How are trophic ulcers formed? Trophic ulcer on the leg: treatment at home

With various diseases, not only of the lower extremities, but also of a systemic lesion of the body, trophic ulcers can develop on the legs. The main problem is their identification in the initial stage, since the initial prognosis of the disease depends on how early treatment is started. Progressing over time, trophic ulcers on the legs lead to serious impairment of the quality of life of the patient.

Visualization

In the initial stage, an ulcer on the skin of the leg is a small rounded skin defect with limited damage to the subcutaneous layer to a depth of no more than 2 mm. But at the same time, all the signs of a trophic ulcer are traced: a violation of local blood circulation, clear boundaries of the defect, dryness of the underlying tissues, weak granulations in the wound zone.

Even in the initial stage, ulcer formation is a serious problem, because due to trophic disorders, scarring occurs at an extremely slow pace, and the treatment of the disease is delayed. First of all, eliminate the causes:

• Varicose disease.
• Violation of lymphatic drainage from the leg.
• Thrombophlebitis.
• Atherosclerotic damage to the arteries of the legs.
• Skin diseases - eczema, dermatitis.
• Diabetes.
• Mechanical or thermal impact at the initial stage - injury, burn.
• Systemic connective tissue diseases that provoke trophic disorders - lupus, dermatomyositis.

The main mechanism for the formation of the initial stage of a trophic ulcer is a local microtrauma with damage to the skin, and then a subsequent violation of blood circulation in this area. The lack of a sufficient amount of active anti-inflammatory factors due to poor blood flow causes the formation of an ulcer.

How the disease manifests itself

Depending on the cause of the skin damage, the trophic leg ulcer looks different. With venous insufficiency, defects are formed on the legs. The photo clearly shows that the predominant localization is the anterior outer surface. Before the appearance of ulceration on the skin, pathological processes develop:

• A local bluishness is formed.
• The integrity of the skin is broken.
• Just before the onset of ulcer formation, whitish coarse scales form over the affected area.
• After the whitish growths fall off, a rounded wound is exposed on the skin - this is how the initial stage of a trophic ulcer develops due to venous insufficiency.

At the initial stage of a trophic ulcer, a wound appears on the skin.

At the same time, the patient subjectively feels: dryness in the affected area, aching pain in the lower extremities, slight hemorrhagic discharge, weakness in the leg.

After the formation of an ulcer, it looks like a rounded defect with moderately cyanotic edges. The lack of blood flow is clearly visible in the photo. The patient does not feel pain in the leg at the site of an already formed trophic ulcer, but the function of the lower limb suffers. Even the initial ulceration indicates far-reaching venous disorders in the leg.

With problems with the arteries, the manifestations in the lower extremities are somewhat different. Even an external comparison of photos of two pathologies has significant differences. Arteries are affected by atherosclerosis, diabetes mellitus and other diseases, but not only vessels are affected, but also nerve fibers located in the affected area. The venous outflow is completely preserved.

The typical development of a trophic ulcer in the initial stage is as follows:

• An area of ​​local hyperemia appears.
• The skin over it cracks, a small hemorrhagic discharge appears.
• The adjacent skin is dry.
• A zone of necrosis with a black center quickly forms at the site of the wound defect.
• The necrotic crust falls off until an ulcerative defect of the lower extremities appears within 2 days.
• The edges in the initial stage are very pale, which contrasts with the sharp hyperemia around the ulcer.

The locations of the affected areas on the legs are also characteristic. They can be schematically represented in the photo: the sole area, especially the heel area and thumb, the skin of the outer region of the phalanges of the fingers, the ankle area from the outside.

The patient does not subjectively feel pain, but they appear when trying to load the leg. Treatment of ulcers caused by problems with the arteries is extremely difficult. In diabetes mellitus, especially when combined with a neurological defect, the initial manifestations progress rapidly.

Pain in a trophic ulcer occurs with a load on the legs.

How to get rid of the problem

Local treatment of a trophic ulcer on the lower extremities, even at the initial stage, is unthinkable without adequate control of the underlying cause of the skin defect. Therapy depends on the type of disease, since different systemic drugs are used for arterial and venous lesions.

The principles of therapeutic intervention for trophic disorders are as follows:

• Improvement of blood circulation in the damaged area.
• Fight against microbial insemination.
• Restoration of reparative processes at the local level.
• Ensuring the stable function of the nerve fibers located in the legs.

In order for the treatment to be complete, it is desirable to combine systemic therapy aimed at improving blood flow and nerve trophism with drugs that act directly in the ulcer area. For the treatment of trophic ulcers on the legs, the following groups of drugs are used: vasodilators, angioprotectors, antiseptics, agents that improve reparative function, vitamins and metabolic stimulants.

For the purpose of systemic treatment, the drugs listed below are used.

Diosmin - tones the venous system of the lower extremities. It is used for trophic ulcers in the initial stage on the legs, associated with damage to the veins. The average dose for an adult is 600 mg per day in one dose. Treatment is carried out within 2 months.

Pentoxifylline - improves arterial blood flow in the area of ​​a trophic ulcer. It is used orally and parenterally. It is used for trophic changes in the initial stage associated with damage to the arteries. The average dose is 600 mg per day in two divided doses.

Thiamine is a metabolic stimulant and corrector of the function of the nervous system. It is used parenterally, treatment is carried out in courses of 10 days. Improves nerve trophism on the leg. In the initial stage, it is useful in order to prevent rapid progression. The average dose is 50 mg per day.

The drug is used for systemic treatment of the disease.

Local treatment is carried out with means that restore damaged skin. Below are the drugs that can be used for initial ulcerative defects.

Depanthol - contains the reparant dexpanthenol and the antiseptic chlorhexidine. Effectively fights the reproduction of microbes and restores trophic tissue changes. The cream is used twice a day under a bandage.

Olazol - contains an anesthetic, a reparant and two antiseptics. As a healing component, sea buckthorn oil is present in the composition. Release form - aerosol. It is applied under a bandage 4 times a day.

Polyvinox - has an antiseptic and regenerating effect. Available in the form of a balm. It is applied twice a day under a bandage on the leg.

Thus, it is important to quickly identify trophic ulcers in the initial stage and immediately begin treatment. This will preserve the full function of the lower extremities for a long time. Therapy should be complex, combine external treatment and systemic drugs. At the first sign of an ulcer, you should immediately contact a specialist.

More than two million people around the globe suffer from trophic ulcers. Despite the development of modern medicine, this disease is difficult to treat and threatens with serious consequences. A trophic ulcer on the leg is manifested by the destruction of the skin or mucous membrane and is characterized by a deep lesion of soft tissues, sometimes reaching the bone. There is constant inflammation around the ulcer. The disease proceeds sluggishly, since the tissues do not receive adequate nutrition, blood circulation and cellular nutrition processes are disturbed in them. Over time, constant inflammation leads to a weakening of the protective properties of the body, as a result of which the treatment of the disease is even more difficult.

Trophic ulcers are a secondary disease that is caused by impaired blood circulation in the tissues. The result is always the same: as a result, the cells do not receive the necessary nutrition and begin to gradually die off, but the causes of the disease may be different. Depending on them, several types of trophic ulcers are distinguished.

Trophic ulcers are a secondary disease

venous ulcer

This disease occurs when venous circulation is disturbed, which is often caused by varicose veins. Most often, an ulcer occurs on the inside or front of the lower leg, in other places it is extremely rare. The disease does not appear immediately, it has a number of signs that are often perceived as symptoms of varicose veins, and nothing more. Paying attention to them in time, you can avoid the disease, since it is very difficult to cure a trophic ulcer.

