Leg Ulcers: A Treatment Programme

Abstract

Most patients with leg ulcers suffer from pain, malodorous discharge or difficulty with mobility. GPs and nurses are ideally placed to provide a comprehensive treatment program for patients with leg ulcers. When dealing with leg ulcers, it is important to make an accurate diagnosis as the treatment will be dependent on the underlying cause. Most leg ulcers in primary care are caused by venous hypertension from varicose veins. With appropriate primary wound dressings, compression bandaging and a holistic approach to patient management (e.g. good diet, no smoking, exercise, weight management, etc.) most varicose ulcers less that 20–30 mm should heal in 6–12 weeks. There is no single ulcer dressing that will deal with all situations. It is best to identify the most appropriate dressing for each stage of the healing process.