Patient Information Leaflet: Living with Chronic Leg Ulcers
Welcome to our wound care department. If you or a loved one is experiencing chronic leg ulcers, this information aims to provide essential information to help you understand, manage, and cope with the condition.
What is a Chronic Leg Ulcer?
A chronic leg ulcer is a long-lasting sore that takes more than three weeks to heal. They usually develop on the inside of the leg, just above the ankle.
Causes of Chronic Leg Ulcers:
- The most common causes include:
- Poor circulation, often due to venous disease or arterial disease.
- Diabetes
- Skin cancers
This picture showed the ulcer due to venous disease e.g. varicose vein
This picture showed the ulcer with gangrene due to poor arterial circulation
This picture showed the ulcer due to diabetes
This picture showed the ulcer due to skin cancer
Symptoms:
- Swelling around the ulcer.
- Pain or itching at the ulcer site.
- Discolored or hardened skin around the ulcer.
- Foul-smelling discharge.
Treatment Options:
Treatment aims to reduce pain, speed up recovery, and prevent the ulcer from coming back:
- Compression therapy to improve circulation.
- Dressings to protect the ulcer and help it heal.
- Medication for infections or pain.
- Surgery in some cases.
The left image shows a venous ulcer caused by varicose veins, and the right image shows the ulcer after 2 months of treatment
Self-Care Tips:
Keep the ulcer clean and protected with the appropriate dressings.
Elevate the leg when resting and wear compression stockings to reduce swelling in case of venous cause.
Stay active – regular walking can improve circulation.
Moisturize the skin around the ulcer, avoiding the ulcer itself.
Potential Complications:
Untreated or improperly managed ulcers can lead to:
- Infections
- Abscesses
- Skin discoloration
- Scarring
- Cancer of skin
Frequently Asked Questions:
- Is it contagious?
No, chronic leg ulcers are not contagious.
- Can I bathe normally?
Yes, but keep the ulcer dry. You might need to use a waterproof dressing or plastic wrap during showers.
Remember, with the right care and consistent management, chronic leg ulcers can heal, and recurrence can be minimized. Always follow medical advice and reach out to your healthcare provider with any concerns.