Harbingers of the disease include:

• Swelling of the calf, increased girth of the ankle, feeling of heaviness;
• Spasms begin to appear, especially during sleep;
• A noticeable vascular network begins to appear on the skin, there are unpleasant sensations resembling itching;
• Bluish and reddish spots appear on the site of the protruding veins, which merge into one large spot. It can occupy a very large surface and resemble an extensive hematoma;
• The skin at the site of the spot becomes shiny and smooth, stretched, its sensitivity decreases;
• Whitish scabs appear, severe peeling.

After the appearance of scabs, it will take several days, and an ulcer will appear. At the initial stage, only the surface of the skin is affected, but gradually the wound deepens, affects the muscles, tendons, and often reaches the bone.

Venous ulcers are dangerous because they cause many dangerous consequences and can lead to the death of the patient in a neglected state.

atherosclerotic ulcer

Such ulcerations are frequent companions of ischemia of the soft tissues of the leg, most often the lower leg. Ischemia appears due to progressive, affecting the main arteries.

The cause of the onset of the disease is chronic hypothermia of the leg, constant uncomfortable (too narrow and pressing) shoes, leg injuries. Most often, this disease is experienced by older people who cannot walk a lot and spend a lot of time at rest.

The first symptoms of an atherosclerotic ulcer are a constant feeling of coldness in the legs, the limbs are almost always cold to the touch. With even slight physical exertion, a person quickly gets tired, at night there is aching pain in the calf muscles.

Ulcers appear on the foot, often on the big toe and heel. They are small in diameter, but deep, filled with pus. The edges of the wound are denser than the rest of the tissue, whitish, insensitive. If you do not take any measures, the ulcers quickly spread throughout the foot and foot, merge into one single ulceration.

Pyogenic ulcer

An ulcer, the appearance of which is not directly related to circulatory disorders, so ulcerative lesions occur at the site of multiple boils, abscesses and purulent eczema. Most often they are shallow and have a rounded shape.

In most cases, pyogenic ulcers occur in people who neglect personal hygiene and do not treat skin lesions. Solitary ulcers respond well enough to treatment if it is started on time. Ulcerations that occupy large areas can often lead to gas gangrene.

Martorella ulcer

This ulcer is also called hypertensive, as it occurs due to prolonged vasospasm. It occurs very rarely, mainly in women of mature and advanced age. At the initial stage, the disease manifests itself as swelling, pain, and a burgundy spot appears on the front of the lower leg, which soon turns into an ulcer. The disease develops very slowly and is characterized by extreme soreness, which does not give rest either day or night.

The main difference between a hypertensive ulcer is the symmetry of its manifestation. Papules and ulcerations appear simultaneously in the same places on both legs.

Ulcer neurotrophic

Occurs as a result of injury or prolonged illness of the head or spine. Violation of trophism causes ulcerative tissue damage, which has a rounded shape with a small diameter. The depth of the ulcer is limited only to the bone, the surrounding tissues lose their sensitivity, and the ulcer hole is filled with pus and exudes an unpleasant odor.

Ulcer diabetic

- an incurable disease that leads to many serious complications, one of which is trophic leg ulcers. The formation of an ulcer begins with a violation of the innervation of the legs, most often the feet. A person first feels frequent numbness of the leg, then the sensitivity of the skin is greatly reduced, the limbs remain cold even in the warm season. The first wounds appear in places of greatest friction: on the thumb, on the protruding parts of the phalanges of the fingers, on the heel and front of the foot. Ulcers in appearance resemble atherosclerotic, but are devoid of symmetry. The main danger of such lesions is their insensitivity. Often, patients themselves accidentally injure their legs while walking and do not notice this, thereby exacerbating the problem. Diabetic weeping ulcers in a neglected state can lead to gangrene.

Treatment of trophic ulcers

The success of the treatment of an ulcer lies in the correct determination of the cause of its occurrence. Before treating the disease, the patient must pass a series of cytological and bacteriological tests that will help determine the type of ulcer.

Treatment should be comprehensive, the doctor in some cases prescribes surgical treatment, which is accompanied by medication. Physiotherapy treatments are also shown. Trophic ulcers - this is the case when doctors welcome reasonable treatment with folk remedies.

Surgical intervention is necessary in the case of neurotrophic and atherosclerotic ulcers. Which are narrow channels filled with pus. During the treatment period, patients repeatedly have to pump out pus from ulcers.

If the ulcer is advanced and has affected a large area of ​​soft tissues, the attending physician may prescribe their excision and cleaning to avoid infection. Extensive ulcerations are divided into several small ones surgically to reduce the area of ​​the lesion and stop the inflammatory process.

To begin treatment of an ulcer, it is necessary to determine the cause of its occurrence.

In special cases, with extensive lesions, the patient is given a skin graft to reduce the area of ​​​​the wounds.

Medical therapy most often includes:

• Non-steroidal anti-inflammatory drugs;
• Broad spectrum antibiotics;
• drugs.

Local treatment consists in regular cleansing, washing the wound and then treating it with antibacterial ointments, applying a bandage. An ointment for trophic ulcers on the legs is prescribed by a doctor, taking into account the individual characteristics of the patient's disease.

If the ulcer is accompanied by severe edema and is of venous origin, then after applying the ointment, compression bandages should be used. They reduce swelling by temporarily reducing the diameter of blood vessels, making the treatment more successful. When the condition improves, compression bandages can be replaced with special stockings.

Treatment with folk remedies

Alternative treatment consists in the external treatment of the wound: its cleansing and application of antibacterial agents.

Herbal compresses have proven themselves very well - chamomile, string, celandine and calendula, which are applied for several hours. They not only disinfect the wound, but also promote the growth of new tissues, providing a soothing effect.

Birch tar, or ointment, is considered a good remedy. The product should be applied to cotton pads, applied to the wound and left for several days, then changed.

Important! Before applying any remedy, the ulcer must be thoroughly washed, otherwise suppuration may increase, turning into blood poisoning. This is especially dangerous if the ulceration is in close proximity to deep large veins.

With weeping ulcers, tartar powder, poured into the wound, helps to fight. It is left under a bandage for 1-2 days, after which it is replaced with a fresh one.

It is impossible to cure a trophic ulcer on the legs with folk remedies alone, so consultation with a doctor is necessary.

Prevention

Any disease is easier to prevent than to cure, for a trophic ulcer this is especially true. For prevention, it is recommended to closely monitor the condition of the veins, periodically apply gels and ointments that improve blood circulation, and avoid prolonged standing or sitting.

If circulatory problems are found, you should regularly perform exercise therapy exercises and do not neglect examinations by a doctor. It is also important to remember that self-medication can be detrimental.

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The history of religion knows the phenomenon of stigmatization, when bleeding wounds and ulcers appeared on the legs and arms, in places corresponding to the nails driven into the body of Christ. Let's leave aside the religious and mystical justification for this phenomenon, and let's talk about more "mundane" reasons that result in trophic ulcers on the legs.

It must be warned right away that such deep trophic disorders as ulcers never occur suddenly in ordinary people, but are a complication of severe and long-term diseases. Neglect of one's health, the presence of bad habits, especially smoking, lack of control over blood glucose levels most often lead to these disorders.

Trophic ulcer - what is it?

Despite the fact that this name is extremely widespread among doctors of all specialties, and they, without saying a word, understand what they mean, it is rather difficult to define a trophic ulcer.

Firstly, for the reason that there is no such diagnosis in the classification of diseases, and secondly, because this concept is of a collective nature. Hemodynamic disturbances, innervation disorders, lymphostasis and trauma also lead to the appearance of tissue defects.

Therefore, in simple terms, trophic ulcers are deep defects that occur due to impaired innervation, hemodynamics, lymphatic drainage, which reach a level below the basement membrane of the skin, are complications of many chronic diseases, and heal with the appearance of scar tissue.

