Vein ulcers are open sores, usually near the ankle or lower leg, caused by chronic venous insufficiency and high pressure in the leg veins. They may be slow to heal and can recur if the underlying vein problem is not addressed.
Venous ulcers require careful evaluation because wounds may also be affected by arterial disease, diabetes, infection, swelling, or pressure.
Symptoms patients may notice
- Open sore near the ankle or lower leg
- Leg swelling, heaviness, or aching
- Brown discoloration, thickened skin, or itching around the wound
- Drainage, redness, tenderness, or signs of infection
- History of varicose veins, DVT, or chronic swelling
How we evaluate this condition
- Wound and skin examination
- Venous ultrasound and arterial circulation check when appropriate
- Assessment for infection, diabetes, swelling, and compression safety
- Coordination with wound care when needed
Treatment and care options
- Compression therapy when safe and appropriate
- Wound dressings, debridement, infection control, and edema management
- Endovenous treatment or vein procedure referral to reduce venous pressure when indicated
- Long-term prevention plan to reduce recurrence
When to seek urgent care
Seek urgent care for fever, rapidly spreading redness, severe pain, black tissue, or concern for blood clot.