Non-healing wound treatment

Do You Have a Wound That Won’t Heal? 

Treating the underlying causes can improve the healing process.

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Get Relief from Your Non-healing Wound

Do you have an open sore that won’t heal or keeps returning? These open sores, often called ulcers or non-healing wounds, are a result of poor blood flow to your legs. Without enough blood flow, the sores will likely not heal on their own. By determining the underlying cause of your ulcers, we can help resolve the issue and you can avoid amputation. 


What Are the Risk Factors for Non-healing Wounds?

Common risk factors for developing non-healing wounds include:

  • Diabetes
  • Infections
  • Kidney disease
  • Lymphedema
  • Poor blood flow caused by blocked arteries
  • Pressure
  • Tobacco use
  • Venous insufficiency 


How Are Non-healing Wounds Diagnosed?

Non-healing wounds are diagnosed through physical assessment and diagnostic testing which includes non-invasive vascular studies, including MRI, CT and X-rays. 


Types of Ulcers

At CDI Vascular Care, we see anyone with non-healing wounds on their legs and feet. Lower extremity ulcers include:

  • Arterial
  • Venous stasis
  • Neuropathic
  • Neuroischaemic


Arterial Ulcers

An arterial ulcer is caused by the lack of oxygen rich blood reaching the tissues in the leg and foot due to a blocked artery. These ulcers are often found on the feet. They are usually yellow, brown, black or gray in color and have a punched out appearance. They are usually painful.

If you have a history of diabetes, heart disease or stroke, you may have circulation issues in other parts of your bodies and may develop arterial ulcers because of poor circulation or poor arterial blood flow.

Treatment for Arterial Ulcers 
Endovascular revascularization
Revascularization opens the blocked arteries from inside the vein. During your angiogram, the interventional radiologist inserts a thin catheter into a blood vessel through a small nick in the skin. The catheter is threaded under X-ray guidance to the site of the blocked artery. The location of the blockages and type of symptoms you have will help the doctor determine the best way to treat your blockages. The options include:

  • Angioplasty (balloons to open the artery) - A catheter with a balloon is passed through the blocked artery. Once inflated, the balloon compresses the plaque against the wall of the artery.
  • Atherectomy (devices used to remove the plaque inside the artery) - A special catheter is used to gently shave and remove plaque from the arteries.
  • Stents (small pieces of metal to hold open the artery) - During angioplasty, a tiny metal mesh tube called a stent may be placed in the artery to help hold it open.

Venous Stasis Ulcers

Venous insufficiency caused by failure of the veins to move old blood out of the legs and back to the heart for recirculation. When your veins are not working properly, you may notice skin changes, swelling and decreased healing which can lead to open sores. 

Venous ulcers are primarily located anywhere from below the knee to just above the ankle. The ulcer is usually red in color and may drain clear, yellow or green fluid.

Treatment for Venous Stasis Ulcers
Vein Ablation
Endovenous ablation is a minimally invasive procedure for treating incompetent or leaking veins. Under ultrasound guidance a laser fiber or radiofrequency probe is placed inside the non-functioning vein. The area around the vein is then anesthetized. The device is then activated and slowly pulled back to destroy the vein. This will stop the leakage of blood into the veins in your legs and in most instances will improve your symptoms.


Neuropathic Ulcers

Neuropathic ulcers are primarily caused due to decreased sensation on pressure points of the bottom and sides of your feet. Their appearance varies but may be pink, red, brown or black. They are usually punched out in appearance and the surrounding skin is calloused. 

If you have diabetes or a decreased sensation in your feet then you are at risk of developing neuropathic ulcers. These wounds require good foot care and the removal of pressure on the wound with proper footwear.

Treatment for Neuropathic Ulcers
You will be sent to our partner clinic for a special boot to be created. This will help remove pressure on the wound and allow it to heal. 


Neuroischaemic Ulcers

Often seen on the edges of your foot, Neuroischaemic ulcers can also develop on the tips of toes and beneath any toe nails that become overly thick.

Treatment for Neuroischaemic Ulcers
The treatment for Neuroischaemic ulcers requires both revascularization as well as a specially created boot.

Endovascular revascularization
Revascularization opens the blocked arteries from inside the vein. During your angiogram, the interventional radiologist inserts a thin catheter into a blood vessel through a small nick in the skin. The catheter is threaded under X-ray guidance to the site of the blocked artery. The location of the blockages and type of symptoms you have will help the doctor determine the best way to treat your blockages. Once the procedure is complete, you will be sent to a clinic to have a special boot created to allow for the wound to heal. 


Schedule a Consultation

If you believe you have PCS, don't wait any longer to learn if embolization is the answer for you. Complete the form below to request a consultation with CDI Vascular Care, or get in touch with us at 952-738-4477.

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