Treatment of trophic ulcers of the legs with foam sclerotherapy under ultrasound control without surgery.
Improving ulcer healing and relieving chronic pain using platelet-rich plasma
The information below will give you the opportunity to get acquainted with the methods of treating venous (trophic) ulcers of the legs, preventing their occurrence and preventing relapses (relapse is the reappearance of ulcers after their healing).
We will try to present complete information that answers all the questions that may interest you.
trophic ulcers of the legs before and after photos https://drkheirbeik.com/gallery
treatment of trophic ulcers of the legs with platelet-rich plasma: https://drkheirbeik.com/gallery/articles/lechenie-plasmoi
It is probably no secret that varicose ulcers are the result of varicose disease and chronic venous insufficiency of the lower extremities. So, the first step to treatment is a specialist consultation. In this case, the necessary laboratory tests and duplex scanning of the veins are carried out. Duplex scanning gives us a complete picture of the venous network and its pathological changes. Thus, it is possible to offer the patient the most optimal treatment method.
For our actions to be effective, they must be aimed at eliminating the cause of ulcers, and not just treating the ulcer itself. This approach gives us the opportunity to get not only rapid healing, but also a very small percentage of relapses.
Treatment of varicose veins with trophic ulcers of venous origin can be surgical with the use of anesthesia or spinal anesthesia and hospitalization, or non-surgical - carried out with the help of foam sclerotherapy on an outpatient basis, which is quite important, since most patients are elderly people with concomitant diseases that are a contraindication to surgery under general anesthesia or are a risk factor.
How we treat with foam sclerotherapy
Foam sclerotherapy is carried out on an outpatient basis under ultrasound control.
There is no need to hospitalize the patient. In this case, a visit to a specialist will be required no more than once every 7-10 days for 2-6 weeks. The number of visits depends on the extent, depth, infection, duration of the ulcer and the presence of concomitant diseases.
The effectiveness of foam sclerotherapy in the treatment of ulcers has been proven in more than 98 percent of cases. Moreover, this effectiveness is as high for both recently opened ulcers and chronic trophic (varicose) ulcers that have existed for many years. Today, the use of platelet-rich plasma after foam sclerotherapy accelerates the healing of ulcers and relieves the excruciating pain that patients suffer from around the clock.
Compression hosiery
Compression hosiery before, during and after treatment becomes part of your wardrobe. This hosiery is designed to eliminate blood stagnation in the veins of your lower extremities, and thereby reduce swelling. This should happen constantly, even after the ulcer has healed.
Compression hosiery plays a very important role in preventing ulcers and their relapses.
It is important to remember that with the healing of ulcers, lifelong prevention is an important component in preventing their relapses
It is necessary to constantly wear compression hosiery during the day.
A follow-up examination and duplex scanning is performed 3 months after the ulcer has healed. Then after 6 months and, subsequently, every year, and also if necessary. Based on the results of the examination and the duplex scan (i.e. ultrasound), your doctor will recommend the degree of compression that is needed in this case.
Skin care
There are many skin problems associated with varicose veins. One of them is varicose eczema. It is important to note that ointments and creams alone cannot rid you of this problem. This should be combined with wearing compression hosiery.
Frequent (several times a day) lifting of the lower limbs also helps to improve the situation.
Varicose veins and venous insufficiency over the years lead to trophic changes in the skin of the lower leg, followed by their darkening (brown, dark brown, bluish, etc.). This pigmentation is the result of the release of blood elements from the lumen of the diseased vein into the surrounding tissues. Unfortunately, they are permanent in most cases and only become lighter after treatment.
Hyperkeratosis is another problem that gives the skin a scaly appearance. Frequent washing and treatment with moisturizers, after the ulcers have healed, gives the skin a healthier appearance.
Exercises
Exercises that improve blood circulation help ulcers heal faster and prevent relapses after treatment. Exercises help improve circulation and return venous blood to the heart (in a word, they eliminate congestion).
Try not to stand or sit for long periods of time without moving. If this is unavoidable, then get up periodically and do exercises, or work your feet and toes - bending and straightening them, to improve blood flow.
It is a good idea to buy an exercise bike and other home devices of this kind.
Diet
Your diet should be balanced and rich in all the necessary vitamins and minerals.
If you are overweight, try to get rid of it. Follow one of the many weight loss regimens, reduce the amount of carbohydrates and fats.
Raising the lower extremities
This is one of the most important aspects of preventing trophic varicose ulcers of the shins. Raise your legs above the level of the heart, thereby improving circulation and reducing venous congestion. This will speed up the healing process of ulcers and prevent their recurrence after healing
Here we remind you that raising the lower extremities on a stool, while sitting on a chair, is a waste of time and a useless exercise, since it does not contribute to the return of blood from the legs to the heart.