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Leg Ulcers (Sores)

Venous Ulcers

Chronic venous insufficiency (CVI) affects millions of people. In more advanced stages, it can lead to skin damage and open sores called venous ulcers—a serious but treatable condition.

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    We are grateful to our patients for consenting to the use of these images for educational purposes. Every effort has been made to remove all identifying information in accordance with privacy and confidentiality standards.

    Why Leg Wounds Don’t Heal

    Venous ulcers are not just “skin problems”—they are caused by underlying vein disease.

    When pressure builds up in the veins:

    • Fluid leaks into surrounding tissue
    • Skin becomes inflamed, fragile, and easily damaged
    • Oxygen and nutrients cannot reach the area effectively
    • The body struggles to repair the wound
    • Persistent itching can lead to scratching and skin breakdown
    • Bacteria on the skin can enter, causing repeated infections (cellulitis)

    Even with proper wound care, healing is often slow or incomplete if the underlying vein problem is not treated.


    Why Treating the Veins Matters

    Compression (stockings or wraps) helps improve blood flow and reduce swelling. It is an important first step—but it does not fix the root cause.

    Research shows:

    • Treating abnormal veins helps wounds heal faster
    • It significantly reduces the risk of recurrence
    • Without vein treatment, ulcers often return—in up to 45–70% of cases

    In other words, the wound may close temporarily, but the underlying problem remains—leading to repeated breakdown.


    Why Early Evaluation Matters

    Vein disease is progressive, meaning it can worsen over time if left untreated. What may begin as mild symptoms can progress to skin damage or ulcers.

    In severe cases:

    • Infection can spread into the bloodstream (sepsis, life-threatening)
    • Infection can involve the bone (osteomyelitis, limb-threatening)

    A simple, painless ultrasound can:

    • Identify the underlying cause
    • Map the affected veins
    • Help create a personalized treatment plan

    The Good News: Modern Treatments Work

    Modern vein treatments are:

    • Minimally invasive
    • Performed in the office
    • Quick, with little downtime

    Common options include:

    • Endovenous laser ablation (EVLA)
    • Medical adhesive closure (VenaSeal)
    • Ultrasound-guided sclerotherapy

    Often, a combination of treatments is used to close unhealthy veins and restore normal blood flow.

    For patients with ulcers or advanced disease:

    • Healing improves when vein issues are treated early
    • Pain, swelling, and skin damage can significantly improve
    • The risk of recurrence is much lower

    Call to Schedule a Consultation Today!

    If you have sores on your legs that won’t heal, keep coming back, or have been blamed on conditions like diabetes, eczema, or psoriasis—and you’ve been dealing with long-term wound care—there may be an underlying vein problem.

    The good news is that modern vein treatments are safe, performed in the office, require little to no downtime, and are designed to keep discomfort to a minimum.

    Don’t lose hope. Treating the root cause can help your wounds heal and provide lasting relief. Call us today at 816-396-0245 to schedule a Consultation with your Venous Ulcer Specialist at Alsara Vein Clinic.

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