The causes and methods of treatment of trophic ulcers

The most common causes of trophic ulcers are circulatory disorders in blood vessels and prolonged fasting of tissues, loss of sensation in the legs and feet due to pathology of nerve endings. In 9 cases, there are 10 such severe injuries:

  • varicose veins and the consequences of thrombophlebitis;
  • diabetes;
  • damage to the arteries of the lower extremities;
  • joint influence of various diseases.

Most often, such an ulcer on the feet and lower leg. In some cases, they can appear on the arms and trunk, head. Their cause is mainly injuries, not vascular disorders.

With each of the diseases, a certain type of ulcer is formed, and an experienced doctor will be able to distinguish the lesion by their one appearance.

An ulcer caused by varicose veins:

  • deep
  • occupies most of the lower third of the leg;
  • placed on its front or side surface;
  • oval or round, may have a diameter of up to 100 mm;
  • the edges of the wound are uneven, with recesses;
  • at the bottom of the wound, pus and small areas of new tissue;
  • accompanied by pain;
  • often aggravated by erysipelas or abscesses;
  • around the wound – dense, shiny, swollen area, often pigmented.

With arterial ulcer:

  • the wound is round with sharply defined sharp edges;
  • the bottom is gray or black;
  • at the bottom is usually a dry scab that follows the contours of the tendons;
  • the skin on the lower leg is shiny, there is no hair on it;
  • normal skin, not dyed;
  • on palpation, the leg is painful, cold, pulse is very difficult to feel;
  • placed directly on the fingers, in the lower third of the leg.
  • the leg is warm but insensitive;
  • ulcers are located on the feet and bony protrusions;
  • wounds are deep, with edges surrounded by corns;
  • the bottom is dry, black is rarely gray;
  • the main location is the zone of greatest pressure when walking.

How can a patient with a “dangerous” disease that causes vascular disorders recognize the dangerous symptoms of an ulcer?

When a venous ulcer appears:

  1. The patient complains of swelling, discomfort and heaviness in the legs.
  2. Unusual convulsions appear.
  3. The limbs begin to itch, a burning sensation appears.
  4. On the skin begins to draw a grid of blood vessels, every day it becomes more and more dense.
  5. Purple-purple spots begin to appear on the skin in the area of ​​the venous network.
  6. The skin becomes dense, shiny, in the affected area rises above the surface of the lower leg.
  7. The skin surface in the affected area turns darker and becomes painful.
  8. Lymph seeps out and acts as drops on the affected skin.
  9. A white spot with flakes of dead skin appears in the center of the affected area.
  10. After a while, a wound will appear (it can provoke an injury, burn, bite, bump, scuff).
  11. As it grows, the wound will begin to occupy a larger area, it will hurt, go deep into the subcutaneous layer, reaching the layer of muscles, tendons and bones.
  12. As the infection joins, purulent discharge, an unpleasant odor appear, the pain becomes unbearable.
  13. The area around the ulcer becomes inflamed, often affected by fungi.

With a diabetic ulcer:

  1. The patient suffers from a gradual loss of sensation in the foot.
  2. The gait is changing.
  3. At night, pain and burning in the feet and lower legs are felt.
  4. In areas of greatest stress when walking, a dry small wound appears on the bony protrusions.
  5. Over time, the ulcer grows and is complicated by the infection.
  6. If treatment is started late or gangrene develops ineffectively.
  7. To save the patient’s life, the surgeon is forced to remove his fingers or part of the foot.
  1. The patient begins to limp with prolonged walking or climbing stairs.
  2. The leg hurts and freezes.
  3. Wounds appear on the heel or thumb.
  4. The wounds grow to become semicircular.
  5. The edges of the ulcers have dense yellow edges, the surface oozes pus.
  6. In a neglected state, ulcers cover the entire area of ​​the foot.

If at least one symptom of a skin lesion is detected, treatment should be started immediately to prevent the appearance of a trophic ulcer.

In our country, the separation of vascular and purulent surgery is still a big problem for the treatment of patients with purulent complications of vascular diseases. In the departments of vascular surgery, such patients are not hospitalized because they are considered contagious to other patients. The condition for intervention in the veins in these departments is the healing of trophic disorders, however, the ulcer cannot heal without compensation for venous outflow.

A pathological vicious circle is formed that does not allow the patient to be cured. The way out of this situation before was the use of conservative treatment in the form of various special dressings (zinc-gelatin), which squeezed varicose veins and contributed to the gradual healing of the skin defect. After this, a planned operation for varicose veins was performed.