This definition contains the most important facts, for example, the fact that if an ulcer has already appeared, then even if it heals, then the appearance of a scar cannot be avoided. And for what reasons can such severe tissue malnutrition appear?

varicose veins, atherosclerosis and other causes

The main reason for their appearance is not trauma or injury, but long-term illnesses leading to chronic insufficiency of arterial and venous blood flow, and a disorder of autonomic innervation. The following are the most important reasons:

1. "Varicose ulcer". It occurs in 2/3 of all cases. Chronic venous congestion develops, which leads to trophic disorders;
2. arterial ulcers.

They occur much less frequently, as a result of severe ischemia of arterial thrombosis (occlusion). Most often they appear in the area of ​​​​the foot, where the blood flow is weaker, and less often - on the lower leg.

Almost all arterial lesions occur as a result of atherosclerosis occurring with obliteration of blood vessels, as well as due to thromboangiitis (Buerger's disease). Here, the mechanism triggers a sharp decrease in pressure, leading to chronic hypoxia. At the same time, part of the blood flow is still preserved, since with complete thrombosis, not an ulcer occurs, but gangrene.

How arterial ulcers appear: they are preceded by chilliness and fatigue, coldness of the limb, the presence of intermittent claudication, then night pains appear. It all starts with a cut, bruise, rubbing of the leg.

• Lesions in diabetes mellitus.

Diabetic ulcers occur in 5% of all cases, but represent a very difficult problem to treat, given the reduced tissue innervation in the periphery as a consequence of diabetic polyneuropathy. With a diabetic ulcer, the arterial pulse is usually preserved, there is no intermittent claudication.

Surgeons and infectious disease specialists, specialists in radiology are also aware of even rarer causes of lesions, for example, those that have arisen after frostbite and burns. Very rarely there are congenital and acquired arteriovenous shunts and fistulas, ulcers of syphilitic etiology, or resulting from the action of ionizing radiation. How is an ulcer formed?

Stages of a trophic ulcer, symptoms and photos

Of course, it never happens that in the evening a person falls asleep healthy, and in the morning he finds himself with a festering ulcer into which he can put his fist. An ulcer, like many other pathological formations, has a clear staging of development. But, before it occurs, there is a "preulcerative" stage with its own symptoms.

Signs of "preulcer" - the initial stage

The symptoms of the initial stage of a trophic ulcer are as follows. At first, when there is no ulcer yet, one can detect induration, or thickening of the skin in the area of ​​the calves and shins, the occurrence of burning and itching, the appearance of edema. In some cases, there is an expansion of small subcutaneous (subcutaneous) veins.

The patient may experience leg cramps. With an arterial character, chilliness appears and a discoloration of the limb below the level of chronic occlusion to white, pale. The initial stage of a trophic ulcer on the leg may be accompanied by symptoms of the appearance of cyanotic or purple spots, which can merge into a single whole.

initial stage photo 2

Finally, the ulcer itself appears. There is no deepening in the center yet, although everything is ready for its appearance, the tissues in the depths have already died or are dying, and it is a red (or brownish) wet scab of a certain area, with a “restless”, often painful periphery.

Stages of "life" - the development of a trophic ulcer

Now the defect begins to expand and deepen. In its development, it usually goes through three stages of life, which in uncomplicated cases take about 2-3 months. What happens during this time? These stages are called exudation, granulation and epithelialization:

• stage of exudation. It lasts up to 2 weeks.

Along the perimeter there is inflammation, perifocal edema. In the center, tissue necrosis occurs, that is, the ulcer itself is formed. It is at this stage that there is an abundant discharge from the wound that has appeared, which has an unpleasant odor.

When conducting a bacteriological examination of the discharge, a significant appearance of colonies is revealed, which indicates a strong microbial contamination of both the edges and the bottom of the defect.

In some cases, the process is not limited to one local area. In the event that lymphatic vessels passed through the ulcer - collectors and veins, then lymphangitis occurs, thrombosis of the veins (thrombophlebitis). Often the appearance of a secondary erysipelas infection, erysipelas.

In the event that the "rampant" local infection is not stopped, then gradual obliteration of the lymphatic vessels may occur with the development of persistent edema, especially on the feet, which is called lymphedema. In the end, this can lead to elephantiasis and permanent disability.

• The stage of repair, or granulation.

Continues for the next 2-3 weeks. All this time, the bottom and walls of the formation are covered with fresh granulations, and the wound is cleared of necrosis.

It is at this stage that the cleansing of the wound with fly larvae can be applied, which carefully eat away only dead tissues without causing any harm to the living (as shocking as it may be).

Suppuration gradually decreases, the severity of edema of surrounding tissues also subsides. Continues to appear meager discharge, serous nature.

• The stage of ulcer epithelialization.

This late stage of ulcer development, which is observed a month or later from the onset of the development of the process of tissue destruction, which is accompanied by the formation of the epithelium, where possible and where not, a scar appears.

How to treat trophic ulcers? They must be treated strictly following the principles to avoid complications. What does this mean?

Principles of treatment of trophic ulcers on the legs, preparations

The most important thing is to determine the cause, and begin intensive treatment of the underlying disease. Treatment of a trophic ulcer on the leg, while venous thrombosis continues in other areas, or “outrageously” high blood sugar is useless, because even with the elimination of the defect, several new ones will immediately appear in other places.

It is necessary not to hesitate to make a decision in favor of hospitalization, even to a surgical hospital, if the treatment of trophic ulcers of the lower extremities at home was delayed and was ineffective. Currently, there are many options for operations that effectively eliminate the cause of the formation of an ulcer and save the limb, so you should not be afraid of surgeons.

The main steps are:

• Consultation of a phlebologist and a vascular surgeon with a decision on the priority operation. (In the case of arterial ulcers, blood flow is always restored first by surgery);
• In the case of a conservative approach, they sharply limit their stay in a vertical position (and in the diabetic form, they completely prohibit the load on the leg);
• In the case of varicose ulcers, compression underwear is prescribed. Treatment of trophic ulcers of the lower extremities should be accompanied by an improvement in outflow. According to the indications, compression knitwear of high compression classes is prescribed;
• In the first stage of ulcer formation, infection control is required, taking into account the sensitivity of the pathogen to antibiotics;
• In the subsequent stages, the fight against infection gives way to reparative and restorative therapy;
• Throughout the treatment, the most thorough care for the ulcer is needed, and urgent hospitalization if the condition worsens.

At home, you can successfully use drugs for trophic ulcers, but only after consulting a vascular surgeon and a specialized specialist, for example, a diabetologist. The purpose of this is not to "miss" the operation, which in some cases must precede the treatment.

In some cases, hospital treatment is preferable, since sessions of hyperbaric oxygenation, rational antibiotic therapy, correction of heart failure and blood glucose levels can be prescribed there. If all this is not required, then only then can trophic ulcers of the lower extremities be treated at home, but under the supervision of a doctor. The main groups of drugs include:

• Reparants (used upon completion of the first stage). These include Solcoseryl, Actovegin, Methyluraciol Ointment, Bepanten. Promote regeneration;
• Phlebotonics for varicose veins - Detralex, Aescusan, Troxerutin, Phlebodia, Venoruton. You can apply diosmin in micronized form;
• Preparations for improving microcirculation ("Hepatrombin");
• Local application of antibacterial drugs - antibiotics, Levomekol, Vishnevsky ointment;
• Washing the ulcer and removing the discharge (hydrogen peroxide, a solution of chlorhexidine, furacillin) with a 2-3-fold dressing change. You can use Unna gelatin-zinc ointment;
• Apply general antiplatelet agents that improve blood flow and reduce thrombosis (Trental, Pentoxifylline, acetylsalicylic acid;
• For symptomatic purposes, NSAIDs (ketoprofen, ketorolac) are used to relieve pain and reduce inflammation;
• With severe swelling and itching, antihistamines are used, both topically ("Fenistil - gel") and orally;
• At the stage of wound healing, vitamin preparations are used, as well as special wound dressings, for example, Algipor. It is an absorbable bandage made from seaweed with antiseptic properties.

