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Venous Stasis Ulcers: A common leg ulcer, uncommon costs According to the American College of Phlebology, venous stasis ulcers affect about 1-2% of adults – approximately 3-6 million afflicted adults in the United States. They are 1.5 to 3 times more common in women than in men and they are found in as many as 3.4 % of patients older than 80 years of age. Accelerating wound care About the Methodist Wound Treatment Center The Wound Treatment Center at Methodist Medical Center The Methodist Wound Treatment Center is an outpatient program that focuses on chronic and non-healing wounds. Using advanced treatment modalities and a case management model, we help patients improve the quality of their lives. In partnership with physicians, nurses and multiple medical disciplines, we provide invaluable care for patients. Let the Methodist Wound Treatment Center heal your patients today For more information about advanced venous ulcer wound care, contact us today. Venous stasis ulcers occur when veins in the legs do not properly pump blood back to the heart. In such cases, blood tends to pool near the ankle as gravity pulls fluid and blood downward. Prolonged swelling of the legs and ankles causes increased pressure in this area, reducing blood flow and oxygen delivery to the skin. As a result skin breakdown may occur resulting in an open ulcer of the skin that often drains moderate to large amounts of fluid. Venous Stasis Ulcers: 160-A West Tennessee Ave. Oak Ridge, TN 37830 865-835-3740 (phone) 865-835-3742 (fax) www.mmcoakridge.com/wound 0525-0020 People at risk for developing such ulcers are typically older, have a low level of daily activity or exercise, a history of extended periods of standing or any condition resulting in excess fluid collection in the body or legs. Contributing to ulcer development are hereditary factors, obesity, blood clots, varicose veins and lower leg trauma or injury such as bumping into an object (coffee table or car door for example). Promoting care and healing Treatment and Care Wound Treatment Center Care Compression therapy products such as compression stockings, single-layer wraps, multilayer wraps or unna boots are considered the gold standard in care. In recent years pentoxifyline (Trental) has been used with reasonable success in improving circulation. The Methodist Wound Treatment Center provides help through: In addition to compression or prescription drug therapy to promote healing, various forms of debridement may be in order. Physicians may choose to debride or treat with specialty dressings. Advanced wound care specialists are able to determine which treatment options best promote healing given a patient’s unique circumstances. • Trained health care professionals to care for patient wounds • Education regarding treatment of the patient’s wounds and prevention of new wounds • Complete wound evaluation • Diagnostic testing • A treatment plan specific for your patients’ needs Symptoms of Chronic Venous Stasis Disease Symptoms of chronic venous stasis disease may include any or all of the following: • Swelling in legs and ankles, skin discoloration (brown, red or bluish) • Dry scaly itchy skin Venous skin ulcers are shallow wounds that develop when the leg veins do not circulate blood back to the heart normally. Most venous skin ulcers develop on either side of the lower leg, above the ankle and below the calf. Least common area affected by venous skin ulcers Venous ulcers occur when blood does not circulate back to the heart normally from the legs. Most common area affected by venous skin ulcers Least common area affected by venous skin ulcers • Aching or feeling of tiredness in legs that is relieved by elevating legs • Prominent superficial veins • Skin ulcer (usually above the ankle on inside surface of the leg) Typical venous ulcer before treatment at the Wound Treatment Center Venous ulcers are the major cause of chronic wounds, occurring in 70% to 90% of chronic wound cases. SOURCE: Snyder RJ (2005) "Treatment of nonhealing ulcers with allografts" After treatment at the Wound Treatment Center