Three Types of Leg Ulcers and Their Potential Complications:

1. Arterial (Artery) Ulcers
2. Venous (Vein) Ulcers
3. Pressure Ulcers

Arterial Ulcers develop when reduced blood flow prevents the skin and surrounding tissues from receiving enough oxygen and nutrients. They are often associated with Peripheral Artery Disease (PAD), which can develop due to several risk factors, including:

• diabetes
• cigarette smoking
• high cholesterol
• being overweight
• family history

Venous Ulcers commonly develop around the ankles and lower legs due to damaged or poorly functioning veins. They are often caused by chronic venous insufficiency (CVI), which allows blood to pool in the legs. Over time, increased venous pressure can cause skin inflammation, thickening, and discoloration, eventually leading to open sores that may be difficult to heal.

“Like all ulcers, this type of ulcer is serious,” says Dr. Zadeh. “It leads to swollen legs, thickening of the skin, and discoloration. The veins can bleed into the skin and turn it a dark brown and purple color.”

Pressure Ulcers commonly develop on the heels and other areas of the body exposed to prolonged pressure. They occur when sustained pressure reduces blood flow to the skin and underlying tissues, causing tissue damage and open sores. Pressure ulcers are more common in individuals with limited mobility, including those recovering from orthopedic injuries, living with disabilities, or receiving long-term care in nursing facilities.

Patients with pressure ulcers may also have underlying vein or artery disease. Following a thorough evaluation, our vascular specialists address any circulation problems that may affect wound healing. Treatment may include specialized garments, protective boots, or pressure-relieving beds to reduce pressure on affected areas. We may also recommend additional wound care options, such as antibiotics when indicated, topical treatments, and wound vacuum-assisted closure (VAC) therapy, to support healing.

In severe cases, pressure ulcer treatment may require debridement, a procedure to remove dead or damaged tissue, or skin grafting to help close the wound. A skilled, experienced physician should perform these procedures to promote proper healing and reduce the risk of complications.

Whether you have been diagnosed with a leg ulcer, are seeking a second opinion, or are experiencing a slow-healing wound, a thorough vascular screening can help identify underlying circulation problems and determine the most appropriate treatment options.

We are Now Offering Complimentary Screenings Which Includes:

• Patient history discussion
• A full comprehensive physical examination
• An ultrasound to ensure we fully understand the problem(s)
• Pain management plan if necessary