If treatment goes well, your ulcer should heal in less than three months.1 But it sometimes takes much longer. About 4 in 5 ulcers need up to a year to heal.2
The first treatment for most people is a simple dressing, covered with firm bandages. These are called compression bandages because they hold the leg firmly.
The bandages lower the blood pressure in your leg veins. This helps the blood flow, which in turn helps the ulcer to heal. If compression doesn't work, there are other treatments you can try, including medications and surgery.
A nurse will probably come to treat your ulcer while you're at home. But you may need to go to a doctor's office, to an ulcer clinic, or to your local hospital for treatment. You won't need to stay in the hospital, unless you are finding it hard to look after yourself at home.
There are some things you can do to help your ulcer heal. For more information, see Self-help for leg ulcers.
If you find it hard to get around, you may feel quite isolated. Talk to your doctor or nurse. They may be able to put you in touch with local groups who can visit, or help you get out of the house.
Once you've had one ulcer, you have more chance of getting another one.3 Your chances of getting another ulcer within five years are about 1 in 3.4 But there are things you can do to avoid this. Wearing compression stockings is the best way to keep your legs healthy if you've had an ulcer.5
- Scottish Intercollegiate Guidelines Network. The care of patients with chronic leg ulcer. SIGN publication number 26. April 2000. Scottish Intercollegiate Guidelines Network. Available at http://www.sign.ac.uk (accessed on 18 August 2008).
- Jull AB, Waters J, Arroll B. Pentoxifylline for treatment of venous leg ulcers (Cochrane review). In: The Cochrane Library. Update Software, Oxford, UK.
- Grey JE, Enoch S, Harding K. Venous and arterial leg ulcers. BMJ. 2006; 332: 347-350. 16470058
- Harper DR, Ruckley CV, Gibson B, et al. Randomised trial of two grades of compression stockings in the prevention of venous ulcer recurrence: 5 year outcomes. Phlebology. 1999; 14: 91.
- Vandongen YK, Stacey MC. Graduated compression elastic stockings reduce lipodermatosclerosis and ulcer recurrence. Phlebology. 2000; 15: 33-37.
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This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment. ©BMJ Publishing Group Limited 2008. All rights reserved. |