In any case, the treatment of ulcers at home, and especially the use of antibiotics, should be under the supervision of a physician.

Treatment prognosis

With any long-term trophic ulcer, there is a threat of its malignancy, or transformation into a malignant tumor. This occurs in 3-4% of all cases, and is often an example of the abuse of ultraviolet radiation, and irritating ointments.

The next danger is purulent-septic complications that can result in dry or wet gangrene, and sepsis, which often leads to death, especially in conditions of multiple organ failure.

In conclusion, it must be said that the most effective way to treat an ulcer is to prevent it. Our body gives us many signals of an impending disaster. And, even in the case of diabetes, when the patient simply does not have pain, blood sugar levels are a threatening symptom.

The emphasis in the fight against ulcers should shift from the investigation to the cause - only then the patient can not be afraid of relapses and threatening complications.

How to treat a trophic ulcer? Trophic ulcers on the legs are difficult to treat. Sometimes, despite all the efforts of doctors, they continue to increase. Often, treatment with folk remedies is more effective than medication.

What is a trophic ulcer of the lower extremities - Causes.

Advice is given by the doctor - vascular surgeon R.Yu. Yudin.
An open wound on the lower leg or foot that does not heal for more than a month is the result of impaired blood flow in the legs and insufficient nutrition of the vessels (trophic). In this case, they say that a person has a trophic ulcer of the lower extremities. Before proceeding with treatment, it is necessary to determine what cause it is caused by, and what type it belongs to. It can be a venous, arterial or diabetic ulcer. In addition, some skin diseases can cause it. Therefore, first of all, it is necessary to treat the root cause - venous insufficiency, varicose veins, diabetes mellitus, arterial disease.
The main reason for the appearance of trophic ulcers is varicose veins, in this case, compression knitwear is necessary for treatment, which allows you to reduce venous pressure and thereby creates the best possible conditions for proper blood circulation and healing. In other cases, compression stockings can only do harm.

Trophic ulcer - drugs for treatment.

A weeping wound is always “dirty”, i.e. infected, it contains pathogenic bacteria. And the larger the area of ​​the wound, the more types of microbes are present in it. Not only the skin, but also muscles and even bones can be involved in the purulent process. Usually, the doctor must analyze the infected tissue for sensitivity to antibiotics in order to conduct targeted antibiotic therapy and use the most effective drugs to treat a trophic ulcer in a particular case.
An obligatory method of treatment is the mechanical cleaning of the wound with napkins from purulent contents and dead tissues, which serve as an ideal breeding ground for bacteria. Cleansing dressings are done 1 time per day, and even better - 2 times a day. First you need to wash everything with antiseptic preparations (hydrogen peroxide, chlorhexidine), then lubricate with antibacterial and healing ointment Levomekol. Then apply a sterile bandage, with varicose veins put on top of a compression stocking. Levomekol ointment cleanses the wound, pulling out necrotic contents from it. The methyluracil included in it heals and restores tissues. The main sign that the drug is working is the restoration of the pink color of the wound, as well as a decrease in the amount of dead tissue. After two weeks, the wound should be completely cleared.
Then Levomekol can be replaced with other regenerating healing ointments (methyluracil, solcoseryl, oflomelide). These drugs contribute to scarring of wounds, restore the epithelium.
So, the treatment of trophic ulcers with drugs can be divided into three stages:

1. cleansing the ulcerated surface from dead tissue (source of infection),
2. destruction of bacterial infection,
3. healing, restoration of the epithelium.

Trophic ulcer - treatment with folk remedies.

In addition to medications, there are many proven folk recipes, but it is advisable to use them at the initial stage of the disease.
Wounds are cleansed with fern juice, yarrow juice.
Herbal compresses are applied to ulcerative foci, using crushed leaves of lilac, plantain, lungwort, coltsfoot. They are kept 5-6 hours a day, and the treatment lasts 1-1.5 months.
Apply bee products: 10 g of mummy per 100 g of honey, 1 tbsp. l. honey and 1 egg white.
Gum is mixed with melted butter or pork interior fat.
Use sea buckthorn oil, rosehip seed oil or St. John's wort.

When treating a trophic ulcer with folk remedies, one must not forget that this is an open wound that has arisen after the rejection of dead tissues. Therefore, folk remedies should be used with caution, observing sterility, so as not to cause fungal or microbial insemination of the wound.

If, despite all your efforts, the wound does not heal, its size increases, the infection spreads, the blood supply is not restored, you must urgently contact a vascular surgeon or phlebologist.

Do you need gymnastics?

The answer to this question depends on the nature of the ulcer. If it is caused by varicose veins, then gymnastics is very useful, since exercises improve venous outflow. In this case, it is very useful to do the following:

1. Stand up, lean your hands on the wall at shoulder height, rise on your toes and fall on your heels 10-20 times
2. Standing, shifting from foot to foot
3. Roll from toes to heels.

The main thing: do not be lazy and do exercises 2 times a day.
In case of diabetes or an arterial cause of the disease, physiotherapy exercises are not used. Arterial blood flow cannot be increased sufficiently by exercise; it is a more difficult medical challenge.

Prevention.

Even after complete recovery, relapses are possible, so we must not forget about prevention.
Recipe from the newspaper "Bulletin of healthy lifestyle" 2016, No. 9, pp. 20-21.
Places with healed wounds should be lubricated from time to time with creams based on calendula or chamomile. For prevention, care should be taken to treat the underlying disease that caused ulceration of the lower extremities. The main condition for the prevention of ulcers in varicose veins is the wearing of compression stockings.

More about ulcer prevention. A 60-year-old woman, a disabled person of the 1st group, turned to the newspaper for advice. She had trophic ulcers of the lower extremities, after treatment with Levomekol everything seemed to dry up. But she is afraid that the wounds will open again and flow. And there is no one to take care of her. What to do to prevent this from happening.

Answered by a phlebologist, Dr. med. Sciences, Professor V. Yu. Bogachev.
Proper skin care is now relevant, keeping it in good shape so that the disease does not return. If the reader is unable to get to the pharmacy, and there are no effective ointments at home, then ordinary butter or vegetable oil will help. First, the legs should be washed in a weak solution of potassium permanganate, and if it is not there, then in a decoction of string, chamomile or tea. Then dry with a towel and brush with oil.
This procedure should be done several times a day until the skin acquires a normal tone and dry crusts disappear.
Be sure to keep your feet elevated while resting. It is advisable to lie down every 2-3 hours for 15-20 minutes, placing the legs so that they are slightly above the level of the heart.
Advice from a phlebologist from the newspaper "Bulletin of healthy lifestyle" 2015, No. 19, p. 12.

Treatment of trophic ulcers at home - the most effective folk remedies

Alternative treatment of trophic ulcers with propolis.

Honey and propolis for trophic ulcers.
Mix 1 tbsp. l. honey, 1 tbsp. l. sunflower oil and 1 tbsp. l. alcohol tincture of propolis. Using the resulting mixture, make compresses on the affected areas. Recipe from the newspaper "Bulletin of healthy lifestyle" 2002, No. 4, p. 19.

Treatment of trophic ulcers at home with the help of bee products.

