Many leg wounds do not heal: the cause is venous insufficiency
A wound on the lower part of the leg that does not heal for weeks or even months is not normal. However, this is a more common problem than it seems and, in many cases, it is not due to poor local wound care, but to a cause that is being overlooked: varicose veins with venous insufficiency.
The most common mistake: treating the wound and not the cause
Many doctors focus solely on closing the wound through dressings, antibiotics, or healing creams. Although these measures may be necessary, they will not be effective if the underlying problem is not corrected.
Varicose veins in the legs disrupt the normal return of blood to the heart. When venous insufficiency is present, blood pools in the lower part of the leg, increasing pressure inside the veins. Over time, this causes skin changes, inflammation, darkening, and eventually varicose ulcers—wounds that simply cannot heal while the vein continues to fail.
Venous ulcer: a warning sign
A venous ulcer does not appear overnight. It is usually the result of years of untreated venous insufficiency. That is why, when we see varicose veins in the legs photos and videos, we often observe that the skin is already damaged before the wound appears.
Ignoring this warning sign can lead to infections, chronic pain, and a significant decrease in quality of life.
The importance of an accurate diagnosis
To achieve real and long-lasting healing, it is essential to perform a complete evaluation with Color Duplex Doppler Ultrasound, a study that allows precise identification of which veins are failing and the exact cause of the problem.
This exam must be performed and interpreted by a cardiovascular surgeon, as this specialist is trained to determine the most appropriate and safest treatment.
Effective treatment: treat the varicose veins first, then the wound
True success in treating these wounds is achieved when venous insufficiency is addressed first. There are multiple modern options for the treatment of varicose veins in the legs, which are minimally invasive and highly effective, allowing circulation to improve and creating the necessary conditions for the wound to finally close.
For this reason, visiting a varicose vein specialist can make the difference between a chronic wound and definitive recovery.
If a wound on the lower part of the leg does not heal, the problem is probably not the wound itself, but the veins. Understanding the causes of varicose veins in the legs and treating them in time is the key to avoiding major complications and achieving true healing.
If you would like a consultation with a physician who is considered the best cardiovascular surgeon in Lima, do not hesitate to contact us. We are at your service.