Trophic ulcers on the legs and them. Causes, symptoms and how to treat trophic ulcers on the legs? Video: questions to the phlebologist about trophic ulcers

Main symptoms:

Isolation of pus with blood from an ulcer
Discharge from the skin
Discharge from an ulcer with an unpleasant odor
Swelling of the lower extremities
Feeling of heat in the leg
Increased skin sensitivity
A bluish gray patch on the leg
Decreased performance
Heaviness in the injured leg when walking
Thickening of the skin of the affected leg

A trophic ulcer is an inflammatory wound on the skin of the upper and lower extremities that does not heal for six weeks or more. Appears due to insufficient blood circulation and nutrition of tissues that occur against the background of varicose veins. Such a disease cannot arise on its own, but becomes an unpleasant and serious consequence after some diseases.

Trophic ulcers occupy one of the first places among purulent infections, because they are characterized by a painful course and a long, difficult treatment. Such a pathology can appear on any part of the skin, but in most clinical situations, neoplasms are localized on the lower extremities - from the feet to the knee. Among the most common symptoms of this disease, heaviness when walking and swelling of the legs are noted.

The first sign of such a disorder is the appearance of a small but painful bluish spot. Further, ulcers form, from which pus or blood may flow. This process is accompanied by an unpleasant odor. In order to completely cure such ulcers, you will have to resort to surgical intervention.

Etiology

The causes of trophic ulcers are divided into two groups. The first includes the impact of external factors, and the second - consists of internal processes occurring in the body, and the complications of which are just such skin defects. But any of these causes have a common feature - they arise due to insufficient flow of oxygen and nutrients through the veins.

The first group of reasons consists of:

a wide range of possible wounds of the lower extremities;
burns;
frostbite;
bedsores that appear after prolonged immobilization of a person;
chemicals with which a person can directly contact due to his work activity;
radiation exposure;
wearing uncomfortable, narrow shoes.

The second group of pathogens includes infectious diseases and dermatological problems:

venous and arterial insufficiency of a chronic nature;
disturbed process of lymph outflow;
various autoimmune diseases;
weakened immunity and impaired metabolism can lead to the appearance of a trophic ulcer even from a minor cut;
a sharp increase in body weight;
trauma to the brain or spinal cord;

Trophic ulcers can appear from a combination of several causes of both groups. The choice of the most effective treatment depends on the exact determination of the causes of the disease.

Symptoms

The first symptom that may indicate the progression of such a skin defect is a feeling of heaviness in the injured leg when walking, as well as the appearance of a bluish-gray spot, which can be mistaken for a bruise. These two signs are not the only manifestations of the disease. The main symptoms also include:

noticeable swelling of the lower extremities;
the appearance of cramps in the calves, the intensity of which increases at night;
severe burning and itching;
the skin is sensitive to any touch;
sensation of heat in the leg;
the skin of the affected leg may thicken;
the appearance of secretions from the skin, resembling sweat.

With a minor injury to the leg, which already has the above symptoms, small ulcers appear on the skin, from which a purulent liquid with blood impurities can be released. The discharge very often has an unpleasant odor. Over time, without treatment, such ulcers grow not only in width, but also in depth, which can lead to severe acute pain while walking, to the point that a person will not be able to walk, which means that his performance will decrease. Therefore, if you find the slightest signs of the disease, you should immediately seek help from a doctor.

Complications

The appearance of trophic ulcers on the legs and their untimely treatment can lead to the progression of such complications:

the formation of eczema - specific vesicles that eventually dry out and become covered with a crust;
covering the skin with cellulite;
the appearance of a fungus;
streptococcal skin lesions;
joint deformity;
destruction of the cartilage of the inflamed areas of the lower extremities;
the formation of blood clots in the veins;
oncological neoplasms, but such a consequence is diagnosed very rarely (with a strong neglect of the pathological process).

Diagnostics

For experienced doctors, it will not be difficult to determine the disease after examining the patient, due to the specific symptoms and their characteristic localization. Basically, diagnostics is intended to determine the causes of trophic ulcers. If these were external factors, the patient should tell the doctor about them, as well as report the period of time when this happened. If these are infectious diseases, to confirm this, general and biochemical analyzes of urine and blood are carried out, the level of sugar is determined, and a laboratory study of the fluid secreted from the ulcers is additionally prescribed. Physical examination of the patient will include:

biopsy;
radiography with the use of a contrast agent;
MRI of the lower extremities;
rheovasography, to determine the frequency of pulsation in the damaged area.

Treatment

Treatment of trophic ulcers should be aimed at eliminating the primary source of the disease and preparing for surgical intervention, because this is the only way to permanently get rid of such a problem. In cases where the treatment of such a skin lesion with the help of surgery is impossible, the person should try to prevent the growth of the lesion. Therefore, the therapy of trophic ulcers consists of complex treatment.

The first stage includes taking medications and physiotherapy, which will serve as a preparation for medical intervention and consist of:

cleansing the limb from previously dead skin particles;
reduction of puffiness;
increased blood circulation with the help of medicines;
providing bed rest with fixation of the affected leg above the level of the patient's head. This is done in order to eliminate or prevent stagnation of lymph and blood;
taking antibiotics to eliminate viruses;
a compress from an elastic bandage, which is changed several times a day and will reduce discharge from ulcers;
electrophoresis with the use of medicinal substances;

After the general condition of the patient improves, and the ulcers begin to heal, the next stage in the treatment of trophic ulcers will begin - surgery. This type of treatment has several approaches:

shunting, which will restore the flow of blood through the veins;
removal of varicose veins;
nerve transplant - performed only in case of nerve damage;
prosthetics or replacement of cartilage, if during the course of the disease its structure was disturbed;
skin grafting - if the cause of the trophic ulcer was a burn.

Sanatorium conditions are best suited for postoperative recovery. It is highly recommended to wear an elastic bandage and try to avoid any injury to the lower extremities.

