Non-Healing Leg Wounds







What are venous ulcers?

Venous ulcers are the long-term consequence of vein disease and form when the one-way valves in the veins no longer work as they are designed. When this happens, there is a swelling (reflux) of blood flow in the superficial veins. This can cause swelling and inflammation in the surrounding tissues which block oxygen and nutrients to the skin. Tissue damage to the skin then occurs and an ulcer eventually forms.

Research supports that a combined approach of aggressive wound care and treatment of venous insufficiency results in quicker and longer lasting results over wound care alone. Using VVCs comprehensive approach, we can help your wounds to heal.

Why do venous ulcers occur?

Venous ulcers in the legs happen due to venous reflux, with or without perforator incompetence, in either the greater or small saphenous vein, or both. Many venous ulcers can be prevented with early treatment of venous reflux. Most venous ulcers heal with compression and good wound care. If the venous reflux is not addressed and treated within a year of healing, 60% of ulcers will recur.

Venous ulcers can occur in patients who have blood clots or deep vein thrombosis (DVT), perforator vein disease, deep vein reflux, and/or visible varicose veins.

What treatments are available?

The best treatment for venous ulcers is prevention. This includes following the comprehensive plan laid out by one of our board-certified specialists. For those who have symptoms from saphenous vein reflux or incompetent perforator reflux, correcting this can prevent ulcer formation.

If you have an ulcer, the first step is to heal the wound via compression and wound care. After this is accomplished, focusing on the underlying vein reflux is the next step to successfully treating venous disease and preventing another ulcer from forming.

What to Expect

You will be seen in consultation and discuss the clinical symptoms you are experiencing. An exam of your legs will be conducted followed by an imaging study of the veins in your legs called a duplex ultrasound. This study identifies veins that aren’t working properly and outlines a map for treatment.

Once you complete your comprehensive evaluation, you receive a plan designed to heal your venous ulcer. Initially, this involves good wound care and control of leg swelling. After the ulcer shows progress or heals, the next step is to address and correct any venous reflux. Options at VVC include thermal (radiofrequency ablation) or non-thermal (VenaSeal™) endovenous therapy. In many cases these procedures can be performed the week after consultation.

The final step is treating incompetent perforator veins associated with venous ulcers. The treatments at VVC include RF ablation, open ligation and ultrasound guided sclerotherapy.


Treating venous ulcers is generally a combination of wound care and endovenous procedures. Each patient is unique, and results may vary depending on the underlying problem. For some patients, ulcers can heal in as little as a few weeks while other patients make take more time.

What is the downtime?

The treatment plan is individualized based on each patient’s pathology. Plans vary in duration. However, the individual therapies don’t typically require a lot of down time. You will be up walking the day of your procedure with minimal discomfort

Take the first step and call to make an appointment

As Prosper’s only dedicated comprehensive vein treatment center, we are committed to your venous health and well being.  At Vitality Vein Care, we have a passion for veins, big and small.  We are committed to bringing you better veins and a better you.  Call today to schedule an appointment with you team, where veins are not just one thing that we do, it’s the only thing that we do. 


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