Review from the newspaper "Bulletin of Healthy Lifestyle" 2005, No. 22, p. 11.
At the age of 85, a man suddenly fell ill with a leg wounded in the war 60 years ago, an ulcer opened on his lower leg. He himself was a beekeeper, so he began to treat it with folk remedies based on beekeeping products: he boiled propolis in badger fat for 2 hours until a thick mass was obtained. First, honey was applied to the affected area, then propolis ointment, covered with burdock leaves and fixed with gauze. I changed the bandage 2 days later. So it was possible to quickly cure the ulcer and restore the skin.

Trophic ulcers in diabetes mellitus on the legs, wounds and their treatment.

Review from the newspaper "Bulletin of healthy lifestyle" 2006, No. 10, p. 30.
The woman had diabetes mellitus, ulcers and non-healing wounds on her toe appeared. They kept her in the hospital for a long time, then they discharged her home without improvement, they said it would not heal. The daughter found a suitable alternative treatment - saline dressings and propolis ointment.
To cook propolis ointment, you need to take 100 grams of interior fresh lard and grate 50 grams of propolis there. Simmer the mixture in a water bath for 20 minutes, strain, cool about warm and add vitamin A (1 bottle) and gentomycin (1 bottle).
To prepare saline solution 2 tsp salt dissolved in 1 cup of hot boiled water.
At night, tie a bandage folded in 8 layers soaked in saline solution to the wound. In the morning, rinse the skin, lubricate with ointment, do not bandage. Lubricate ulcers and wounds during the day 4-5 times until the evening, then wash off the ointment at night and apply a saline compress again. And so every day, until the wounds heal. These procedures allowed the patient to get back on his feet, the ulcers healed, the finger returned to normal.

Trophic leg ulcer treatment at home with ASD fraction.

The ASD fraction successfully copes with many skin lesions. The recovery process will go faster if, simultaneously with the external use of ASD-3 in the form of compresses, apply ASD-2 inside according to the general scheme.

How to treat a trophic ulcer on the leg.
Review from the newspaper "Bulletin of healthy lifestyle" 2009, No. 20, p. 32.
The man was weeding the garden, he was bitten by a mosquito. Without thinking that his hands were dirty, he combed the bite. A pink spot appeared at this place, began to grow and spread. A trophic ulcer formed on the shin, the leg was greatly swollen. The dermatologist prescribed an ointment, which the patient was treated for 2 months, but there was no result. I began to look for another remedy, I read about the ASD factions. I began to use ASD-3 externally and take ASD-2 internally. Literally in a week, the wound cleared up and began to shrink, and after 2 months it completely healed.

Treatment of trophic leg ulcers with ASD fraction.
From a conversation with a candidate of medical sciences, dermatologist Garina T.A. "Bulletin of healthy lifestyle" 2009, No. 22, pp. 14-15.
With the consent of the patients, the doctor began to treat their ulcerative lesions with the help of ASD.
Inside, you need to take ASD-2 according to the general scheme, i.e. drink 0.5 ml for 5 days, diluted in 100 ml of water or tea, 3 days break.

Inside, also take the venotonic agent escusan (an extract from chestnut fruits), 1 tablet 3 times a day. Make applications on the affected areas - 1 tsp. ASD-3 for 20 teaspoons of vegetable oil (if, after applying a bandage, there is a burning sensation or twitching in the wound, increase the amount of oil).

Before applying the application, the wound should be washed with hydrogen peroxide or potassium permanganate solution. Then moisten several layers of gauze in a mixture of oil with ASD, squeeze, put on the affected area, wrap with parchment paper. Apply a thick layer of cotton wool on top to reduce the evaporation of the mixture and an unpleasant odor. Bandage, you can put on a stocking. Keep from several hours to a day, as it turns out according to the circumstances. Repeat the next day. Do the procedure until complete recovery.
After a few days, a thin whitish film will appear on the surface of the ulcer, it must be protected - this is the future skin, so washing with peroxide at this stage must be stopped. The film will thicken and the wound will shrink. There may be severe itching, but it must be endured. After the ulcer disappears, in its place the skin will be bluish-red, thin. To restore it, it is necessary to tie cabbage leaves to the skin for several hours, or lubricate with ASD ointment (for 1 part of ASD-3 - 20 parts of internal melted lard). Treatment takes an average of 1.5-2 months.

Treatment of trophic leg ulcers in diabetes mellitus.

Review from the newspaper "Bulletin of healthy lifestyle" 2010, No. 13, pp. 22-23.
A woman with diabetes mellitus developed trophic ulcers on her lower leg. For 4 months she hardly slept, experiencing either terrible pain or impossible itching. She went around many medical institutions, was treated with various means that doctors prescribed her, but nothing helped. A friend advised her to read the Healthy Lifestyle Bulletin, write out folk recipes and pay special attention to the ASD faction. The patient decided to use this remedy, as a result, the pain stopped almost immediately, and after two weeks it became clear that the healing process had begun actively.

Treatment of trophic ulcers with folk remedies - ASD fraction.
With the help of ASD-2 and ASD-3 fractions, the woman managed to cure a trophic ulcer on her lower leg. Prior to this, there was no result, although the patient used in the treatment all the drugs that the doctor prescribed for her. Then the woman remembered that a conversation with a dermatologist Garina T.A. was published in HLS No. 22 for 2009. She began to follow all the recommendations from this article, and after three months the skin recovered, only a red spot remained.
Review from the newspaper "Bulletin of healthy lifestyle" 2015, No. 1, p. 7.

Ointment for the healing of trophic ulcers.

For the treatment of ulcerative lesions at home, ointments are most often used. By prescription, you can buy a ready-made ointment in a pharmacy, prepare it yourself from a mixture of pharmaceutical preparations. You can also prepare an ointment according to folk recipes based on oil, wax and medicinal plants.
In the newspaper "Bulletin of Healthy Lifestyle" for 2010, a recipe for a miracle was published - an ointment for trophic ulcers from a mixture of pharmaceutical preparations. Many readers took advantage of this recipe and got an excellent result, which they wrote to the newspaper about. Even long-term non-healing wounds healed.

Numerous reviews on the use of this recipe and reviews on treatment with other home and pharmacy ointments can be found in the article "Treatment of ulcers with ointments."

And here is the recipe for a miracle ointment.
Recipe from the newspaper "Bulletin of healthy lifestyle" 2010, No. 3, p. 31.
Mix in a sterile jar 1 tube of hyoxysone, gentamicin, sinoflane and mitiluracin ointment, 100 g of petroleum jelly and 4 sachets of streptocide in powder. Every day, it is better to apply the ointment on a sterile napkin before going to bed and apply it to ulcerative surfaces. Store the ointment at room temperature, if it gets dark - do not be afraid, it should be so. Try not to wet the wounds, treat them with hydrogen peroxide at least once a week.

How to treat ulcers of the lower extremities at home with herbs.

The most suitable plant for the treatment of ulcerative lesions is the golden mustache. It quickly cleans the wound and promotes effective tissue regeneration. You can also successfully treat trophic ulcers of the lower extremities with the help of calendula, celandine, burdock and other herbs.

Golden mustache from an ulcer.

The juice of the golden mustache plant (dichorizandra, live hair) treats skin diseases, ulcers, abscesses well. To do this, you need to make applications daily with a sterile cotton swab soaked in juice from the mustache and leaves of the plant.

Feedback on the treatment of trophic ulcers in diabetes with a golden mustache

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The woman had diabetes, ulcers appeared on her legs. Vishnevsky's ointment did not help - the wounds got wet and increased. She began to apply the leaves of the golden mustache plant to them. The healing process went right before our eyes. Recipe from the newspaper "Bulletin of healthy lifestyle" 2001, No. 20, p. 16.

Review. How to treat a trophic ulcer with a golden mustache.