Alternative methods of treatment are considered ineffective - all doctors categorically forbid treating trophic ulcers at home. The only thing a person can do is to follow a non-strict diet, which provides for limited consumption of:

salt;
hot spices and sauces;
fast carbohydrates.

Prevention

The main means of prevention is the timely treatment of diseases that can provoke the appearance of trophic ulcers. After surgery, patients should:

prevent injury to the operated leg;
refrain from excessive physical exertion;
when going outside, always bandage the place that underwent the operation with an elastic bandage;
eat plenty of fresh fruits and vegetables;
lead a healthy lifestyle;
monitor blood sugar levels.

Is everything correct in the article from a medical point of view?

Answer only if you have proven medical knowledge

Trophic ulcers- long-term non-healing tissue defects, prone to sluggish course, relapses and resistance to conservative treatment. The causes of most trophic ulcers are complications of any diseases. Most often, ulcers occur with thrombophlebitis (80% of all patients), as well as with diseases such as endarteritis obliterans, atherosclerosis, diabetes mellitus, etc.

In this article we will talk about the treatment of trophic ulcers with medical and folk remedies at home, but home treatment is possible only after the treatment of the underlying causative disease by a specialist doctor!

Trophic ulcer on the leg: photo

A typical localization of a trophic ulcer is the lower third of the lower leg. Ulcers can be single or multiple. Usually they have a round, oval or irregular shape, the sizes are different, sometimes the ulcer can cover the entire leg in a circular manner.

Trophic ulcer on the leg - the lower third of the lower leg

The edges of the trophic ulcer are edematous, compacted. The skin around becomes brown or cyanotic (cyanotic) color, the structure of the ulcer is infiltrated, dense. The bottom of the ulcer is usually flat, shallow, with serous-purulent discharge.

Stages of development of trophic ulcers on the legs: initial stage - mature

Symptoms of a trophic ulcer

In addition to a cosmetic defect, patients usually complain of swelling of the lower extremities, constant pain, aggravated after physical exertion and long walking.

Treatment of a trophic ulcer on the leg

Treatment of a trophic ulcer should be primarily directed to the disease, the complication of which was an ulcer.

In addition, bed rest is prescribed, the sick limb is given an elevated position.

Medicines are selected in such a way that they affect the entire body and act locally.

Locally prescribed ointments with proteolytic enzymes - to cleanse the bottom of the ulcer (iruksal, fibrolan), with anti-inflammatory components (romazulon, levovinizol), and then artificial coverings of the trophic ulcer based on collagen (kombutek, etc.).

Treatment of a trophic ulcer should always be carried out under medical supervision.

With the ineffectiveness of conservative therapy resort to surgical intervention.

Recently, the so-called "radiation" ulcers resulting from irradiation have become widespread.

The fact that the ulcer is trophic is indicated by such signs as the duration of the disease, a violation of the hairline (compared to the opposite side) and brittle hair, a decrease in sensitivity in the area of the ulcerative lesion, and some other symptoms.

Trophic ulcers are dangerous because they often become malignant (i.e., become malignant), developing into skin cancer.

With trophic ulcers, it is very important to treat the underlying disease that caused the ulcer process (varicose veins, diabetes mellitus, etc.).

Folk remedies at home for trophic ulcers of the lower extremities

Common lilac. First, soak your feet in hot water for 10-15 minutes, then cover with fresh, washed lilac leaves. This technique is especially good for trophic ulcers that form against the background of vein dilatation and thrombophlebitis. The leaves are abundantly covered with discharge from wounds, while patients experience significant relief. Full recovery occurs in 1-1.5 months. In winter, you can use shavings from small twigs and bark of lilac twigs. The result is good in all cases.

For balm from trophic ulcers, you need to take 100 G juniper tar, 1 tablespoon rose oil, 2 egg yolks. Rub the rose oil and yolks. Add to the resulting composition 100 ml of purified turpentine (1 teaspoon each, stirring all the time: with a quick infusion of turpentine, the egg will curdle). When the yolks, butter and turpentine are erased, then add 100 g of juniper tar to them. Mix well. Apply the resulting balm to the wounds with a teaspoon. Tie the top with a bandage.

Pine resin melt with cow butter in a ratio of 1:1. Lubricate trophic ulcers and non-healing wounds with the resulting composition.

Norway spruce. Take 100 g of spruce resin, pork internal fat and wax. Boil everything. Wash the wound with lime water (1 tablespoon of quicklime per liter of water), then apply a bandage with the prepared ointment. The most severe trophic ulcers usually heal after 5-6 dressings.

Lungwort. Apply fresh leaves crushed into gruel to wounds and ulcers that do not heal for a long time, wash them with a strong infusion of herbs. Change the bandage at least twice a day.

Eucalyptus wide. Trophic ulcers, eczema are treated with lotions from eucalyptus infusion: brew 100 g of a fresh leaf with 1 liter of boiling water. Boil 5 minutes.

marsh cudweed. With trophic ulcers three times a day, drink one-third of a glass of decoction of marsh cudweed (30 g of grass per glass of boiling water). For the ointment, make a powder from 1 part herb to 3 parts unsalted butter. In the treatment of trophic ulcers, both decoction and ointment are used.

birch ash. Sift 1 kg of birch ash through a fine sieve and pour 10 liters of boiling water over it. Insist, wrapped, 2 hours. Soak the affected leg in the still warm solution for 30 minutes. If the wound or ulcer is located in an inconvenient place, then make compresses from the resulting solution. To do this, fold the gauze in several layers, soak in the solution and apply to the wound for 8 hours. Do compresses and baths 2 times a day. Typically, the longest non-healing ulcer resolves 2 to 3 weeks after such treatment.

burdock. Lubricate wounds and trophic ulcers with juice from the roots or leaves of burdock for their speedy healing.

