Trophic ulcer - causes, symptoms, diagnosis, treatment and prevention
Trophic ulcer is a rather unpleasant and dangerous disease requiring qualified treatment. In this article we will tell you about the causes of ulcers, symptoms, diagnosis and will try to discuss in detail the treatment of trophic ulcers.
- Trophic venous ulcer - what is it?
- Causes of trophic ulcers on the leg
- A trophic ulcer is very bad!
- Trophic ulcer - symptoms
- Why does a trophic ulcer appear more often on the lower extremities?
- Trophic ulcer with varicose veins
- Trophic ulcer, stages or variants of the course
- Trophic ulcer, diagnosis
- The danger of a trophic ulcer - Wikipedia warns!
- Trophic ulcer - treatment in Moscow
- Trophic ulcer - treatment at home
- Trophic ulcer - treatment without surgery
- Trophic ulcer - treatment with folk remedies
- Trophic ulcer - laser treatment (EVLO, EVLK)
- Trophic ulcer - treatment with radio frequency (RFA, RFO)
- Is diet necessary for the treatment of trophic ulcers?
- Trophic ulcer - prevention
- Frequently asked questions of our patients on the trophic ulcer on the Internet
- Trophic ulcer - treatment. Feedback from our patients.
A trophic venous ulcer is a long 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 months and up to several years), with periods of exacerbation.
It looks like a venous trophic ulcer
The trophic ulcer always accompanies another serious disease. Diseases that contribute to the appearance of trophic ulcers:
- advanced stage of varicose veins
- 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
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 there was a trophic ulcer of the lower extremities, treatment should be rapid.
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
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.
The lower extremities are most prone to the appearance of trophic ulcers. This is due to slow blood flow in the vessels of the legs. Lymphostasis and malnutrition of tissues leads to the appearance of extensive ulcers with dirty purulent plaque. This is the trophic ulcer of the lower extremities. Photos, symptoms, diet, prevention - all these issues should be considered in detail. It is worth noting that with diabetes, ulcers appear on the big toe and heels.
More than 70% of cases of trophic ulcers are due to severe cases of varicose veins. Even slight damage to the integrity of the skin in varicose veins can lead to the formation of ulcers on the ankles and legs.
Large trophic ulcer on the lower leg
Trophic ulcers located on the tibia indicate serious changes in larger venous vessels and the spread of the area with impaired innervation and poor blood supply. Trophic ulcers usually cause severe pain.
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 of treating trophic ulcers should be correct, competent and qualified: no poultices and tinctures!
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 necessary to distinguish between venous and arterial trophic ulcers. The former are found in patients of any age, whereas arterial ulcers are an ailment that occurs exclusively in the elderly due to atherosclerosis of the artery walls.
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)
- infrared thermography
- spiral computed tomography
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.
The main point in the treatment of trophic ulcers is the identification of the underlying disease that caused ulcerative skin defect. This approach will ensure effective treatment of ulcers and prevention of relapse. The danger of trophic ulcers is that, in the absence of proper treatment, damaged cells are capable of malignant degeneration and the appearance of squamous cell carcinoma, in rare cases, skin sarcomas. Therefore, even if the trophic ulcer has left, treatment after the operation should continue.
Do you have a trophic ulcer? The treatment in Moscow or in any other city is quite lengthy and represents a whole complex of measures so that the trophic ulcer disappears. Conservative treatment, the same as drug treatment, is aimed at reducing the symptoms of the underlying disease, which caused a violation of trophic tissue, treatment of ulcerative lesions proper and the fight against secondary infection.
Excellent laser trophic ulcer treatment results
Depending on the stage, the trophic ulcer is removed in different ways. Treatment (Moscow offers a variety of methods) depends on the stage of trophic ulcer development and is conducted in the following areas:
- local treatment;
- elastic compression;
- drug treatment;
- hemosorption - removal from the blood of toxic products of tissue decay;
- 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, treatment (photo, results you have already evaluated) which you did not spend, increases?
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 A. Malakhov
In our center "MIFTS" the leading surgeon-phlebologist Malakhov Alexey Mikhailovich is dealing with this problem.
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. The laser inserted into the vein, helps to reduce blood viscosity, significantly reduces the risk of thrombosis, increases blood flow in problem areas. In addition, the laser beam effectively reduces pain, the trophic ulcer decreases. Laser treatment (feedback is below) in combination with conservative treatment allows to avoid surgical intervention.