The wound was 7 cm in diameter, formed as a result of thrombophlebitis. The woman took one leaf of the golden mustache plant, washed it well with hot water, cut out dark and dry places from it, cut it into pieces of about 1.5 cm, put it in a cup and kneaded it with a wooden spoon so that the juice stood out, and the pieces became wet. This mass was applied to the ulcer, covered with a sterile napkin and bandaged. The procedure must be done at night. If a purulent crust appears, then clean it with hydrogen peroxide and apply new crumpled leaves of the golden mustache, and also bandage it. These procedures are painful at first, especially peroxide treatment, but gradually the pain subsides, the ulcer begins to heal site by site. The woman needed 8 procedures to completely heal the ulcer with the help of a golden mustache. (Recipe from the newspaper "Bulletin of healthy lifestyle" 2004, No. 7, p. 7). If the wound begins to twitch, you must be patient - this is its cleansing from necrotic tissues. (Folk recipe from the newspaper "Bulletin of healthy lifestyle" 2011, No. 15, p. 41)

Review. Treatment of a trophic ulcer on the lower leg.

1 tsp mix golden mustache juice with 2-3 tsp. baby cream, put in a glass jar. Ointment for treatment is ready. A woman developed a trophic ulcer on her leg, on her lower leg. I tried many folk remedies, but the result was unimportant. She began to smear the wound with this ointment three times a day. A few days later the wound healed up. Folk method from the newspaper "Bulletin of healthy lifestyle" 2008, No. 23, p. 16.

You can read about the use of other medicinal plants in the article. "How to treat trophic ulcers with herbs"

Treatment of trophic ulcers with salt dressings according to the method of Dr. Kapralov.

Ulcerative skin lesions should never be lubricated with ointments. They clog the wound, there is no cleansing, the infection spreads throughout the leg, and the case ends with erysipelas and elephantiasis. For treatment, it is better to use antiseptics: wash the wounds with warm water and laundry soap, apply an antiseptic and bandage. Such dressings are alternated with applications from a solution of sea or common salt. Salt dressing recipe: 1 st. l. salt dissolved in 1 liter of water. Fold gauze in 4 layers, moisten in saline solution, squeeze lightly and apply to the wound, compress paper on top, hold for 3 hours. Repeat the procedure twice a day. Between applications, a break of 3-4 hours, during which time the ulcers should be kept open. Soon they will begin to decrease in size, the edges will turn pink - which means that the healing process is underway. An ulcer is an avascular zone, therefore, in addition to saline solutions, tissue massage is necessary for blood flow. Recipe from the newspaper "Bulletin of healthy lifestyle" 2007, No. 5, p. 7.

Feedback on the treatment of trophic ulcers with saline dressings at home.

8 years ago, a woman developed a trophic ulcer of the lower extremities. She treated her with various drugs, but there was no result, the skin began to turn black. And then a healthy lifestyle came with an article by V.N. Kapralov “How to avoid surgery for thrombophlebitis”, then in 2007 other articles by the surgeon on the same topic followed. The woman decided to start treatment according to his recommendations with saline dressings, and after two weeks everything healed.
And this year the same problem appeared again, but this time the tried and tested method did not help. I decided to try my own way.
First, I washed my sore leg with laundry soap. I took a leaf of aloe, removed the skin and thorns and applied it to the wound. The gauze folded in 4 layers was moistened in a decoction of herbs and covered with aloe, compress paper on top, then fixed with a cloth for 2-3 hours. After that, the bandage was removed for 2-3 hours. I did 2-3 such procedures per day.
The infusion was prepared from a mixture of sage, St. John's wort, plantain, chamomile and in equal proportions. 1 st. l. collection was poured with 1 cup of boiling water and insisted for 1 hour. I used the infusion for compresses and drank 1/3 cup 3 times a day. The procedures were performed until complete healing. Review from the newspaper "Bulletin of Healthy Lifestyle" 2014, No. 18, p. 30.

Trophic ulcers with varicose veins - a successful treatment with folk remedies.

Onion oil for varicose ulcers.
A woman developed trophic ulcers of the lower extremities against the background of varicose veins, which did not heal for a long time. All ointments were tried, nothing helped. She was advised to use such a folk remedy: fry a medium-sized chopped onion in vegetable oil until golden brown, then tilt the pan and select sunflower oil in a glass. The patient lubricated the wounds with this oil, and they quickly healed. Folk method from the newspaper "Bulletin of healthy lifestyle" 2006, No. 8, p. 32.

Treatment of trophic ulcers with varicose veins with hydrogen peroxide and streptocide.
Due to neglected varicose veins, a weeping trophic ulcer on her leg opened in a woman. I tried all folk remedies: burdock, plantain, aloe, etc., but to no avail, the wound oozed and increased in size. I decided to treat her with peroxide. Hydrogen peroxide dripped onto the wound, covered it with streptocide, put a napkin soaked in a peroxide solution (2 tsp per 50 g of water) on top. She covered the compress with polyethylene and tied it with a scarf. The compress was changed several times a day, streptocide was added as the wound moistened. In 10 days everything healed up. Before this incident, 7 years ago, she already had the same problem, then she managed to recover already in a year and a half with pharmacy ointments and preparations. So peroxide turned out to be much more effective than the drugs prescribed by the doctor. Review from the newspaper "Bulletin of healthy lifestyle" 2003, No. 21, p. 26.

How to treat a trophic ulcer on the leg with varicose veins - mumiyo with honey.
Due to chronic varicose veins, a woman developed a trophic ulcer on her leg with a diameter of 2 cm. The following recipe helped to cure her at home: for 100 g of honey - 4-5 g of mumiyo. Mumiyo tablets do not dissolve in honey, so they must first be ground, then mixed with 1 tbsp. a spoonful of boiled water, and only then mix with honey. With this mixture, the woman lubricated the wound and the veins around. This remedy helped to get rid of the ulcer in 1 month. Review from the newspaper "Bulletin of Healthy Lifestyle" 2013, No. 2, p. 35.

Potato compresses.
The woman has chronic varicose veins, thrombophlebitis, trophic ulcers on her legs formed twice. The prescription for treatment was suggested by a friend, and she, in turn, was given a prescription by a phlebologist from the capital's clinic.
The woman took a peeled potato, rubbed it on a fine grater, squeezed it lightly. Approximately 0.5 tsp was added to the gruel. liniment Vishnevsky and 3-4 drops of fish oil. From the resulting mass made a thin cake. In the summer, this cake was applied to a plantain or burdock leaf and applied to the affected area of ​​​​the skin. Then a gauze napkin and a layer of cotton wool. Top tubular bandage and sock. With this cake, the woman walked all day, she did not interfere. The compress was changed once a day, gave the skin a respite for 1-2 hours. At this time, she washed her leg, moistened the wounds with hydrogen peroxide and again put grated potatoes on the ulcers.
In winter, instead of leaves, a woman took parchment paper. I also tried it on polyethylene, but after it the skin looked bad. The treatment lasted 2-2.5 months. First, a thin skin appeared, and then a normal one, the ulcers disappeared. Review from the newspaper "Bulletin of healthy lifestyle" 2014, No. 17, p. 26.

Some more folk remedies for trophic ulcers on the legs that help to heal.

Two miraculous recipes
The woman had trophic ulcers on her legs for ten years, she experienced hellish pain. Friends advised her two folk methods that helped to heal.

Recipe 1. Grind dry leaves of camel thorn (tatarnik) into flour, sift through a sieve, pour into a jar and put in a dark place. At night, treat the affected areas with rivanol (sold in a pharmacy), powder with tartar powder and bandage. In the morning, without washing the wounds, sprinkle again with powder and bandage. They will dry out, become covered with a crust, which will soon fall off. The woman cured her legs according to this recipe, but soon fell, badly damaged her skin, and the ulcer on her lower leg reopened, because she has diabetes. Then she was given a recipe for a folk remedy based on cottage cheese.

