General Question

ZEPHYRA's avatar

Any experience with chronic wounds?

Asked by ZEPHYRA (21450points) April 29th, 2019

Do you know anything about leg ulcers in particular? Please share any useful info. Thanks.

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12 Answers

Dutchess_III's avatar

Well, I would first wonder what caused them.

KNOWITALL's avatar

All I know is from Dr. Pimple Popper on Hulu. She just lances and pulls them out with local anesthesia.

Dutchess_III's avatar

Ulcers means whatever it is is eating the skin. It’s a bacterial or viral infection or something. How can you “pull it out”?

KNOWITALL's avatar

@Dutchess_III I didn’t know if she KNEW it was an ulcer or just used that as a general term.

Lipoma’s can be pulled out fairly easily, but if it’s truly an ulcer, that’s different of course.

Dutchess_III's avatar

I had surgery for a lipoma.

Kardamom's avatar

Everything you ever wanted to know about skin ulcers (including leg ulcers), what causes them, and what types of treatments are available:

https://en.wikipedia.org/wiki/Ulcer_(dermatology)

Warning, if you are squeamish, you may not want to look at the pictures.

Dutchess_III's avatar

Could they be caused by blood clots? Have you been to the doctors?

Tropical_Willie's avatar

Leg ulcers occur in diabetic patients, they don’t heal correctly and skin seals the infection before the wound has healed.

Dutchess_III's avatar

@ZEPHYRA…where are you?

gorillapaws's avatar

Yes. We treat venous-stasis ulcers at our office. Venous ulcers are the most prevalent and are caused by a failure in the venous system. You can think of the venous system as the sewage lines of the body, that transport cell waste and deoxygenated blood back to the heart to be recirculated. When your venous system isn’t able to remove that blood efficiently, it pools in the legs. This causes the skin to become hard and leathery (lipodermatosclerosis), eventually it will break down completely and produce ulcers that can be difficult to heal.

We treat these wounds by first studying the venous blood flow with a doppler ultrasound to see if there’s any venous reflux. We will treat this first to resolve the circulation issues, and also apply compression to the leg. This prevents the pooling of “dirty” blood in the legs so they can heal.

Arterial ulcers are a completely different beast. I’m less knowledgeable about them.

ZEPHYRA's avatar

Yes, it’s a lymphedema issue so I guess it is a venous problem.

gorillapaws's avatar

I suggest finding a reputable phlebologist in your area http://www.phlebology.org/providers for a consult.

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