What must the sufferer pay attention to?
Without the support of the affected person, every therapy is doomed to failure.
Venous and arterial leg ulcers
In venous leg ulcers, compression therapy is only effective if it is used regularly and if the calf muscles are activated by repeated walking. Long sitting or standing in the same position is poison for the veins, as well as sitting with crossed legs. On the other hand, they enjoy rejuvenating their legs regularly. By the way: The said is still valid even if the ulcer has healed - otherwise it will be back soon!
Eliminating risk factors is the best treatment for arterial ulcers: stop smoking, reduce excess weight, keep blood sugar and blood sugar within normal limits. Matching, comfortable footwear is as important as avoiding foot and nail injury. Especially diabetics, whose pain is often limited, should regularly check their legs and feet for skin changes - early therapy prevents lengthy treatment!
What are the course and prognosis?
With adequate therapy and cooperation of the patient, most ulcers heal within months. If, even under optimal treatment, there is no improvement within three months or healing within one year, this is called a "therapy-resistant" leg ulcer. Then you have to search for a more rare cause of the ulcer.
Arterial ulcers heal worse and longer than venous ones; in the worst case an amputation threatens due to the circulatory disorder. Leg ulcers have a tendency to occur again and again, which is why post-treatment also plays an important role.