Recipe 2 - treatment of ulcers with curdled milk and cottage cheese. Take 0.5 liters of good milk, make curdled milk and pour it into double gauze, hang it up. Before going to bed, wash the shin with drained serum, and apply the cottage cheese from the bag (it will be a little thicker than sour cream) to the wound. Top with paper for compresses, and bandage. The woman did this procedure and on the very first night she slept like a log – there was no pain. In the morning, a yellow crust forms around the wound, the wound will be clean. It is necessary to apply cottage cheese and paper for compresses again. Over time, the ulcer completely disappeared. Review from the newspaper "Bulletin of healthy lifestyle" 2000, No. 23, p. 16

Curd compress.
Here is another example of folk treatment for ulcers on the legs. The woman managed to cure a trophic ulcer of the lower extremities with the help of cottage cheese, which she made at home without heating. I sewed a gauze bag in two layers, poured 2-3 tbsp into it. l. curdled milk, whey flowed into a glass, thick remained in the bag. I washed the wound with serum and applied a bag of curd to it, fixed it, held the dressing until it was completely dry, then applied another portion of the curd. The wounds gradually healed. Review from the newspaper "Bulletin of healthy lifestyle" 2011, No. 18, p. 38.

Tar in the treatment of leg ulcers with folk remedies.
A 15-year-old woman suffered from non-healing ulcers on her ankles. The treatment helped only partially - the wounds on the legs appeared again. A young surgeon cured her - he applied tampons soaked in tar to the ankles, changing them after 2-3 days until a complete cure. Review from the newspaper "Bulletin of healthy lifestyle" 2004, No. 21, p. 25.

Ulcer treatment with streptomycin.
A very simple and affordable remedy is streptomycin. It is necessary to finely crush the tablets and sprinkle on the wounds. The pain will go away, and the ulcers will heal very quickly. Recipe from the newspaper "Bulletin of healthy lifestyle" 2001, No. 23, p. 21.

An infusion of ashes helped heal ulcers.
Trophic ulcers on the legs of an elderly woman were cured by the following folk remedy: the ashes are poured with boiling water, allowed to settle. The wounds are watered with this infusion, which is why they are cleaned with cotton wool and rinsed with calendula infusion. When the wounds dry up, they are covered with streptocide powder. Folk method from the newspaper "Bulletin of healthy lifestyle" 2003, No. 1, p. 22.

Treatment with hazel and yolks
Take 4 toasted hazelnut kernels, grind into powder in a coffee grinder. Hard boil 2 eggs, take out the yolks, dry them and grind them into powder in a hot frying pan (clean without fat). Mix and grind the yolks and kernels, add 1 coffee spoon of yellow iodoform powder. Clean the trophic ulcer from necrotic deposits with hydrogen peroxide, then apply a thin layer of the mixture, do not bandage for 1.5 hours. Then cover with a sterile napkin and bandage for two days. Folk remedy from the newspaper "Bulletin of Healthy Lifestyle" 2003, No. 6, p. 15. From a conversation with Clara Doronina.

Cabbage leaf and sea buckthorn oil will help heal ulcers.
To cure trophic ulcers at home, you need to take a fresh juicy cabbage leaf, moisten it in a saucer with sea buckthorn oil and apply it to the affected skin surface. The next day, the sheet will dry like paper, it must be replaced with a fresh one. Do this until the ulcer heals. Folk recipe from the newspaper "Bulletin of healthy lifestyle" 2004, No. 14, p. 27.

Chicken egg film is a simple folk way.
Using a cotton swab, wash the wound with a weak solution of potassium permanganate, wet it with a dry swab and apply raw egg shell films to the ulcer, with the wet side to the ulcer, bandage. Do this daily until it starts to heal. Then make dressings in 1-2 days. Folk method from the newspaper "Bulletin of healthy lifestyle" 2006, No. 11, p. 31.

Napkins activetex and furatsilin.
Trophic leg ulcers are difficult to treat, and they often return. A woman copes with them in the following way. In a pharmacy, he buys Activtex medical wipes, makes a solution of furacilin (2 tablets per 150 ml of water). In this yellow solution, it wets the napkin, puts it on the problem area, puts a sterile napkin on top and fixes it with a bandage. When the napkin dries, wet it again in the solution. One Activtex cloth can be used for 2-3 days, wetting it regularly. After a week and a half, positive dynamics begin - the bottom of the wound rises. When the bottom is equal to the edges, the therapeutic napkins can no longer be used, but simply covered with a sterile napkin soaked in furacilin, then just with a dry napkin. After the positive dynamics begin, the skin should be left open for several hours between dressings. Complete healing occurs in 2-2.5 months. Folk method from the newspaper "Bulletin of healthy lifestyle" 2007, No. 10, p. 31.

Alternative treatment of ulcers with flaxseed.
A trophic ulcer formed on the leg, the leg was swollen, oozing from the wound. The doctor said that this is no longer amenable to treatment, the leg should be cut off. A friend promised to help. They saved the leg like this: 100 g of flaxseed was boiled in three liters of water for 1.5 hours. A boot was sewn from oilcloth, this warm broth was poured into it and a leg was inserted. Keep as long as possible, then wipe the skin with a clean cloth and rub with fresh nettles. The wound itched, healed, the swelling subsided. Review from the newspaper "Bulletin of healthy lifestyle" 2010, No. 2, p. 30.

Dressings with boric alcohol.
To cure a trophic ulcer on the leg, the following recipe is successfully used: pour warm water into a basin, add laundry soap. Wash the wound thoroughly. Take a solution of miramistin (sold in a pharmacy 0.01% 50 ml). Treat the skin around the sore with this solution. Sterile bandage is folded four times, soaked in boric alcohol, applied to the wound and bandaged. Do the procedure at night. Wash the wound before the procedure until the pus disappears. It took the woman 10 days for the healing process to begin. Review from the newspaper "Bulletin of healthy lifestyle" 2010, No. 14, p. 32.

Treatment with blue clay.
A woman treats trophic ulcers on her lower leg with blue clay, which is sold in pharmacies. It dilutes it to the state of thick sour cream, puts it on the wound. After drying, it washes off with soap and water. Review from the newspaper "Bulletin of healthy lifestyle" 2011, No. 15, p. 41.

Treatment of trophic ulcers of the lower extremities without surgery with Shevchenko's mixture.
The man had obliterating endarteritis. After unsuccessful treatment in the hospital, the doctors decided to amputate the leg. The patient did not dare to operate, although the leg was blue and cold, there were huge ulcers on the lower leg, which did not heal for more than a year. The pains were very strong and did not stop even for a minute. I decided to treat myself with a mixture of vodka and oil according to the Shevchenko method, strictly followed all the recommendations, diet, refused all medicines, except for painkillers. For three months everything was unchanged, but then the body began to return to normal. The leg acquired a normal appearance, the wounds cleared up and began to heal, the pressure returned to normal, and vision improved. After refusing painkillers, with pain in the leg, black grease was applied directly to ulcers and swollen tissues, and on top of plantain and burdock. Review from the newspaper "Bulletin of healthy lifestyle" 2002, No. 18, p. 20.

Treatment of ulcers with saline.
Once a patient was brought to the hospital from the department of medical and social assistance on a stretcher, he had three trophic ulcers of the lower leg, he lived alone and suffered from alcoholism, he looked like a bum, he was washed, they began to treat him, his condition improved, but the wounds did not heal. The doctor who treated the patient found in the literature a method of treatment with grease. The man's skin was treated with hydrogen peroxide and bandages with grease were applied for two days. Gradually, the wounds cleared up and began to heal. The patient began to walk. Review from the newspaper "Bulletin of healthy lifestyle" 2008, No. 8, p. 19.