The healing was painful and very long. Many surgeons still consider it unacceptable to perform surgery for varicose veins against the background of skin changes due to the risk of purulent complications. However, now everything has changed. In our clinic, we use such treatment methods that allow you to easily correct venous blood flow without fear of developing infectious problems.

What is trophic ulcer?

Trophic ulcers are a kind of wounds on the lower extremities that arise as a result of malnutrition of tissues and the development of necrotic processes. Most often, the disease affects the legs, but there are cases of damage to the upper extremities, buttocks, and trunk.

This condition is very dangerous for the patient, so it is important to consult a specialist in a timely manner and undergo a full diagnostic examination.

Trophic ulcers are open wounds that do not heal for more than 6 weeks. The occurrence of trophic ulcers is associated with a violation of the nutritional process of cells – trophism (hence the name of the disease). Trophic ulcers are not an independent disease, they appear as a result of diseases associated with impaired blood flow in the legs, leading to the development of microcirculation disorders, lack of oxygen, nutrients and metabolic disorders in the tissues.

Depending on the cause of the occurrence, several types are distinguished: • Venous ulcers; • Arterial ulcers (atherosclerotic) • Diabetic ulcers (occurring against diabetes mellitus) • Neurotrophic (associated with craniocerebral or spinal injuries) • Martorell ulcers (hypertonic) • Pyogenic (infectious) ulcers The treatment of trophic ulcers of the lower extremities is strictly individual and depends on the disease that caused their appearance.

What will help from traditional medicine

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Dry leaves of the plant of a camel thorn (it is also called “Tatarnik”) should be grinded into dust, additionally sieved. Put in a jar and send to a dark place. Then treat the ulcers with rivanol (buy at the pharmacy) and blow them with powder, fix with a bandage. In the morning, rinse the wounds, again sprinkle with powder and bandage. If the treatment worked, then the ulcers will soon dry out and the dry crust itself will disappear.

Curd Whey

You need to take 500 ml of homemade milk and make sour milk from it. Pour yogurt into cheesecloth, hang. Before you go to bed to sleep, lubricate the ulcer with the released serum, and apply cottage cheese from gauze to the affected areas. Bandage, leave overnight. Before treatment, you need to consult a doctor, serum does not replace drug therapy.


Crush some streptomycin tablets. Powder should be sprinkled with clean, dry wounds. The tool quickly relieves pain, inflammation and bacteria, with regular use, the wounds soon begin to heal.

Wood Ash

Pour boiling water over the ash and let it brew for several hours. In the future, use the infusion to water ulcers and wounds. After the procedure, clean the wounds using a sterile cotton swab, rinse with calendula infusion. When the wounds dry up, you need to leave this treatment method and go to powder powder – for example, streptomycin powder. Doctors do not approve of ash treatment because of the high risk of infection of the damaged surface.

To the four kernels of hazel, which should be crushed to a powder state (you can use a coffee grinder), add three mashed and dried yolks. Grind everything, add 1 tsp. iodoform (powder). Rinse sore with hydrogen peroxide. Apply a thin layer of the mixture for two hours, bandage, leave for 2 days.

Hydrogen peroxide

With advanced ulcers, you can try treatment with hydrogen peroxide. Pour streptocide into it, lubricate ulcers, apply clean napkins to them, bandage with polyethylene, then with a warm scarf. Ulcers should heal if this method works, within ten days.

Dampen sterile cotton swabs in tar (can be bought at a pharmacy). Change compresses every few days. Doctors consider the effectiveness of this method questionable, do not recommend using it to treat ulcers.

Cabbage leaf

Cut a fresh leaf of white cabbage, grease with sea buckthorn oil and attach to the ulcer. On the second day, change the sheet and do so until the wounds are completely healed. The tool must be used simultaneously with local antiseptics to prevent infection.

Shell film

To begin with, the ulcer should be washed with potassium permanganate, get wet. Then apply a film from the shell of a raw chicken egg. Apply to the affected skin with the moist part, tie with a bandage. Apply every day until the wounds are completely healed. Ulcers must be treated with an antiseptic.

Onion oil

Fry the onion by pouring oil in the pan so that the vegetable turns golden in color. Collect in a glass of oil from the pan after frying and grease the ulcers. This recommendation is often found in traditional medicine directories, but doctors consider it harmful and categorically prohibit treating trophic ulcers with such oil.

In 1 liter of water, dilute a spoonful of sea and table salt. Then moisten gauze in a solution, apply to ulcers, twist on top with a dry dressing. Hold for three hours. Do twice a day, between procedures, ulcers should remain open.

Flax seeds

To treat a trophic ulcer on the leg at home, you will need to brew 3 grams of flax seeds in 100 liters of water for two hours. Make a vessel from oilcloth where to pour the broth. Lower the leg into the broth and keep it as long as possible. Wipe dry. Before starting the procedure, you should treat the damaged surface with an antiseptic.