Willow. Wash the affected areas of the skin with eczema and trophic ulcers with a strong infusion of willow branches (or leaves). An ointment is prepared from the bark powder and petroleum jelly in a 1: 1 ratio.

Alum burnt. In 100 ml of almost hot boiled water, add burnt alum powder (at the tip of a knife). Rinse festering wounds, trophic and long-term non-healing wounds and ulcers with the resulting solution. Alum tightens the edges of the wound, drains it, and has an anti-inflammatory effect.

Fern. Fresh leaf juice is used in the form of compresses and lotions in the treatment of trophic ulcers.

Ferula. One of the most powerful remedies used in the treatment of trophic ulcers and skin cancer. Ferula root juice is used to lubricate wounds and ulcers. Prepare an ointment from a strong boil of the root and petroleum jelly.

Treatment of non-healing trophic toe ulcers in diabetes mellitus

Do the procedures in the morning and in the evening.

First stage of treatment: at 9.00 am

From a sterile syringe, pour twice the ulcer with 3% hydrogen peroxide. Both after the first and after the second washing, hold for three minutes, then blot with a sterile swab.
Pour the ulcer with insulin solution, hold for three minutes.
Then pour the ulcer with a 10% hypertonic solution from a syringe. Attach a sterile napkin moistened with hypertonic solution, wrap it with a bandage, put a piece of cellophane film or compress paper on top, but do not wrap it around your finger. Wrap tightly with a sterile bandage.

The second stage of treatment: at 12.00 hours

After three hours, unwind the bandage (do not touch the napkin with hypertonic solution) and pour ordinary vodka on the napkin from the syringe. Bandage as before.

The third stage of treatment: at 15.00 hours

Remove the bandage (without touching the napkin) and pour the napkin from the syringe first with a hypertonic solution (hold for three minutes), then with vodka. Bandage it.

The fourth stage of treatment: at 21.00 hours

Repeat all the procedures that were carried out at 9 o'clock in the morning. With non-healing ulcers of this type, daily baths with infusion of cudweed marshmallow have a good effect.

Of the drugs, a pronounced effect is given by ingestion of tablets. Sturulina(or its substitute) 1 tablet three times a day half an hour before meals.

The proposed method for the treatment of trophic ulcers has been tested on many patients. The effect has always been positive. So this method can be trusted.

Medicines, drugs, procedures: methods of treatment of trophic ulcers

For the treatment of trophic ulcers, both conservative and surgical methods are used. First of all, the treatment of the underlying disease that caused the complication in the form of a trophic ulcer is carried out - venous insufficiency, arterial diseases, diabetes mellitus, etc. are treated.

For trophic ulcers, both general and local treatment is used.

Local treatment poses several key tasks for the surgeon - measures aimed at eliminating the infection, clearing the necrotic masses of the ulcer and the process of closing the defect.

Elimination of infection achieved through dressings that are made every day. When dressings, the skin surfaces near the ulcer are treated with alcoholic tincture of iodine or alcohol, and the surface of the ulcer is treated directly with hydrogen peroxide (3% solution). Dressings are applied with an antiseptic solution (Furacilin, Chlorhexidine, 3% boric acid).

For cleaning the surface of the ulcer from necrotic masses, in addition to antiseptics, they also use a proteolytic enzyme - Iruksol ointment and necroectomy. The use of (local) sorbents is allowed. Additional procedures that have a positive effect are quartz treatment, magnetotherapy, modulated sinusoidal currents, enzyme electrophoresis and other methods of physiotherapy.

After the surface of the ulcer has been cleaned, and the pathogenic microflora has been eliminated, the process should begin. wound closure. If the ulcers are small, then they clear and close on their own (increased growth of granulations, the occurrence of epithelialization along the edges). In these cases, daily dressings should be continued using antiseptic wet-dry dressings. If the defect is superficial and up to one centimeter in diameter, then it can be treated with potassium permanganate (5% solution) or brilliant green 1% solution, due to which a scab is formed, and epithelization will begin to occur under it. Ointment "Iruksol" also promotes epithelialization.

Surgical treatment of trophic ulcers is more effective, since during the operation the cause that caused the trophic ulcer is usually eliminated. In case of venous insufficiency, enlarged obstructed sections of the veins are removed, in case of obstruction of the arteries, bypass shunting is performed (creation of new messages between the vessels), etc.

For the healing of non-atherosclerotic venous ulcers, often used occlusal treatment, which is highly effective: applying a zinc-gelatin bandage to a limb, using Unna paste in its various forms.

The dressing is applied as follows: the patient is placed on the table, the leg is lifted and “Unna” is applied with a brush (pre-heating it) to the area from the upper leg third (covering the ulcer area) to the base of the fingers. After that, a gauze bandage is applied in one layer, the paste is applied again, while the bandage should be saturated with it. Similarly, several layers of dressing are applied (4–5). At the end of the procedure, the top layer of the paste is treated with formalin. The bandage should not be removed for 30 to 60 days. Trophic ulcers with a diameter of up to five centimeters are epithelialized after removing the bandage (the ulcerative surface should be cleaned before applying the bandage).

In some cases, after cleansing the ulcer, to close it, it is possible to use free skin plasty or ulcer excision, followed by plasty with local tissues. But such actions are allowed to be carried out only after a purposeful influence on the cause, which made the formation of an ulcer possible.

