Non-Healing Wounds

Non-Healing Wounds in leg, Treatment

Treatment for non-healing wounds in the leg, often referred to as chronic leg ulcers, depends on the underlying cause of the wound. Chronic leg ulcers can result from various conditions, such as venous insufficiency, arterial disease, diabetes, or pressure sores. The primary goal of treatment is to promote wound healing, prevent infection, and address the underlying cause. Here are some common treatment approaches

Wound Care

Proper wound care is crucial for healing. The wound should be gently cleaned with mild soap and water or a saline solution. Dead or infected tissue removal may be necessary to promote healing. Regular dressing changes with appropriate wound dressings are essential to maintain a moist wound environment. If the ulcer is related to venous insufficiency, compression bandages or stockings can help improve blood flow and reduce swelling.

Treatment of Underlying Condition

Venous Ulcers

If venous insufficiency is the underlying cause, managing venous disease with compression therapy, elevation of the legs, and treatment of varicose veins may be necessary.

Arterial Ulcers

Arterial disease requires management to improve blood flow to the affected area. This may involve medications, angioplasty, or vascular surgery.

Diabetic Ulcers

Strict blood sugar control, wound debridement, improvement of blood supply where indicated, and specialized diabetic wound care are essential.

Pressure Ulcers

Pressure relief, repositioning, and specialized cushions or mattresses are important for pressure ulcer management.

Infection Control

Infection can significantly hinder wound healing. Antibiotics or antimicrobial dressings may be prescribed if an infection is present.

Advanced Therapies

Negative Pressure Wound Therapy (NPWT)

In carefully selected cases, this involves applying negative pressure suction dressings to the wound, promoting tissue growth and improved circulation.

Hyperbaric Oxygen Therapy (HBOT)

In certain situations, HBOT may be used to increase the delivery of oxygen to the wound site, which can aid in healing. Special chambers are used that deliver oxygen at above atmospheric pressure.

Larvae (Biological Treatment)

These specialise at eating dead necrotic tissue which allow the healthier tissue to receive improved circulation and oxygenation.

Bioengineered Skin Substitutes

These products can be applied to the wound to facilitate healing.

Surgical Treatment

For particularly challenging cases, surgical options like skin grafts, flap reconstruction, or debridement may be considered.

Nutrition and Lifestyle

Proper nutrition is essential for wound healing. Patients with chronic leg ulcers should have a balanced diet rich in protein, vitamins, and minerals. Lifestyle changes, such as smoking cessation and weight management, can positively impact wound healing. Interaction with a Dietician and Nutritional specialists will aid results.