What Are Venous Wounds?
Venous wounds, also known as venous ulcers, are open sores that develop due to hypertension in the veins and incompetent venous valves typically on the lower legs and ankles. These wounds heal slowly and can become chronic without proper treatment.
Causes of Venous Wounds
Venous wounds occur when blood flow in the leg veins is impaired, leading to increased pressure and skin breakdown. Common causes include:
- Chronic Venous Insufficiency (CVI): Valvular incompetence and poor coapting prevent proper venous return.
- Varicose Veins: Weakened or damaged veins that contribute to swelling and ulcer formation.
- Deep Vein Thrombosis (DVT): Blood clots that obstruct normal vein function.
- Prior lower extremity surgeries or traumas
- Obesity
Symptoms of Venous Wounds
Early warning signs of venous wounds include:
- Swelling in the legs and ankles, specifically dependent edema which improves with leg elevation
- Discolored (Hemosiderin staining) or thickened skin around the wound site
- Itching or burning sensations caused by venous eczema
- Slow-healing open sores, often with a yellowish discharge. Discharge is not as protein-rish as lymphedema drainage
- Pain or heaviness in the legs, especially after long periods of standing
- Telangiectasia or spider veins
- Lipodermatosclerosis – Progressive replacement of the skin and subcutaneous fat with hard fibrotic tissue
Treatment Options for Venous Wounds
At PWTT, we use innovative and evidence-based treatments to promote healing, including:
- Compression Therapy: Specialized bandages or stockings to improve circulation and reduce swelling.
- Wound Debridement: Removing dead or infected tissue to enhance healing.
- Advanced Wound Dressings: Moisture-balancing dressings that create an optimal healing environment.
- Placement of an Unna Boot: A medicated compression dressing changed once a week.
- Weight loss, exercise, lifestyle, and dietary (low sodium intake) modifications
- Treatment of underlying comorbid conditions such as congestive heart failure or diabetes mellitus
FAQs About Venous Wounds
Are venous wounds preventable?
Yes, wearing compression stockings, staying active, and elevating your legs can help prevent venous wounds.
How long do venous wounds take to heal?
Healing time varies based on severity, but with proper treatment, many venous wounds improve within a few weeks. Healing is dependent on reduction of edema or swelling.
What happens if a venous wound is left untreated?
Untreated venous wounds can lead to severe infections, chronic pain, and even deep tissue damage. Early intervention is key.
At PWTT, we are committed to helping you heal faster with personalized, expert wound care.