Home treatment of trophic ulcers on the leg: folk recipes

Traditional medicine offers its own methods of treating this serious ailment:

1 st. l. dry herb cudweed marsh pour 1 cup of boiling water, insist under the lid for 30 minutes. Strain. Add 1 tbsp. l. honey, stir. This solution can be used externally to wash wounds and ulcers.
50 g of eucalyptus leaves pour 0.5 liters of boiling water, boil for 3-4 minutes, strain, add 2 tbsp. l. honey, stir. Apply in the form of lotions and baths for the treatment of ulcers and wounds.
1 st. l. brew dried chamomile flowers in 1 cup of boiling water. To cover with a lid. Strain after cooling. Add 1 tsp. honey, stir. Apply in the form of lotions and baths for the treatment of ulcers.
Bee honey - 80 g; fish oil - 20 g; xeroform - 3 g. Mix everything thoroughly. Apply the ointment to the cleaned wound in the form of a bandage.
To activate the body's defenses and speedy recovery, we recommend one of the following recipes, which include honey and aloe: 100 g of honey; 100 g butter; 100 g of lard or goose fat; 15 g of aloe juice (agave); 100 g cocoa. Mix everything thoroughly in a hot water bath. Do not boil! Take 1 tbsp. l., dissolved in 1 glass of hot milk, 2 times a day.
Rinse aloe leaves, grind, squeeze out the juice: aloe juice - 150 g; honey - 250 g; cahors - 350 g. Mix everything. Insist in a dark place at a temperature of 4-8 degrees for 4-5 days. Take 1 tbsp. l. 3 times a day half an hour before meals.
Keep aloe leaves at the age of 3-5 years in the dark at a temperature of +4 ° C (preferably in the refrigerator) for 12-14 days. Then wash the leaves, grind, pour boiled water in a ratio of 1:3. Leave for 1.5-2 hours. Squeeze out the resulting juice. Mix 100 g of juice with 500 g of chopped walnuts and 300 g of honey. Take 1 tbsp. l. three times a day.
Chamomile flowers - 2 parts; tricolor violet grass - 1 part; horsetail herb - 1 part; St. John's wort grass - 2 parts; common yarrow herb - 1 part; flowers of calendula officinalis - 2 parts; common oak bark - 1 part. 1 st. l. collection pour 1 cup boiling water, leave for half an hour. Assign to patients in the form of a compress and (or) for washing trophic ulcers for several days in a row.
Every 4-5 days, the infusion of herbs is alternated with a decoction of plantain leaves. To do this, take: 1 tbsp. l. finely chopped plantain in 1 cup of water. Boil for 5-10 minutes, insist for 1 hour, filter. Warm decoction abundantly irrigate the surface of the ulcers several times during the day. The gruel of the decoction is applied to the ulcer in the evening under a compress. The decoction should be prepared fresh daily.
Chamomile flowers - 1 part; fruits of coriander seed - 1 part; St. John's wort grass - 2 parts; grass of a series of tripartite - 2 parts; marsh cudweed herb - 1 part; flax grass - 1 part; medicinal sweet clover herb - 1 part; licorice root - 1 part. All components are mixed. 1 st. l. a mixture of herbs is poured with 1 cup of boiling water, heated in a boiling water bath for 5-10 minutes. Infuse for 45 minutes, filter. Take 1/2 cup 2 times a day after meals for at least 1-2 months.
Plantain large (leaf) - 3 parts; sowing coriander (fruits) - 3 parts; Hypericum perforatum (grass) - 4 parts; tripartite string (grass) - 4 parts; swamp cudweed (grass) - 2 parts; licorice naked (root) - 4 parts. 1 st. l. mix herbs pour 1 cup boiling water, heat in a boiling water bath for 15 minutes. Infuse at room temperature for 45 minutes. Strain. Squeeze. Add boiled water to a volume of 250 ml. Take 1/3 cup of infusion 3 times a day after meals with trophic ulcers due to thrombophlebitis.
Chamomile (flowers); sweet clover (grass); Marshmallow officinalis (leaves). Take all herbs in equal proportions, mix. Pour a small amount of boiling water, heat in a boiling water bath for 5-7 minutes. Apply in the form of a mushy warm mass wrapped in a cloth to the sore spot as an emollient.
Horsetail (grass) - 3 parts; chamomile (flowers) - 3 parts; Hypericum perforatum (grass) - 4 parts. From the resulting mixture of herbs, prepare a decoction at the rate of 1 tbsp. l. raw materials in 1 glass of water. Take orally 1/3-1/4 cup 3 times a day or use to prepare compresses in the treatment of difficult-to-heal wounds and ulcers.
Alcoholic tincture of calamus, diluted with water (1 part of the tincture to 3 parts of water), is used to wash festering wounds.
2 tbsp. l. roots, flowers or leaves of Marshmallow officinalis pour 2.5 cups of boiling water in a thermos for 2 hours. Strain. Squeeze out the raw material. Use for washing wounds. Another way: pour marshmallow roots overnight with cold water. Strain. Also used.
3 tsp dry flower baskets of mountain arnica insist 2 hours in 2 cups of boiling water. Use to wash wounds.
Periwinkle. This plant has been used as a remedy since ancient times. In the Middle Ages, he was credited with miraculous power. It is used in folk medicine in many countries as a wound healing agent. 1 st. l. dry herb periwinkle small brew in 1 cup boiling water. Infuse for 1/2 hour on the stove, without bringing to a boil. Cool down. Strain. Use for washing purulent wounds, ulcers.
1 st. l. herbs budra ivy brew 1 cup boiling water. As it cools down, it can be used for washing purulent ulcers.
A decoction of the herb initial drug is used externally in the form of washings or lotions in the treatment of long-term non-healing purulent wounds, trophic ulcers.
A decoction of Icelandic lichen. 2 tsp Lichen pour 2 cups of cold water, bring to a boil, strain. Cooled decoction is used to treat purulent wounds and ulcers.
A decoction of the roots of Echinacea purpurea accelerates the healing of wounds, epithelialization in case of burns, severe bedsores. 1 st. l. roots pour 1 cup boiling water, heat in a boiling water bath for 30 minutes, leave for 15 minutes, strain. Use for dressings on wounds.
For ulcers that do not heal for a long time, bandages soaked in fresh aloe juice are applied to the affected areas 2 times a day. To obtain aloe juice, it is kept in the refrigerator for 12–14 days, then crushed and squeezed out.
Ivy ordinary has an excellent anti-inflammatory, antiseptic and wound healing effect. 1 tsp ivy insist 1 hour in 1 cup of warm boiled water. Strain. Use for washing wounds.
Traditional medicine recommends applying fresh crushed ivy leaves to festering wounds.

