Stasis ulcer

Stasis ulcer, also known as a venous ulcer, is a type of ulcer that typically develops on the lower legs of individuals with chronic venous insufficiency. This condition is characterized by a failure of the veins in the legs to efficiently return blood to the heart, leading to pooling of blood and increased pressure in the veins. Over time, this can result in damage to the skin and underlying tissues, leading to the development of ulcers.

Causes

The primary cause of stasis ulcers is chronic venous insufficiency. Other contributing factors can include obesity, smoking, lack of physical activity, and a history of leg injuries or deep vein thrombosis.

Symptoms

Stasis ulcers are typically characterized by a number of symptoms, including pain, swelling, and discoloration in the affected area. The skin around the ulcer may be shiny, tight, and appear discolored, often taking on a brownish hue. The ulcer itself is usually red and may produce a foul-smelling discharge.

Diagnosis

Diagnosis of a stasis ulcer typically involves a physical examination and a review of the patient's medical history. Additional tests, such as a Doppler ultrasound, may be used to assess the blood flow in the veins of the legs.

Treatment

Treatment for stasis ulcers typically involves a combination of wound care, compression therapy, and lifestyle changes. Wound care may include cleaning the ulcer, applying topical medications, and dressing the wound. Compression therapy, often in the form of compression stockings, can help to improve blood flow and reduce swelling. Lifestyle changes, such as weight loss, regular exercise, and quitting smoking, can also help to manage the condition and prevent the development of new ulcers.

Prevention

Prevention of stasis ulcers primarily involves managing the underlying venous insufficiency. This can include wearing compression stockings, elevating the legs when possible, and engaging in regular physical activity to promote blood flow.

See also

• Chronic venous insufficiency
• Deep vein thrombosis
• Ulcer (dermatology)

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