Why ulcers do not heal
In advanced varicose veins, blood pools in the lower-leg tissues and the skin receives less oxygen and nutrients. The skin first darkens and hardens, then a wound can develop and fail to heal because circulation is impaired. Treating the surface alone is not enough while the underlying vein problem remains.
How it develops
Darkening of the skin
The skin on the lower leg turns brown and becomes hard and dry.
Itching and eczema
Itching, peeling, areas of inflammation appear.
An open wound
An ulcer forms that does not heal for weeks and months.
Pain and discharge
The wound is painful and weeps, and infection may develop.
The main principle of treatment
Modern minimally invasive techniques can close an affected vein even when an ulcer is open. Once normal venous drainage is restored, tissue perfusion improves and the wound can begin to heal. This addresses the cause rather than relying on dressings alone.
How we treat the cause
Treatment begins with ultrasound to identify the vein causing venous congestion. The vein is then closed with a suitable minimally invasive technique while the wound is managed in parallel.
Questions about venous leg ulcers
Can an ulcer be cured without surgery?
Why ointments do not help?
How long does it take for an ulcer to heal after vein treatment?
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