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“Work used to be tiring and my legs would ache and swell. Now I have more energy and no longer have pain and swelling in my legs after work.”
– T. A.

What are Venous Ulcers

Venous ulcers indicate the most severe forms of venous insufficiency. They typically involve both the deep (including perforators) and superficial vein systems. Extreme reflux and venous hypertension result in changes in the microcirculation of the skin, eventually leading to severe ulceration.

Possible Symptoms

  • Swelling
  • Achiness
  • Tiredness in the legs
  • Skin rash
  • Leg ulcer
  • Redness

Risk Factors

Risk factors include gender, age, pregnancy, obesity, a family history of varicose veins, sedentary occupation, or history of blood clot.


Treatment options vary by patient and their ultrasound findings. Currently, long segment veins may be treated with endovenous radiofrequency ablation, endovenous laser ablation, or by the use of medical adhesives. Communicating vessels — called perforator veins — are treated by endovenous radiofrequency ablation or laser ablation. Medical adhesive is under investigation. Varicose veins are either removed through micro incisions or treated with ultrasound guided sclerotherapy. Associated tributary veins may be treated by ultrasound guided sclerotherapy. Non-procedural treatment consists of the use of none-elastic compression bandaging, compression stockings, leg elevation, and the use of NSAIDs for pain.