Trophic ulcer. Causes, symptoms, diagnosis and treatment of venous trophic ulcer

A trophic ulcer is a rather unpleasant and dangerous disease that requires qualified treatment. In this article, we will tell you about the causes of ulcers, symptoms, diagnostics and will try to discuss in detail the treatment of trophic ulcers.

Contents:

  1. Trophic venous ulcer - what is it?
  2. Causes of trophic ulcers on the leg
  3. Trophic ulcer is very bad!
  4. Trophic ulcer - symptoms
  5. Why does a trophic ulcer appear more often on the lower extremities?
  6. Trophic ulcer with varicose veins
  7. Trophic ulcer, stages or variants of the course
  8. Trophic ulcer, diagnosis
  9. Why is a trophic ulcer dangerous - Wikipedia warns!
  10. Trophic ulcer - treatment in Moscow
  11. Trophic ulcer - home treatment
  12. Trophic ulcer - treatment without surgery
  13. Trophic ulcer - treatment with folk remedies
  14. Trophic ulcer - laser treatment (EVLO, EVLK)
  15. Trophic ulcer - radio frequency treatment (RFA, RFO)
  16. Is diet necessary for the treatment of trophic ulcers?
  17. Trophic ulcer - prevention
  18. Frequently asked questions of our patients on the Internet about trophic ulcer
  19. Trophic ulcer - treatment. Feedback from our patients.

Trophic venous ulcer - what is it?

 

A trophic venous ulcer is a long-term non-healing defect of the skin surface resulting from a violation of local innervation, lymph and blood flow. The disease is protracted (usually more than 1 month and up to several years), with periods of exacerbation.

Trophic ulcer on the leg

It looks like a venous trophic ulcer

 

Causes of trophic ulcers on the leg

 

The trophic ulcer always accompanies another serious disease. Diseases that contribute to the appearance of trophic ulcers:

  • advanced stage of varicose veins
  • thrombophlebitis
  • atherosclerosis
  • diabetes
  • hypertonic disease
  • burns, frostbites
  • arsenic poisoning
  • radiation exposure
  • diseases of the spinal cord and peripheral nerves
  • complicated tuberculosis and syphilis
  • blood diseases
  • prolonged immobility due to trauma (bedsores)
  • complicated skin diseases, including allergic conditions

Trophic ulcer is very bad!

 

More often ulcers occur on the lower limbs, but they may appear on other parts of the body and even on the mucous membrane. From the usual wound the trophic ulcer distinguishes the following:

  • long, recurrent;
  • inability of damaged tissues to regenerate (heal);
  • loss of tissue;
  • healing with the formation of deep scar.

If a trophic ulcer of the lower extremities appears, treatment should be prompt.

Trophic ulcer - symptoms

 

Trophic ulcers do not form spontaneously. Initially, puffiness appears, accompanied by severe itching. The skin is thinning. Pigmentation or cyanosis appears.

Multiple trophic ulcers on the leg

Multiple trophic ulcers on the leg

 

The appearance of a trophic ulcer is often accompanied by chills and night cramps of the calf muscles. Due to stagnation in the lymphatic vessels, droplets of liquid begin to appear on the glassy surface of the skin. Further, the foci of exfoliated epidermis merge, and an ulcer with torn densified edges forms, causing severe pain at the slightest touch. As a rule, the ulcer surface is quickly colonized by bacteria, a bleeding ulcer begins to fester.

Why does a trophic ulcer appear more often on the lower extremities?

 

The lower limbs are most susceptible to the appearance of trophic ulcers. This is due to the slowed down blood flow in the vessels of the legs. Lymphostasis and inadequate tissue nutrition leads to the appearance of extensive ulcers with a dirty, purulent coating. This is a trophic ulcer of the lower extremities. Photos, symptoms, diet, prevention - all these issues are worth considering in detail. It should be noted that in diabetes mellitus ulcers appear on the big toe and heels.

