Trophic Ulcers

A trophic ulcer is a long-lasting, non-healing wound caused by a significant disruption in tissue nutrition and chronic cell starvation. Regular ointments and dressings can't fix it, because the problem lies deeper — in impaired major blood flow.

Causes: the Vascular Factor

Over 85% of leg trophic ulcers have a vascular origin:

• Venous ulcers (the most common) — resulting from congestion in advanced varicose vein disease or post-thrombotic syndrome
• Arterial ulcers — resulting from critical oxygen deficiency due to atherosclerotic narrowing or blockage of arteries
• Mixed (venous-arterial) ulcers — complex combined lesions requiring a precise, tailored approach

Expert Treatment Algorithm

Attempts to treat the ulcer with local care alone give only a temporary effect or lead to complications. The key to success is eliminating the root cause.

• Vascular surgeon consultation — initial assessment of the tissue condition and determination of the approach
• Mandatory vein and artery ultrasound (duplex scanning) — expert visualization of blood flow to pinpoint the exact source of the problem
• A personal treatment plan — the vascular surgeon develops a comprehensive program: from restoring normal blood flow (treating venous or arterial disease, appropriate medication therapy) to modern wound dressings for faster healing and possible injection techniques (plasma therapy, hyaluronic acid and/or polynucleotide injections)

Don't delay your visit: the sooner blood flow is restored, the sooner your quality of life returns.