minutes, once a day and consists of 15 procedures.

    The correct strategy and complex effects give positive results in the treatment of trophic ulcers of the lower extremities.

    Do you still think that getting rid of varicose veins quickly is difficult?

    An advanced stage of the disease can cause irreversible consequences, such as gangrene, blood poisoning. Often the life of a person with an advanced stage can only be saved by amputation of a limb.

    Under no circumstances should the disease be started!

    We recommend reading the article by the head of the Institute of Phlebology of the Ministry of Health of the Russian Federation, Doctor of Medical Sciences of Russia Viktor Mikhailovich Semenov.

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