Trophic ulcer and trophic ulcers on the feet - treatment


1. Diagnostics venous leg ulcers

2. Symptoms of venous ulcers of the lower extremities

3. Treatment of venous ulcers

4. disease prevention

trophic ulcer is a chronic disease that is associated with metabolic disorders.In general data of skin damage are due to complications of some of congenital or acquired diseases, as well as damage to nerves, blood vessels, bones and soft tissues.Their causes can be:

  • venous insufficiency (eg, thrombophlebitis of varicose veins in the background);
  • violation of lymphatic drainage (elephantiasis);
  • blood diseases;
  • sharp narrowing of the arteries (eg, due to diabetes mellitus, atherosclerosis, hypertension);
  • specific infections (syphilis, tuberculosis, leprosy);
  • nonspecific infection (erysipelas);
  • violation of the innervation of tissues (due to injury or certain diseases);
  • chronic skin diseases (such as eczema);
  • various injuries (frostbite, burns).

Diagnostics venous leg ulcers

Diagnosis of skin lesions exercise therapist.Par

ticular attention is paid to the study of limb vessels using different research techniques (functional, ultrasonic, infrared thermography and angiography).

In addition, carry out such research as:

  • cytology;
  • bacteriological;
  • blood test for sugar;
  • Wasserman;
  • biopsy edges and bottom of the ulcer.

Symptoms of venous ulcers of the lower extremities

Initial signs of the disease manifest swelling of legs, feeling of heaviness and burning sensation in the calves, itching of the skin shin.Quite often at night sick marked leg cramps.

In parallel with these subjective sensations in the area of ​​the proposed trophic ulcer begins to appear bluish network of blood vessels and pigment spots with purple or purple hue.Then these spots merge into a large area of ​​hyperpigmentation.With the progression of the disease in the skin area becomes painful inflammation, thickens and acquires a specific "glossy" look.

For subsequent symptoms, tissue inflammation extends to the subcutaneous fat, which results in compaction and its immobility.Then there is a reddening of the skin and increase the local temperature in the wound area.In addition, the affected part of the skin can be felt "scattered" seal.

In the process of developing the disease is formed lymphostasis - stagnant lymph (the skin is similar to orange peel).It develops so pronounced that the lymph literally manifested on the skin mildew that provokes penetration wound pathogens.

further development of the disease is characterized by exfoliation of the epidermis and the formation of whitish plaque.If at this stage does not begin treatment, the trophic ulcer will soon manifest itself fully.

Actually trophic ulcer begins with the formation of a small defect, covered with a scab, under which formed cherry red wet surface.With the progression of the disease and changes the shape of the wound increases.In the absence of treatment of skin lesions can cover an entire shin.

danger of trophic ulcers consists in the fact that it is growing not only in breadth, but depth.Thus, the inflammation may reach the periosteum, the calf muscles and Achilles tendon.As its sprawl pain intensifies.

trophic ulcer is always accompanied by the release of her exudate, which may be bloody, serous or purulent (in the case of additional bacterial infection).

Treatment of venous ulcers

According to the research, among the factors that cause sores on the legs, isolated varicose ulcers (52%), arterial (14%), mixed (13%) and post-thrombotic (7%).

Incorrect systemic and local treatment of trophic ulcers of the lower extremities can cause chronic process and even lead to the spread of suppurative focus on the body.As a result, purulent inflammation of the skin in addition involved subcutaneous tissue, muscle, and bone.

the treatment of venous leg ulcers requires a comprehensive approach, which will be directed primarily to the elimination of the main causes of the disease, otherwise completely heal the wound will not succeed.And even if the treatment will be successful first and then after patient discharge from hospital can be a relapse.

trophic ulcers on the feet also require local therapy.The wound was treated with special antiseptics, after removing necrotic tissue.For these purposes, used drugs such as: Eplan, chlorhexidine, dioxidine, tsiteal, a weak solution of potassium permanganate or furatsilina, broths series or daisy.ointment dressings are also used (levomekol, Levosin, dioksikol and others), as well as special sorbing bandages (eg karbonet).Then the wound is applied elastic compression (multilayer bandage of elastic bandage), which is changed every day.

Drug treatment of venous leg ulcers involves:

  • receiving broad-spectrum antibiotics;
  • the use of non-steroidal anti-inflammatory drugs (ketoprofen, diclofenac);
  • intravenous antiplatelet agents;
  • use of antioxidants (eg, tocopherol) and healing preparations (solkoseril, aktovegin);
  • receiving antihistamines (suprastin, tavegil);
  • blood cleansing - hemosorption.

After healing of trophic ulcers and connective scar appearance is crucial to reliably protect it from possible mechanical damage.With extensive ulcers to promote healing wounds may apply such high biological film as allokozha or ksenokozha.Desirable are physiotherapy and spa treatment.In some cases, surgery is performed when indicated.

In the absence of adequate therapy, prognosis of the disease is almost always unfavorable.But the correction of disorders of the venous and arterial circulation of the lower limbs improves prognosis significantly.

prevention of disease in the first place, trophic ulcer prevention involves:

  • early treatment of diseases, which are the cause of its formation (chronic arterial and venous insufficiency);
  • warning lower limb injuries, especially in the areas of impaired circulation;
  • wearing special shoes;
  • use elastic bandage varicose veins;
  • rational employment of patients.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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