Boric alcohol

In a bowl of warm water, dilute soap shavings (baby or household). Rinse the wound thoroughly, treat it with Miramistin solution (sold in a pharmacy). Apply a sterile bandage soaked in boric alcohol. Leave the compress overnight.

Types of trophic ulcers on the legs

Trophic ulcers on the legs (a photo will create a general idea of ​​the disease), experts divide into several types, taking into account the cause of their occurrence. General classification involves the separation of ulcers into venous and arterial. About 80% of patients suffer from the first type of disorder.

Arterial ulcers develop as a result of a violation of arterial circulation. Outwardly, they look like rounded shallow cavities filled with pus, localized in the foot area. Most often diagnosed in elderly patients suffering from atherosclerosis or coronary heart disease.

Venous ulcers develop slowly, become a consequence of a violation of venous circulation. They look like spots of dark purple color, which gradually grow. Occur in young and elderly patients.

Given the cause of the disease, the following types of necrotic changes are distinguished:

  1. Diabetic ulcers affect patients with type 1 diabetes. Patients with type 2 disease are less likely to suffer from such disorders. A characteristic sign of a diabetic ulcer is the localization of the lesion in the area of ​​the big toe.
  2. Neurotrophic ulcers can be localized in the thighs and legs, feet. Develop in violation of the innervation of tissues, affect superficial and deep tissues.
  3. Hypertensive ulcers more often affect patients with uncontrolled arterial hypertension, when not only blood circulation is disturbed, but also small arteries are destroyed. Outwardly, they appear in the form of burgundy or cyanotic red spots, painful to the touch.
  4. Pyogenic species more often affects patients who violate the basic rules of personal hygiene on an ongoing basis (for example, people who do not have a specific residence). The affected area is often the lower extremities, ulcers are usually not deep, but can affect the muscles with a long course of the disease.

Any of the species has its own characteristics and symptoms. You can diagnose a particular type of violation after collecting an anamnesis and examination.

Possible complications

With infection of an ulcer, the risk of complications increases. As a rule, a secondary infection is caused by conditionally pathogenic bacteria. In elderly debilitated patients, the addition of a fungal infection is possible, which aggravates the course of the disease, causes the rapid progression of trophic disorders and worsens the prognosis.

Often trophic ulcers are accompanied by pyoderma, allergic dermatitis. Lymphangitis, purulent varicothrombophlebitis, erysipelas, and inguinal lymphadenitis may develop. In some cases, a trophic ulcer is complicated by phlegmon and even sepsis. Recurrent infection causes damage to the lymphatic vessels and leads to the development of secondary lymphedema.

The lack of treatment will certainly lead to the development of complications.

The most common are the following:

  1. Blood poisoning.
  2. Lymphadenitis
  3. The development of erysipelas.
  4. Gangrene legs.

In addition, trophic ulcers can spread to large areas and affect not only the skin, but also the muscles and tendons.

Trophic ulcers are a common and dangerous disease that often affects the skin on the legs. When studying photos of the limbs of patients, one can see what ignoring the symptoms leads to, therefore it is better to consult a doctor immediately.

Article design: Mila Fridan

A prolonged course of venous trophic ulcers inevitably leads to the development of varicose eczema. This is facilitated by the use of a variety of ointments, creams, gels. Skin in which there are congestion is extremely sensitive to any local effects and allergens. Sometimes eczema occurs against the background of a compression bandage, which makes it difficult to drain discharge from an ulcer.

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Microcirculatory disorders in the area of ​​ulcers cause the process to spread deeper, involving subcutaneous tissue, calf muscles, tendons, and even some bones. Over time, these changes lead to impaired mobility and arthrosis of the ankle joint. venous

In a trophic ulcer, over time, malignant degeneration (skin cancer) can develop, which occurs in 1,6 – 3,5% of cases. Signs of degeneration are an increase in the defect in size, increased pain and burning at the site of the ulcer surface, the appearance of raised edges in the form of a shaft, an increase in the amount of discharge with a putrid odor. Timely treatment of trophic ulcers is an effective means of preventing malignant skin tumors.

How to treat a trophic ulcer

After the doctor examines the ulcer and determines its type, treatment will be prescribed. It will include:

  • drug treatment;
  • wound care;
  • the purpose of the diet;
  • wearing a compress or orthopedic shoes;
  • immobilization of the limb.

