Arterial Ulcers
What Are Arterial Leg Ulcers?
Arterial ulcers are a type of chronic wound that typically appears on the feet, heels, or lower legs. They result from reduced arterial blood flow, often caused by peripheral arterial disease (PAD), which restricts the oxygen and nutrients needed for tissues to heal. These ulcers tend to have a punched-out appearance, and they can be painful—especially at rest or when elevating the legs. Without prompt care, they can lead to serious complications including infection or tissue death.
What Causes Arterial Ulcers?
The primary cause of arterial leg ulcers is restricted blood flow due to narrowed or blocked arteries. This often occurs as a result of peripheral arterial disease (PAD), a condition linked to atherosclerosis—the buildup of fatty deposits in the artery walls. With insufficient circulation, even minor injuries may not heal properly. Over time, this can lead to skin breakdown and ulceration. Risk factors include smoking, diabetes, high blood pressure, and elevated cholesterol. Proper management of these conditions is critical to preventing arterial ulcers.
Signs and Symptoms of Arterial Ulcers
Sharp or Constant Pain– Pain often worsens when lying down or elevating the leg, and may be relieved when sitting or dangling the foot.
Cool, Pale Skin– The affected area often feels cold to the touch and may appear pale, bluish, or purplish.
Thin or Shiny Skin– Skin may become smooth, hairless, and fragile due to poor blood supply.
Slow or No Healing– Wounds may remain open or worsen over time, particularly without medical treatment.
Well-Defined Wound Edges– Arterial ulcers often have round, clearly outlined borders with minimal bleeding.
Minimal Drainage– These ulcers are typically dry, with little to no fluid or pus unless infected.
If you notice any of these symptoms, it’s important to seek care as soon as possible. Our team provides accurate assessment and specialized treatment to help restore healthy blood flow and promote healing.
Treatment Options for Arterial Ulcers
Treating arterial ulcers requires addressing both the wound and the underlying circulatory problem. At AWC, we offer in-home care plans tailored to your condition, focusing on promoting blood flow, reducing pain, and preventing further tissue damage.
Circulation Support– We coordinate with your healthcare team to explore medications or procedures like angioplasty or bypass surgery to improve arterial flow.
Wound Debridement– We gently remove dead tissue to support healthy skin growth and prevent infection.
Offloading and Pressure Relief– We may recommend custom footwear or mobility adjustments to reduce pressure on the wound.
Topical Treatments– Specialized dressings and wound-care products are used to protect the ulcer and create a healing environment.
Hyperbaric Oxygen Therapy– In select cases, high-oxygen environments may be used to boost tissue repair.
Pain Management– We help manage pain using appropriate medications and techniques tailored to your comfort level.
Frequently Asked Questions
Can an arterial ulcer heal on its own?
It’s unlikely. Arterial ulcers typically require medical intervention to restore blood flow and properly manage the wound. Without care, they may worsen or become infected.
Is surgery always necessary to treat arterial ulcers?
Not always. Some cases can be managed with medications and lifestyle changes. However, if circulation is severely restricted, surgical intervention like angioplasty may be recommended.
What can I do to prevent arterial ulcers from coming back?
Managing conditions like PAD, quitting smoking, exercising regularly, and following a heart-healthy diet can all reduce your risk. Keeping your feet protected and checking for signs of skin changes also helps catch issues early.
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Accelerated Wound Care – Serving the Chicagoland Area
Phone: (844) 292-5708
Fax: (244) 361-2616
Email: Info@AWCIllinois.com
2720 S. River Rd., Suite 256
Des Plaines, IL, 60018