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Venous stasis ulcers

Venous ulcers are located below the knee and are primarily found on the inner part of the leg, just above the ankle. These ulcers are common in patients who have a history of leg swelling, varicose veins, or a history of blood clots in either the superficial or the deep veins of the legs.

Venous ulcers affect 500,000 to 600,000 people in the United States every year and account for 80 to 90% of all leg ulcers.

Arterial (ischemic)

Arterial ulcers are usually located on the feet and often occur on the heels, tips of toes, between the toes where the toes rub against one another or anywhere the bones may protrude and rub against bed sheets, socks or shoes.

Arterial ulcers are typically very painful, especially at night. The patient may instinctively dangle his/her foot over the side of the bed to get pain relief. The patient usually has prior knowledge of poor circulation in the legs and may have an accompanying disorder,

Neurotrophic (diabetic)

Neurotrophic ulcers are usually located at increased pressure points on the bottom of the feet. However, neurotrophic ulcers related to trauma can occur anywhere on the foot. They occur primarily in people with diabetes, although they can affect anyone who has an impaired sensation of the feet.

Due to circulatory issues, it's easy to see why people with diabetes (link to diabetes page) are more prone to foot ulcers than other patients. If you have diabetes, remember to inspect your feet daily, wear appropriate footwear and never walk barefoot.

Treatment and Prevention

Because the treatments vary based on type and severity of ulcer, it's critical to consult with your physician before initating any self-treatment. Your treatment may include a variety of options described below.

Treatment options for all ulcers may include:

Antibiotics, if an infection is present

Anti-platelet or anti-clotting medications ...