Trophic ulcer with varicose veins

 

More than 70% of cases of trophic ulcers are due to severe cases of varicose veins. Even minor damage to the integrity of the skin with varicose veins can lead to the formation of ulcers on the ankles and legs.

Large trophic ulcer on the lower leg

Large trophic ulcer on the lower leg

 

Trophic ulcers located on the lower leg indicate serious changes in the larger venous vessels and the spread of an area with impaired innervation and poor blood supply. A trophic ulcer of the leg usually causes severe pain.

Trophic ulcer, stages or variants of the course

 

The size of the trophic ulcer depends directly on the insufficiency of the blood supply and the duration of the pathological process. Usually the ulcer surface takes no more than 35 cm2. In the absence of treatment, it can cover the entire shin and reach 100 cm2 Methods for treating trophic ulcers must be correct, competent and qualified: no poultices and tinctures!

Stages of development of trophic leg ulcers

Stages of the appearance of a trophic ulcer

 

The initial stage (bleeding ulcer of small size) is complicated by the attachment of bacterial and fungal infection. From the ulcer begins to separate purulent contents with an unpleasant odor. The longer the process, the deeper layers are exposed to inflammation and putrefaction. The ulcerative lesion extends to the gastrocnemius muscles, involving the ankle joint in the inflammatory process. In advanced cases, it is possible to develop pyoderma, phlegmon and sepsis.

It is worth distinguishing between venous and arterial trophic ulcers. The former are found in patients of any age, while arterial ulcers are an ailment that occurs exclusively in old age, due to atherosclerosis of the arterial walls.

Trophic ulcer, diagnosis

 

When diagnosing a trophic ulcer and identifying the causes of its occurrence, the following laboratory tests are used:

  • determination of blood sugar level
  • Wasserman reaction
  • cytological analysis
  • bacteriological study

The doctor also prescribes a number of necessary studies:

  • ultrasound examination of the vessels of the lower extremities
  • angiography (X-ray examination of vessels with contrast substance)
  • rheovasography
  • infrared thermography
  • spiral computed tomography

 Diagnosis of a trophic ulcer is a key step in the proper treatment

Diagnosis of a trophic ulcer is a key step in the proper treatment

 

For the choice of effective treatment, consultation of a phlebologist surgeon specializing in diseases of the lower extremities is needed.

Why is a trophic ulcer dangerous - Wikipedia warns!

 

The main point in the treatment of trophic ulcers is the identification of the underlying disease that caused the ulcerative skin defect. This approach will provide effective ulcer treatment and prevent recurrence. The danger of trophic ulcers is that in the absence of proper treatment, damaged cells are capable of malignant transformation and the appearance of squamous cell carcinoma, in rare cases, skin sarcomas. Therefore, even if the trophic ulcer is gone, treatment after the operation should continue.

Trophic ulcer - treatment in Moscow

 

Do you have a trophic ulcer? Treatment in Moscow or in any other city is quite lengthy and is a whole range of measures to make the trophic ulcer disappear. Conservative treatment, the same as drug treatment, is aimed at reducing the symptoms of the underlying disease that caused tissue trophic disorders, treating ulcerative lesions itself and combating secondary infection.

Laser trophic ulcer treatment

Excellent laser trophic ulcer treatment results

Depending on the stage, the trophic ulcer is removed in different ways. Treatment (Moscow offers many methods) depends on the stage of development of a trophic ulcer and is carried out in the following areas:

  • local treatment;
  • elastic compression;
  • drug treatment;
  • hemosorption - removal of toxic products of tissue decay from the blood;
  • physiotherapy;
  • auto-irradiation of blood with laser or ultraviolet rays;
  • surgical intervention in the presence of indications;
  • visiting sanatoriums.

What if you have deep trophic ulcers of the lower extremities? What to do if a large trophic ulcer, the treatment (photo, the results you have already evaluated), which you did not perform, increases?

Trophic ulcer - home treatment

 

The attending physician decides on the possibility of treating an ailment at home. With the prescribed complex of medicines, the patient can do dressings at home, regularly visiting the doctor. It is of course desirable that this doctor be a good specialist in the treatment of trophic ulcers. There are few such doctors in Moscow.

