How to treat a venous ulcer caused by a trauma

Good morning,

We have been trying to treat a venous ulcer caused by a trauma that has been affecting my father for 4 years. It looks like if it is almost healed but then it gets worse.

My father has been affected by cardiopathy for more than 10 years and he carries a subcutaneous ICD due to the ventricular fibrillation.

I’m currently treating him with a cream and a not too narrow dressing.

My question is: how to heal the ulcer?

Thank you in advance,


One comment on “How to treat a venous ulcer caused by a trauma

  1. Klarida Hoxha on

    Dear Laura,
    Thank you for writing us. I’m really sorry for your father’s suffering.

    It often occurs that the situation gets chronic for the presence of further complications as it is the case of the underlying circulatory condition.
    In this case, it consists of venous problems that require dressing as gold standard therapy. Compression therapy is the only treatment that can make your father heal.

    It is necessary to keep in mind that he is a heart disease patient and to evaluate if compression therapy doesn’t effectively load the heart of too many liquids. In these cases, it’s normally used a dressing that gradually reduces the legs swelling thus reaching an optimal compression that can heal the wound.

    The dressing is a therapy that must be used by expert staff and with suitable materials.
    For this reason, it is necessary to preventively carry out a series of instrumental exams that exclude the presence of arteriopathies such as ABI (ankle-brachial index) and arteriovenous eco-doppler of the lower limbs.

    The correct methods of execution are from the fingers root to the knee root with regards to the limb conformation by using multilayer components. This is more efficient in the monolayer compression therapies. Four years are a lot and the wound is certainly chronic.
    This causes several risks such as the one to get infected, as all the bacteria that normally live on our skin can move into the open wound. Were it a purely venous wound as you tell us, each medication turns out to be ineffective, without a suitable compression therapy (dressing).
    All this needs to be combined with an adequate lifestyle. Eating (a right balance between absorption of carbohydrates, fats, proteins and vitamins), drinking a lot of water and walking to enhance circulation are extremely important aspects.

    We remain at your disposal for any further detailed evaluation. If you want to book the first visit, please call our Secretariat at the +39 0544 500152. Bear in mind that the treatments at our Centre are at the charge of the Italian National Health Service.

    Best regards,
    Klarida Hoxha
    Head Nurse of the Wound Care Centre


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