Otherwise known as arterial ulcers are caused initially by trauma or pressure. These ulcers do not heal due to lack of blood flow .These ulcers usually occur distally on the extremity. They are usually painful, the pain is typically worse with exertion, at night and with the limb elevated. Unless the peripheral arterial disease is treated promptly, amputations can occur.
Most surgical incisions heal without any incident. If sutures and/or staples are removed from a incision and the wound opens up, it is called a wound dehiscence. Most common reason for wound dehiscence are mechanical failure of the incision, edema or infection. If your surgical wound opens up or drains, it is important that you first contact your surgeon. We often works with surgeons in order to get you healed as soon as possible.
Diabetic foot ulcers are the leading cause of amputation in the United States. 15% of all diabetic foot ulcers lead to amputation. It is important that all diabetics are educated about good foot care. Most diabetic foot ulcers occur on the bottom (plantar) aspect of the foot. If you develop a diabetic foot ulcer it is imperative that you see a physician as soon as possible. Treatments will include screening for peripheral arterial disease, debridement of necrotic tissue, evaluation for infection and offloading. Off loading means keeping pressure off of the ulcers.
Venous leg ulcers are the most common form of chronic ulceration in the United States. Sometimes if not treated correctly people can have these ulcers for years. They are caused by the failure of the veins to return blood from your legs to your heart. These ulcers typically occur around the ankle and drain a lot. The standard of care therapy is multi layer compression.
Pressures ulcers are damage to the skin and underlying structures (subcutaneous tissue, muscle, bone) that occur due to inadequate blood flow. Pressure ulcers usually occur over a bone prominence such as the low back, buttock or heels. Pressure ulcers are most commonly occur in patients that are critically ill or have a major disability leading to a immobile State. Focus of treatment involves improving nutrition, debridement and keeping pressure off of the injured area.
Neuropathic ulcers often occur in the same way as diabetic foot ulcers.The neuropathy (damage the the peripheral nerves) causes the patient not to be able to feel their feet. Treatment is focused on evaluation of their blood flow, debridement of non viable tissue and develop strategies to offload.
Depending on the severity of the trauma, some patients are initially treated in the hospital. As we age, there are changes in our skin that makes us more vulnerable tipi injury. If you develop a skin tear and the bleeding has stopped it is usually best to attempt return the flap of skin to its original place. If any necrosis of the skin occurs, you should definitely seek medical attention.
One of most unrecognized as well as untreated conditions that can effect wound healing. In patients with chronic swelling weeping and ulceration of the skin can occur. Focus of treatment includes skin and nail care and specialized forms of compression in order to decrease swelling, heals the ulcers and improve quality of life.