Leading specialist of our center for the treatment of trophic ulcers Malakhov Aleksei Mikhailovich

Leading specialist of our center for the treatment of trophic ulcers A. Malakhov

  

In our center "MIFTS" the leading surgeon-phlebologist Malakhov Alexey Mikhailovich is dealing with this problem.

Trophic ulcer - treatment without surgery

 

If the cause of the ulcer is not venous pathology, then conservative measures are enough. Of great help in the home treatment of the initial stages of skin ulcer at a size of up to 50 cm2  is a portable laser machine. A laser injected into a vein helps to reduce blood viscosity, the risk of thrombus formation is noticeably reduced, and blood flow in problem areas increases. In addition, the laser beam effectively reduces pain and reduces trophic ulcers. Laser treatment (reviews are below) in combination with conservative treatment avoids surgical intervention.

Laser therapy is carried out in courses of 10-15 procedures. With the correct individual selection of the exposure parameters, this treatment method does not give complications, patients note the good tolerance of the procedures, and the trophic ulcer is quickly eliminated. Laser treatment, the price of which is not too high, is very popular.

Trophic ulcer - treatment with folk remedies

 

If you have a trophic ulcer, treatment with folk remedies can only aggravate the situation. It is better to immediately make an appointment with a doctor so that the trophic ulcer does not become deeper. Treatment (surgery) is not as difficult as it might seem. We will talk about this below.

Trophic ulcer - laser treatment (EVLO, EVLK)

 

A more radical method of treating a trophic ulcer is an operation using laser coagulation (Endovasal laser coagulation). We have been using the EVLK technique for many years. This method of treatment consists in "burning out" the vein, which is located in the area of ​​the trophic ulcer. The results are very good: ulcers heal almost before our eyes. Scarring occurs within a few weeks. At the same time, patients do not drop out of their usual routine. 

Laser treatment of trophic ulcers at the MIFC Center

Laser treatment of trophic ulcers at the MIFC Center

 

Laser treatment of trophic ulcers in Moscow has a number of advantages:

  • low trauma - the phlebologist does not make additional incisions in the ulcerated area;
  • the possibility of avoiding prolonged conservative treatment before surgery;
  • high efficiency - scarring of the ulcer passes rather quickly;
  • positive cosmetic effect - low tissue trauma excludes the formation of rough scars when the trophic ulcer disappears. Laser treatment, the cost of which can be discussed upon admission, will help you.

Trophic ulcer - radio frequency treatment (RFA, RFO)

 

Radiofrequency treatment is considered the most modern and safest if you have a trophic ulcer. RFA treatment in Moscow consists in heating the walls of the vein with microwaves, it "closes", the trophic ulcer slowly contracts. Treatment of RFO - and after a few months, the problem vein is a connective tissue cord, and the entire load is transferred to neighboring, healthy vessels. So the trophic ulcer gradually heals.

Treatment of trophic ulcers with radio frequency (RFA, RFO) in our center

Treatment of trophic ulcers with radio frequency (RFA, RFO) in our center

 

RFO treatment in Moscow is carried out quite quickly, 10 minutes after the intervention, the patient goes home. The RF method offers the following advantages:

  • short duration of the procedure - 30-40 minutes;
  • the parameters of the exposure are selected automatically and without the involvement of a physician;
  • cosmetic effect - the absence of additional traumatism contributes to the formation of a less rough scar, where there was a trophic ulcer. RFA treatment in this regard is very positive.
  • the procedure is completely painless and easily tolerated;
  • there is no need for hospitalization, the patient can lead a normal life, limiting activity only after the procedure.

Is diet necessary for the treatment of trophic ulcers?

 

What should be avoided if there is a trophic ulcer? Photographs of complications will help you keep control of your diet. Food for a trophic ulcer excludes salty foods and spices. It is necessary to saturate the body with nutrients, vitamins and omega-3 acids. Vegetables (carrots, tomatoes, cabbage), fruits, nuts, milk, cheeses, vegetable and butter, fish are especially useful. You should eat small meals in order to avoid a sharp rise in blood sugar. A radical change in the diet is not required, a slight adjustment will have a beneficial effect on the healing process.