Laser therapy is carried out in courses in 10-15 procedures. With the correct individual selection of exposure parameters, this method of treatment does not give complications, patients note good tolerability of procedures, a trophic ulcer is quickly eliminated. Laser treatment, the price of which is not too high, is very popular.
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 may seem. We will talk about this below.
A more radical method of treating trophic ulcers is surgery using laser coagulation (endovasal laser coagulation). The EVLK technique has been used by us for many years. This method of treatment consists in “burning out” a 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 normal mode of life.
Laser treatment of trophic ulcers at the MIFC Center
Laser treatment of trophic ulcers in Moscow has several advantages:
- small traumatism - the phlebologist does not make additional incisions in the ulcerated area;
- the possibility of avoiding prolonged conservative treatment before surgery;
- high efficiency - cicatrization of the ulcer passes quite quickly;
- positive cosmetic effect - small traumatism of tissues excludes the formation of gross scars, when the trophic ulcer disappears. Laser treatment, the cost of which can be discussed upon admission, will help you.
The radiofrequency treatment method is considered the most modern and safe if you have a trophic ulcer. Treatment of RFA in Moscow consists in heating the walls of a vein with microwaves, it “closes”, and the trophic ulcer is gradually contracting. Treatment of RFW - and after a few months, the problematic vein is a connective tissue cord, and the entire load goes to neighboring, healthy vessels. So the trophic ulcer gradually heals.
Treatment of trophic ulcers with radio frequency (RFA, RFO) in our center
Treatment of RFW in Moscow is carried out quickly enough, after 10 minutes after the intervention, the patient goes home. The radio frequency method provides the following advantages:
- short-term 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 coarse rumen, where there was a trophic ulcer. Treatment of RFA 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.
What should be avoided if there is a trophic ulcer? Photo complications will help you keep yourself in the hands of a diet. Nutrition for trophic ulceration excludes salty foods and spices. It is necessary to saturate the body with nutrients, vitamins and Omega-3 acids. Especially useful vegetables (carrots, tomatoes, cabbage), fruits, nuts, milk, cheese, vegetable and butter, fish. Eat small meals in order to avoid a sharp increase in sugar in the blood. No cardinal change in the diet is required, a slight correction of it will have a favorable effect on the recovery process.
That the trophic ulcer has not returned, treatment has not passed by a gift (which cost can be learned only after consultation), take care of prophylaxis. 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.
Victoria from Ufa asks: how to treat non-healing leg wounds?
Dear Victoria! In order to effectively treat non-healing wounds on the legs, you need to understand how such wounds appeared. Long nonhealing wounds on the legs can form due to a number of completely different pathologies, and each requires its own specific treatment.
Maria from Vologda asks: how to treat non-healing wounds at home?
Dear Maria! Before you begin to treat long-term non-healing wounds at home, you need to find out the cause of the appearance of such wounds. Most often it is:
- 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.
Nadezhda from Krasnogorsk asks: how to treat a deep wound?
Dear Hope! Question: how to treat a deep wound, you need to ask the doctor in-person consultation. To treat such wounds on your own, with the help of the Internet, can be fraught with the progression of the process and the development of a life-threatening condition.
Vera from Kemerovo asks: six months ago my father developed sores on his legs, how to get rid of them?
Dear Faith! If sores on the legs appear and do not go away for a long time, only a doctor will usually help get rid of them. Long-term non-healing wounds are often a sign of a serious pathology requiring specific treatment.
Testimonial of a patient about the treatment of trophic ulcers with a laser in our center.
Victor Petrovich, 65 years.
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.
Our patient with a surgeon-phlebologist Malakhov A.M. after treatment completion
The foot constantly ached, there was a buzzing sensation in it at the end of the day, and then it formed a trophic ulcer, which became more and more. She didn’t dare to perform the operation in the classical way, as she was afraid after the reviews read on the network and all kinds of complications. Good daughter in the subject, I found an experienced doctor in Moscow Malakhov Alexei Mikhailovich. Before the operation, and this is endovasal laser coagulation, in a medical center in Moscow, where I decided to do it, they did an ultrasound, donated blood and that’s all. After the operation, they forced to get up from the table and walk for about an hour. After 3 weeks it seemed to my doctor. I didn’t worry about scars, the main thing is that the ulcer heals faster. 3 months have passed since the laser leg procedure. 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