Trophic ulcers of the lower extremities: the main types

Violation of blood flow in the legs is the cause of insufficient nutrition of epithelial cells. Without nutrition, epithelial cells gradually die. For the reason that caused the formation of an ulcer, the types of diseases were named:

venous ulcers;
diabetic ulcers;
neurotrophic ulcers;
hypertensive ulcers;
pyogenic ulcers;
arterial ulcers.

Such ulcers are mainly formed on the lower leg. They are caused by varicose veins of the lower extremities, causing first varicose eczema, and then ulceration. Before the appearance of an ulcer, calf edema occurs, the leg becomes heavy, and cramps appear at night. Then the veins on the lower leg increase, forming a grid. Veins gradually connecting, form a purple or purple spot. It gradually expands, its tissues become dense, smooth and shiny.

At the end, whitish clamps are formed. The leg must be urgently treated, otherwise an ulcer will appear, which will continue to develop. First, the ulcer affects the upper epithelium, then it penetrates further, up to the tibia. Pus exudes from the ulcer with an unpleasant odor. Without proper treatment, the patient expects erysipelas, thrombophlebitis and thrombosis in the legs, the appearance of an elephant shin. In a severe case, a person becomes ill with sepsis and dies.

diabetic ulcer

Many troubles await a person with diabetes, one of them is an ulcer leading to diabetic gangrene. First, the nerve endings die, and the leg loses sensitivity.

The surface of the leg remains cold, and at night the patient is tormented by pain. An ulcer forms at the big toe, sometimes on both feet. Injury to the foot and corns are the main cause of ulcers. A diabetic ulcer must be treated urgently, otherwise an infection will be added to the disease that will cause gangrene. Then, to save a person's life, he will have to amputate his leg.

Hypertensive ulcer

These ulcers are rare in people with high blood pressure. Mostly women who have crossed the forty-year milestone suffer from such an ulcer. First, a papule or a simple reddish-bluish, slightly painful spot forms. Then an ulcer is formed and immediately on both shins of the legs. The ulcer develops very slowly, but causes pain day and night. It can cause bacterial infection.

Ulcers, neurotrophic

These ulcers form when the head or spine is injured. They form on the heel or on the edge of the foot from the side of the heel. The ulcer penetrates deeply into the tissues, reaches the bone or tendon. It is small and not sensitive, but with pus and an unpleasant odor.

Pyogenic ulcer

The reason for the appearance of such an ulcer is low immunity, in which a person becomes infected with furunculosis or purulent eczema. Such ulcers are formed most often in a person who does not observe personal hygiene. Oval-shaped ulcers appear all over the lower leg. They penetrate deep into the skin.

arterial ulcers

With atherosclerosis, the main arteries fall ill, causing ischemia of the soft tissue of the lower leg. As a result, ulcers form. The cause of the disease is hypothermia of the feet, wearing shoes one size smaller, calluses or wounds. In this case, ulcers form on the foot or on the sole, on the big toe.

These are not large purulent wounds, with dense edges, surrounded by yellowish skin.

The disease is characterized by a deep inflammatory process of the soft tissues of the leg. When the ulcers heal, scars remain on the skin.

How to treat a trophic ulcer

The doctor prescribes individual treatment for each patient. It takes into account the type of ulcer in the patient. Before treating the patient, it is necessary to diagnose the disease. Carry out cytological, histological, bacteriological examination. Only then does the treatment begin. An ulcer is treated with medication or surgery. In any case, the ulcer is cleaned of pus and dead tissues, treated with antiseptics and lubricated with healing ointment. The wound is gradually healed, the skin of the leg is restored. Helps heal ulcers home treatments.

Surgical methods

During the operation, dead tissue is removed.

1. Vacuum therapy. Spongy polyurethane dressings are used. They remove pus from the wound, reduce swelling, restore blood flow in the lower leg. With this operation, as a rule, there are no complications. Moisture inside the wound keeps bacteria or viruses out.

2. With the help of a catheter, ulcers that are difficult to treat are treated.

3. With a hypertensive ulcer, the veins are stitched to separate them.

Treatment of trophic ulcers with drugs

Medicines are used in any surgical operation. However, they can also be used on their own to treat certain types of this disease.

Treatment is divided into three periods.

1. First, the patient is prescribed antibiotics.

2. Anti-inflammatory drugs are used next.

3. Then they give injections of pentoxifylline.

Be sure to wash the wound with antiseptics, lubricate the wound with healing ointment and apply a bandage.

Compression bandages

A bandage is used throughout the treatment. It consists of several elastic bandages and gently compresses the affected veins. The bandage is recommended to be changed daily. It helps in the treatment of venous ulcers. Such dressings improve blood flow in the veins, reduce swelling. The use of Saphena Med UCV venous ulcer is effective. This is a pair of elastic stockings. The use of medical knitwear also has a positive effect. In addition, physiotherapeutic procedures are used to treat trophic ulcers. Also use folk methods. The main thing, according to experts, is to start as early as possible, and always under the supervision of a specialist.

Trophic ulcers on the legs and their treatment is a rather serious matter, with improper treatment it is fraught with the development of gangrene.

A trophic ulcer is not a disease, but a complication of varicose veins, atherosclerosis. Poorly healed, advanced stage of the disease (chronic wound).

To put it simply, this is a violation of blood circulation in diabetes, varicose veins, as a result, leading to stagnation in the vessels, drying out of the skin and tissues.

In turn, this leads to even greater circulatory disorders: pus accumulates, tissue poisoning occurs, an ulcer forms, then gangrene.

The picture is sad, from a sick person you need attentiveness to yourself. Pay close attention to the thinnest places on the human body: lower leg, heel area, ankles to calves, wrists.