Trophic ulcer - prevention

 

In order not to return a trophic ulcer, the treatment was not in vain (the cost of which can be found only after consultation), take care of prevention. Measures to prevent the occurrence of trophic ulcers and relapses:

  • early detection and treatment of diseases that cause the appearance of trophic ulcers;
  • moderate physical activity (daily walking 2-3 km.);
  • use of compression jersey;
  • ignoring baths and saunas, hardening procedures for the feet;
  • refusal of flour and sweets, prevalence of fruits and vegetables in the diet;
  • 2 medical examination once a year.

Frequently asked questions of our patients on the trophic ulcer on the Internet

 

How to treat non-healing leg wounds? 

To effectively treat non-healing wounds on the legs, it is necessary to understand how such wounds appeared. Long-term non-healing wounds on the legs can form due to a number of completely different pathologies, and each requires its own, specific treatment.

How to treat non-healing wounds at home? 

Before starting to treat long-term non-healing wounds at home, you need to find out the reason for the appearance of such wounds. Most often these are:

  • Diabetes.
  • Obliterating atherosclerosis.
  • Chronic venous insufficiency.

If you want to heal long-term non-healing wounds, then in addition to the local use of ointments, it is necessary to deal with the main pathology that caused the problem.

How to treat a deep wound? 

How to treat a deep wound should be asked to the doctor at a full-time consultation To treat such wounds on your own, using the Internet, can be fraught with the progression of the process and the development of a life-threatening condition.

 My father had sores on his legs six months ago, how to get rid of them? 

If "sores" on the legs have appeared and do not go away for a long time, as a rule, only a doctor will help to get rid of them. Long-term non-healing wounds are often a sign of a serious pathology that requires specific treatment.

Trophic ulcer - treatment. Feedback from our patients.

 

Testimonial of a patient about the treatment of trophic ulcers with a laser in our center.

Victor Petrovich, 65 years.

Testimonial about the treatment of trophic ulcer with a laser

I am a pensioner with a whole cart of sores. My legs hurt and swelled for a long time, but, like many, I put off going to the doctor for later. I took some pills on the advice of a nurse-neighbor, although I did not notice much improvement. In general, I got to the point that a huge ulcer appeared on my leg. May God give health to your doctors, I already thought that I would be left without a leg. They gave me laser treatment. Especially I did not delve into the nuances of this case, the doctors guaranteed a good result. Everything went without pain, just a few days later my trophic ulcer began to disappear before my eyes, and after two weeks only a small scar remained from it. Of course, different medicines were prescribed, then I went to a sanatorium and forgot about this terrible disease. Thanks to all the doctors at the Medical Center for Phlebology, especially Dr. Malakhov Alexei Mikhailovich.

The patient’s response to the treatment of trophic ulcers with the EVLO method in our center.

Komissarova L.I.

Feedback on the treatment of trophic ulcers with a laser in our center

Our patient with the surgeon-phlebologist A.M. Malakhov after treatment

 

The leg was constantly aching, there was a buzzing sensation in it at the end of the day, and then a trophic ulcer formed, which became more and more. I did not dare to perform the operation in the classical way, because I was afraid after the reviews read on the network and all kinds of complications. Good daughter in the subject, found me an experienced doctor in Moscow Malakhov Alexei Mikhailovich. Before the operation, and this is endovasal laser coagulation, in the medical center in Moscow, where I decided to do it, they did an ultrasound, donated blood and that's it. After the operation, I was forced to get up from the table and walk for about an hour. After 3 weeks it appeared to my doctor. I did not worry about scars, the main thing is that the ulcer heals faster. 3 months have passed since the laser procedure on the leg. Everything is fine, the ulcer has become very small, but I hope it will soon heal completely.

I am very glad that everything went well. Thanks for all. Komissarova Lyudmila Ivanovna, December 7, 2016