Kale compresses will help heal wounds and ulcers.
Mix one egg white with the same amount of grated cabbage on a fine grater. Put this mixture on gauze folded in 4 layers and apply to the wound. Polyethylene on top and bandage. Change the bandage as it dries, about 3 times a day. Make a new composition the next day. And so on until complete healing. Alternative treatment from the newspaper "Bulletin of healthy lifestyle" 2012, No. 15, p. 35.

Trophic ulcers on the legs never occur separately and are only a consequence of previous diseases. Therefore, trophic ulcers on the leg will have to be treated tediously and for a long time, because it is carried out in several directions at once. It also complicates everything that this disease happens with completely different subtypes.

The foot is called damage to the mucous membrane or surface of the skin as a result of tissue damage. The reason for the destruction may be a violation of blood flow due to any pathologies or due to a purulent infection.

Then the pathology progresses, the discomfort reappears, and the treatment of a trophic ulcer on the leg becomes more and more difficult.

The reasons

Most often, trophic ulcers on the leg with diabetes mellitus and not only are formed due to pathologies or injuries at the sites of ulcers, where they will actively develop.

It is especially important to highlight the following causes of trophic leg ulcers:

• Burns of the legs, hypothermia.
• Damage to the nerve trunks.
• Complications after diseases of the veins, for example, thrombophlebitis, which are the most common causes.
• Complications after, which are the most difficult causes of the disease.
• Violation of material exchange.
• Diseases of the lymphatic vessels, for example, acute or chronic lymphedema.
• Autoimmune diseases of the connective tissue.

For no reason, trophic leg ulcers never form, certain symptoms always appear before them, for example:

• Roughening of the skin.
• Itching and skin irritation.
• and pain.
• Heaviness in the legs.
• Violet spots form on the skin, the skin itself looks glossy and stretched.

Diagnostics

If at least one symptom is present, then in order to make a correct diagnosis, you must immediately undergo some laboratory tests, they will help to examine the body for the presence of diseases that caused trophic ulcers.

First, these are the analyzes:

• urine;
• blood from a wound;

An immunological examination is also carried out. Additionally, ultrasound is done - vessels and angiography, introducing a contrast agent into the body.

By doing all these tests and passing the diagnosis, you can get a complete picture of the state of health.

Trophic ulcers on the leg are of several completely different types, and each type has some specific features:

• Stage 1 - arterial ulcer. Most often, it appears due to hypothermia of the legs and does not go beyond the soles of the feet, it can also appear on the big toe, heel and on the outside of the foot. In appearance, they are not very large, semicircular, contain pus. At night, the leg begins to hurt, and during the day it is always cold, if timely treatment is started, the ulcers will spread throughout the foot.
• Stage 2 - venous. It is usually observed on the inner and lower sides of the lower leg. Usually comes as a consequence of complications after varicose veins. Before manifestation, there is swelling of the caviar, a feeling of some heaviness in the legs, convulsions, the skin is very buzzing. You can easily see a purple vein grid on the lower leg, which then turns into one speck. Treatment not started immediately will lead to the formation of new diseases, for example, erysipelas or purulent.
• Stage 3 - trophic ulcer on the leg with diabetes, following from its name, owes its origin to the complication of diabetes mellitus. The pathology of this type begins with a decrease, and then a complete loss of sensation in the legs. Usually located on the big toe, very deep. The biggest danger is that such an ulcer on the leg is very easy to succumb to an infectious disease, which will then cause gangrene or amputation of the leg, if the case is particularly severe.
• Stage 4 - neurotrophic ulcer. This type is formed due to an injury to the spine or head. In this case, the upper side of the heel, or that part of the foot where the calcaneal tuber is located, is damaged. Sensitivity at the site where the wound has formed is significantly reduced. It looks like a deep crater that smells very bad and pus accumulates inside.
• Grade 5 - hypertensive ulcer. Occurs very rarely. This type is formed with continuous increased pressure in the arteries. Because of this, hyalinosis of the walls of small vessels is formed, their spasm, which lasts for quite a long time. A special feature is the symmetry of the ulcers, they are formed simultaneously on both legs on the outside. They develop very slowly, there are severe pains, there is a risk of contracting bacterial infections.
• type 6 - pyogenic ulcer, the reason for such an ulcer will be low immunity, that is, any purulent eczema, follicle or furunculosis will easily cause a pyogenic ulcer. Those most at risk are those who do not follow normal hygiene practices. They are oval in shape, their depth is quite small, and the number can be very different - from one to the whole group.

To carry out the correct and effective treatment of a trophic ulcer on the legs, a complex treatment process will be required, therefore it is very important from the very beginning to choose the right path of therapy that will be most effective for this type of disease.

There are several methods for treating leg ulcers, the first of them is surgical, which in turn can also be of several types:

• Percutaneous stitching- well suited for hypertensive type of ulcer, during the operation, venous and arterial fistulas are separated.
• vacuum therapy. It will help to quickly remove pus and swelling, make a moist environment in the ulcer to prevent bacteria from developing.
• virtual amputation. During the surgical intervention, the metatarsal bone and the metatarsophalangeal joint are cut off, the foci of infection are eliminated, but the anatomical integrity of the foot does not change. Very well help to cope with neurotrophic ulcers.
• Catherization. Designed for wounds that do not heal for a long time.

2 method - treatment with drugs, which must be present during surgical interventions.

With this method, the following medicines are used:

• Antiallergic drugs.
• Antibiotics of a wide spectrum of use.
• intravenous antiplatelet agents.
• Non-steroidal anti-inflammatory drugs.

Medicines will be prescribed depending on the type of ulcer. It is necessary to constantly wash the ulcers with antiseptics to eliminate the dead surface of the skin, and pathogenic bacteria do not continue the inflammation.

Method 3 is physiotherapy. Treatment of ulcers with ozone or nitrogen helps to increase the growth of connective tissue. Procedures with an ultraviolet beam will increase the level of the body's resistance to infections, there are some other methods of hardware exposure.

At each stage of healing from ulcers, elastic compression is applied, which looks like a bandage of 3-4 layers of bandages that need to be changed constantly. Medical stockings are also used, with the help of which blood flow is stimulated, swelling decreases proportionally, and the function of the lymphatic drainage system is activated.

In rather severe degrees of the disease, when the leg ulcer is very large and does not heal for a long time, it is necessary to transplant the skin from the thighs or buttocks. When the transplanted skin takes root, the epithelium is systematically restored.

ethnoscience

It is not advised to ignore the need to visit a specialist, but it is possible to reduce the development of the disease thanks to folk remedies.

You need to wash the leg ulcer with cabbage or potato juice, these juices are also good for compresses. Tinctures of strawberry leaves, lilac leaves will help wonderfully, but on condition that the disease is at an early stage. A bandage with oak bark can dry the wound.

To avoid inflammation of the ulcer, pounded willow bark or rye cakes with honey will help, apply around the wound and in no case on it.

In order for the wound to heal faster, an onion chopped into porridge will help, to which then chopped willow bark or calendula flowers should be added, all these components should be poured with boiling water and the next morning, after everything is well infused, you need to add a few tablespoons of honey.

A good remedy for trophic ulcers is fresh homemade cottage cheese. To do this, you need to squeeze out the curd mass and with the serum that remains, wash the wound, then a piece of curd is placed in it and closed with a bandage.

For the speedy healing of wounds, ointments will help, which can be done at home, or bought at a pharmacy. Ointment from room geranium, comfrey or arnica heals ulcers very effectively. Quite often, Vishnevsky's ointment is used. Another of those ointments that are always available at the pharmacy are popular levomekol, streptolaven and dioxicol.