These places are characterized by the fact that only tendons, connective tissue, ligaments are located here. There are no muscles. There is no one to push the lymph.

If you notice redness in them, altered, narrowed, disturbed skin sensitivity and it is cold, seek treatment immediately. It is in such places that a trophic ulcer is formed.

They appear when the tissues of the body are not properly nourished. They have a chronic course, very frequent exacerbations.

Causes of the formation of trophic ulcers on the legs and their treatment:

As mentioned above, this is a disturbed blood flow in some diseases:

(zones of increased venous pressure).
Blockage of the veins (thrombophlebitis).
Low supply of oxygen and nutrition with obliterating endarteritis.
Suffer (nutrients are no longer absorbed by the tissues).
Burns, frostbite (damage to nerve endings occurs).
Heredity.
Hypertension.

Trophic ulcers on the legs, their types and varieties:

Venous: The reason is varicose veins. The most intractable ulcers are formed in people after 45, possibly even earlier.

As a rule, there are a sufficient number of chronic diseases: various tumors, common heart diseases, lymphostasis, oncology are exacerbated

Diabetic: Diabetes is the culprit.

Arterial: high pressure, damage to the walls of the vessels - the cause of the appearance of ulcers.

Oncological: development of a bad tumor, metastases.

Infectious: attachment of an infection to any wound, scratch on the legs or in any vulnerable places of a person.

Decubitus: formed in severe, immobile patients.

What are trophic ulcers on the legs and their treatment:

Often ulcers form on the lower third of the lower leg. This is where the thinnest layer of muscle is. Due to impact or stretching, the skin is damaged. There is stagnation of blood, ulcers.

They are all different in shape and size.

The skin is dark, the appearance of compaction, soreness.
Dryness, eczema of the skin.
With any violation of the skin (scratched, bitten by a mosquito), an infection joins, an ulcer develops.
Its bottom is smooth.
The edges, on the contrary, are uneven, undermined, slightly protruding above the skin.
The tissues affected by the ulcer are pale with a gray coating, a cyanotic tint.
The liquid coming out of it is scarce, becomes abundant with time, has a putrid odor.
Around the ulcer, all the skin is inflamed, after a while it will have a brown tint.
Due to impaired blood circulation in the leg, it is edematous, bluish, cold, constantly freezing.
Burning sensation, pain, constant bandages, the inability to wear beautiful shoes will bring any woman to nervous exhaustion.

Diagnosis of trophic ulcers on the legs and their treatment:

The doctor needs to accurately establish the reason why the patient has formed trophic ulcers.

Ultrasonic dopplerography of the vessels of the legs (the work of the valvular apparatus of the vessels).
X-ray contrast phlebography.

Trophic ulcers on the legs and their treatment, recommendations:

Treatment of trophic ulcers is a very serious, long, dreary task. It takes a lot of patience, strength from the patient and the doctor. Do not turn your life into existence, treat veins, diabetes on time.

Include more living food in your menu: greens, vegetables, fresh fruits.
Dramatically reduce flour, sweets, fast carbohydrates.
Exclude spicy: vinegar, mustard, pepper (try to remove all spices).
When the disease worsens, rest is needed. For a diseased limb, a periodic warm-up is necessary (bend, unbend it while lying down, raise and lower the leg, make circular movements with the hip joint).
A warm-up is necessary to improve blood movement - blood delivers nutrition to tissues.
Swap your regular shoes for orthopedic ones to ease the pressure on the affected area.
Treat the main diseases on time, do not wait for complications - trophic ulcers.

What will an untreated trophic ulcer on the legs lead to:

The process will become chronic, changes in tissues will be irreversible.
An open sore that provokes permanent infections.
Erysipelas (once having arisen, it is impossible to get rid of it). Edema increases with each exacerbation.
Elephantiasis, huge ulcers.
Degeneration of tissue into cancer cells. The person becomes disabled.

Trophic ulcers on the legs and their treatment with folk methods:

First, the ulcer must be cleaned.
heal.

Rules for the treatment of ulcers:

Processing the edges of the wound with brilliant green, known to us with iodine (on alcohol).

We wash the ulcer with hydrogen peroxide, known to all furacilin, prepared with a pinkish solution of potassium permanganate.
In order for wounds to heal, therapeutic gels are used, then ointments (for example, solcoseryl). Apply first gel 3 times / day. In the future, ointments are used 2 times / day.
Medicine has modern, ready-made dressings that pull out all the rot from the wounds with the release of an antiseptic into the wound and various healing elements. They are not removed for up to four days. They do not stick to the wound.
After cleaning the ulcer, other dressings are already used to restore the skin. For example - bandages waxed.

Ointment with baby soap:

We take:

A glass of milk.
A glass of sugar.
Grated half a bar of baby soap.
Boil the mixture over low heat, stir.
Cool down after two minutes.
Add a tube of heparin ointment, mix everything.
We always use warm ointment in a dose: a tablespoon.
The ointment applied to the napkin is tied to the ulcer.
From above we cover with cellophane, cotton wool.
We keep the day.
Wash off.
Immediately apply the ointment again.
So be treated until the full application of the ointment.

Ointment Vishnevsky - reinforced:

In its composition, it contains up to 5% of medicinal birch tar. You can add another 5% tar to it to enhance its effect.

Just add and carefully mix a drop of birch tar to the dose of Vishnevsky's ointment and make a compress.

Carrot oil, onion oil:

Recipe:

Peel, chop a medium onion on a grater.
Grate, add a small carrot to the onion.
Mix the mass, fry until golden brown in 500 grams of unrefined sunflower oil.
Boil a piece of small foam rubber for at least 10 minutes (according to the size of the ulcer).
Dip in cooled oil.
Fix on the wound with a bactericidal adhesive plaster.
Bandage.
It takes one week to heal.

Potato starch:

Overcook a glass of starch to a dark golden color in a frying pan.
In another pan, heat a glass of unrefined sunflower oil until smoke appears from it.
Mix oil, starch in one pan.
Then heat the mixture for another 10 minutes.
2 minutes before this time, add 3 peppermint leaves (you can dry or fresh) to the mixture.
Cool, apply to the wound on a napkin 1 cm thick.
Apply cellophane and mesh bandage on top.
Keep the day.
Wipe the wound with alcohol, vodka, remove all medicine from the surface.
It will hurt.
Rest for two hours and again do a compress for a day.
Treat until complete healing.

Pharmaceutical ointments for healing:

Levomikol.
Levosin.
Solcoseryl.

Furacilin:

Wash the wound with furatsilin.
Then sprinkle streptocide powder on top.
Drink preparations of horse chestnut: aescusan.
Salt dressings for the night: in one liter of boiled water, add a tablespoon of table salt.
Wrap a cloth soaked in the solution.
There should be nothing on top except a bandage.
After drying, apply another bandage.

Ointment mix:

Pharmacy ointments:

Sinaflan: 0.025%.
Methyluracil: 10%.
Hyoxysone: 0.1%.
Gentomycin: 0.1%.
Vanillin for children: 100 grams.
Streptocid: crush four tablets.
Mix everything.
The ulcer heals in 2-3 months.

Homemade ointments:

Castor oil: 3 vials.
Ichthyol ointment: 5 grams.
Streptocid: crush one tablet.
Mix everything in an enamel bowl.
Keep stirring in a water bath until liquid.
Cool down.
Treat the ulcer with hydrogen peroxide.
Apply a soaked napkin in oil to the wound.
Bandage.
Repeat once/day until cure.

Herbs inside:

Take a tablespoon of each of the following herbs.

Birch buds.
Series.
Motherwort.
Sweet clover.
Sporish.
Repeshok.
Meadowsweet.
Burdock root.
Calendula flowers.

We mix everything. In a thermos for the night, we brew only two tablespoons of cooked herbs with one liter of boiling water.

We filter in the morning.
We drink half a cup 3 times / day half an hour before your meal.

Physiotherapy:

laser therapy.
Treat darsonval currents.
Treatment with leeches (hirudotherapy).
Shock wave therapy.
UV blood.

The topic is trophic ulcers on the legs and their treatment is quite extensive, very responsible. I do not recommend self-treatment. After all, the wound is always open. Unless you are a medical professional, it is quite difficult for you to treat it without causing an infection. Don't risk it - you only have one life.

Get well if you get sick. Never lose your presence of mind, although sometimes it seems that nothing will help. Everything will be fine!

Come visit more often. Always looking forward to.

Watch the video, treatment of trophic ulcers on the legs:

With a variety of ailments of the legs, special non-healing wounds can appear - the so-called trophic ulcers on the leg, the treatment of which on their own at home is quite effective. Recovery is a very difficult and long process, which includes a number of methods and activities.

Trophic ulcers are open wounds of different sizes, located in the area of the feet and shins. As a rule, the disease manifests itself in circulatory disorders, as well as problems with blood vessels.

Treatment of a trophic ulcer on the leg with folk remedies consists in a local effect on the affected area of \u200b\u200bthe skin and trophism, and in eliminating the causes of the development of this pathology. In the absence of proper therapy, the process of suppuration begins, in which inflammation passes to the joints, muscles and tendons.

There are many different reasons why trophic wounds appear. Usually, the disease is provoked by some pathological processes that affect blood circulation, as well as damage at the site where the weeping wound will actively develop in the future. Of the many reasons that can cause the occurrence of such wounds.

Causes of occurrence:

Complications of vein diseases, for example, varicose veins, or thrombophlebitis, are the most common cause of the disease.
Hypothermia and burns.
Various complications on the legs in diabetes mellitus are the most difficult case of the manifestation of the disease.
Autoimmune diseases of connective tissues.
Any injury to the nerve trunks.
- lymphostasis of chronic or acute type.
Metabolic disease.

Symptoms of the disease

Trophic ulcers on the legs do not develop just like that, from scratch. There are certain signs that necessarily precede them.

Here are the symptoms of trophic ulcers on the legs:

Puffiness.
Pain in the legs.
Heaviness in the leg.
Burning and itching of the skin.
Roughening of the skin.
A visual change in the skin - they stretch, become more glossy, purple spots appear on them.

(Video: symptoms of trophic leg ulcers and treatment)

Treatment of the disease

General information

How to treat a trophic ulcer? How to cure? How to treat and why?

With the described disease, two different directions for the treatment of trophic ulcers are provided: general, as well as local effects.

General therapy is needed to normalize blood circulation, as well as to localize the underlying disease. Local treatment of trophic ulcers of the lower extremities is necessary for the direct elimination of wounds on the leg at home.

At the initial stages of the disease, it is possible to treat trophic ulcers on the legs at home, without surgical intervention. The main principles of conservative therapy:

Suppression of bacterial or.
Removal of areas of skin with tissue necrosis.
Regeneration of diseased areas of the skin.

Is it possible to wet a trophic ulcer, moisten? The patient is prescribed bed rest, as well as foot hygiene.

To reduce the risk of infection, bandages with a special solution are applied to the wound. For regeneration, disinfection of the affected area, therapeutic ointments for the treatment of trophic ulcers and gels are used. Any drugs for the treatment of trophic ulcers should be prescribed only by the attending physician.

Surgical intervention

The most effective method of treating a trophic ulcer on the leg, if antibiotics do not help, is surgery. True, this method does not guarantee the complete absence of relapses from trophic ulcers, like antibiotics. With trophic ulcers and surgery, diseased areas are removed, the main cause of the disease is eliminated.

Currently, there are several surgical methods:

Vacuum therapy that allows you to quickly remove pus, reduce swelling, and also create a moist environment in the wound that will prevent bacteria from developing.
Catherization - suitable for wounds that do not heal for a long time.
Percutaneous stitching - well suited for trophic ulcers of the lower extremities, the treatment of the so-called hypertensive ulcer. The method uncouples venous-arterial fistulas.
virtual amputation. The metatarsophalangeal joint and metatarsal bone are cut off, however, the anatomical integrity of the foot is not violated - but the foci of bone infection are completely removed. This allows you to fight neurotrophic disease.

Treatment at home

Rules

Drug treatment of the disease can be carried out at home with medicines, subject to certain rules:

A diet that involves limiting the number of carbohydrates consumed, increasing the amount of fresh fruits and vegetables.
Frequent rest.
Performing exercises that improve metabolic processes.
Wearing special orthopedic shoes with high-quality soles to avoid tissue injury.

Medications

Treatment of purulent diseases on the leg at home involves taking medications that improve the process of blood circulation, and also eliminate the cause of development:

Aspirin (acetylsalicylic acid tablet): the drug has an antiplatelet property (blocks the processes of platelet aggregation and adhesion).
Venotonic preparations: used in the development of varicose ulcers.
Broad spectrum antibiotics.
Non-steroidal anti-inflammatory drugs.
Antihistamines.

Local treatment for ulcers is aimed at cleansing the wound from dead skin and eliminating pathogenic microbes:

Washing the wound with antiseptic solutions (chlorhexidine, potassium permanganate, furatsilin).
Applying bandages using a therapeutic gel (or using ointments): dioxicol, levomikol, streptolaven.

When treating a diseased area of the skin with ulcerative solutions of antiseptics, it is necessary to remove as much as possible non-viable tissue areas. Then apply a bandage. Dressing should be done every three days. More frequent treatment can provoke tissue injury.

Ulcerative defects heal after two weeks of regular treatment of a trophic ulcer on the leg with varicose veins. However, treatment and dressings should be done until the wounds are completely healed.

Folk remedies

Laundry soap treatment

The ulcerative lesion must be washed, lubricated with dark laundry soap. Such treatment with folk remedies is accompanied by the wearing of compression stockings or stockings, which are intended for patients who have varicose veins in the legs.

A noticeable improvement occurs in a week, after five weeks, full healing can be expected. Thus, even soap can cure a trophic ulcer on the leg.

(trophic leg ulcer - home treatment)

Oil treatment

For this recipe, you need to fry the onion in olive oil until golden brown. The cooled oil is well filtered through gauze into any sterile container and used for applications in the morning and evening, applied to the wound.

The crust that appears on the surface of the wound does not need to be torn off. Gradually, the sore will be cleared of pus, it cannot be wetted.

A tingling sensation indicates that the healing process has begun. Regular use of this recipe will lead to very fast scarring of the wound.

folk recipe

A slurry of the following components should be applied to the wound:

Household dark soap, grated on a fine grater - 100 g.
Water - 100 g.
Finely chopped onion - 100 g.
Millet groats - 100 g.
Old lard - 100 g.

All components are mixed until a special homogeneous mass is obtained. Apply to the wound in the morning and in the evening and hold until it is possible to endure a strong burning sensation. Effective for already chronic wounds, in particular in patients with diabetes (diabetic) mellitus.

Chlorophyllipt

For a trophic ulcer on the leg of treatment at home, applications with sterile wipes for the treatment of trophic ulcers on the legs, which are impregnated with Novocaine and Chlorophyllipt, help well. Napkins should be changed every day, fixed on top with a net, and special compression stockings should be worn.

The wound will heal if a small crust appears on it. After two months, the wound will heal. At the site of the soaked ulcer, there will be no trace other than a dark spot.

Hydrogen peroxide

It is necessary to drop peroxide on the wound, then sprinkle this place with streptocide. A napkin should be placed on top, pre-moistened in 50 ml of boiled water. Add two teaspoons of hydrogen peroxide to water. After that, cover the compress with a bag, tie it with a scarf.

Change the compress a couple of times a day. And add streptocide if the wound becomes moist.

Sponge Methuracol

Sponge Meturacol of domestic production is a combination of methyluracil and collagen, which is a white plate with a finely porous surface. Collagen is made from the shank of cattle. The sponge has a specific smell.

Using this sponge is very easy. It must be applied to the wound in such a way that the edges extend beyond the affected area by 1-1.5 cm. Before this, the wound is cleaned of necrotic tissues with an antiseptic solution.

The sponge should adhere to the surface of the skin tightly. It is fixed with a special bandage for the treatment of trophic ulcers on the legs. The replacement of the application is performed every two to three days, if there is a need for it, that is, if the drug is completely absorbed.

Wet areas of the sponge should be replaced with fresh plates. If Meturacol has not resolved and there are no wet areas, then the sponge is left until the tissues are fully granulated.

Prevention

Success in preventing the development of trophic ulcers depends on the effectiveness of the treatment of the disease that causes them. General preventive measures include the following:

Moderate physical activity, as well as regular exercise therapy and injections.
Avoid overheating and hypothermia.
Injury prevention.
Diet.
Control of blood sugar levels (diabetes treatment).
Quit smoking and alcohol.
The use of compression underwear, you can use an elastic bandage (trophic ulcers with varicose veins).
Smart choice of shoes.

Conclusion

Treatment with folk remedies is a laborious and lengthy process. Recovery occurs only with constant treatment of diseased areas of the skin, compliance with the correct diet, healthy lifestyle.

Used folk remedies should be prescribed by the attending physician. Self-medication may well lead to the development of all sorts of complications.

Healed wet leg ulcers heal. Scars also need to be treated for trophic ulcers to reduce the risk of recurrence. As a special prophylaxis, they can be treated with natural oils (St. John's wort, chamomile, calendula).

A long load on the legs, walking over very long distances can provoke the re-development of the disease.

Home treatment of leg ulcers is advisable only at the initial stage of the disease, and with an integrated approach to the problem. In very severe cases, full surgical intervention is required. With timely and proper therapy, a complete recovery of the patient is possible.