With a purulent trophic ulcer, the following will be prescribed:

  • broad-spectrum antibiotics;
  • non-steroidal anti-inflammatory drugs (Ketoprofen, Diclofenac);
  • a medication that prevents the formation of blood clots (Pentoxifylline, Reopoglukin);
  • sedatives Suprastin;
  • painkillers.

For the treatment of the underlying disease (diabetes, varicose veins, etc.), medication is used that is familiar to the patient. If blood sugar is unstable or its level is atypically high, then the attending physician takes measures to stabilize it.

In diabetes mellitus, a strict diet prescribed for the patient is necessarily followed, with varicose veins, compliance with the child is also mandatory.

From the menu of such a patient should be excluded:

  • all spicy, fried, canned dishes, sausages and sausages;
  • salted, pickled products, spices;
  • sweets and pastries;
  • pasta, white bread and pastry;
  • sweet sparkling water;
  • alcohol and nicotine;
  • strong tea and coffee.

Extruded products should be replaced by vegetables, fruits and dairy products. For faster healing of the wound in the patient’s menu, if possible, there should be a sufficient amount of protein products, yolks, cottage cheese, honey, nuts, poultry.

The patient is not prescribed bed rest, but limitation of mobility and load on the leg is mandatory. It is advisable to use simple physical exercises that help the outflow of venous blood and improve arterial blood flow. These exercises are performed while lying in bed:

  • bend the knees, pull to the chest, return to its original position;
  • legs bend and unbend at the knees;
  • lift the elongated legs up, make movements “scissors”;
  • the elongated legs are lifted upward, and circular movements are made in the feet.

Mandatory for the patient is wearing compression stockings or elastic bandages, for patients with diabetes – orthopedic shoes for unloading the foot.

Wound care

Treatment of a trophic ulcer on the leg should be aimed at creating optimal conditions for its healing and protection against infection from the external environment.

  • washing the wound to cleanse it and eliminate pathogens;
  • applying ointment to the wound;
  • the imposition of a special coating that accelerates healing;
  • proper bandaging.

In the treatment of trophic ulcers on the legs, the treatment and dressing of the wound is extremely important. Without proper dressing, her treatment is impossible. Correct dressing:

  • protects the wound from infection;
  • contributes to the destruction of microorganisms in the wound;
  • preserves the moisture of the wound, allows you to create the best conditions for the formation of new tissues;
  • removes excess fluid and pus from the wound without drying the wound;
  • allows air to freely enter the wound;
  • should be quickly and easily removed.

Modern doctors believe that drying wounds, especially trophic ulcers, is harmful. In a dry wound, the necessary conditions are not created for oxygen to enter the tissues and create new tissues. When a moist microclimate is maintained in the wound during healing, a smaller and more durable scar is formed.

What is needed to dress a wound on a leg at home? For this:

  • prepare the surface for dressing (a coffee table, a large chair with a flat surface are ideal for the leg);
  • cover the working area with a folded clean cloth, several times ironed with a hot iron;
  • lay out materials – a sterile bandage and cotton wool, sterile cotton swabs, cotton buds, a clean towel made of cotton or linen;
  • scissors pretreated with alcohol, a patch, drugs (peroxide, chlorhexidine) are spread on the fabric.

Dressing is carried out daily, at the same time. If the wounds are purulent and the dressing quickly gets wet, it must be changed as it becomes dirty. A dressing that has lost or become contaminated is subject to replacement.

Wound treatment always follows one algorithm:

  1. Carefully remove the old dressing, carefully cutting it, pick up the edge of the dressing and take it off. Hold the skin with your hand so as not to hurt.
  2. If the gauze does not leave, then it is moistened with a disinfectant or a decoction of medicinal herbs and wait until it leaves. Remove the coating along the surface of the wound.
  3. If bleeding started when the bandage was removed, a sterile cotton ball is tightly pressed to the wound to stop the blood.
  4. The skin around the ulcer should be carefully cleaned with gauze napkins, which are moistened with saline, peroxide, chlorhexidine, water and baby soap. You can’t wet the ulcer! Skin cleansing begins from the edge of the ulcer.
  5. Careful treatment of wound edges is important for diabetic ulcers, which are often affected by a fungal infection.
  6. To heal a wound that is actively festering, it needs to be cleaned several times a day. To do this, the wound is washed under a stream of infusion of medicinal herbs, a soap solution, an antiseptic and slightly dried. The edges of the wound are treated with baby cream, zinc oxide, diprosalik ointment is applied.
  7. After cleansing, the wound is carefully examined to determine changes in its condition.
  8. The wound surface is treated with prescribed means. If an ointment is used for treatment, it is not applied to the wound, but to a sterile napkin that is pressed against the wound. The medicine in the form of a powder is applied directly to the wound. On top of the wound, gauze napkins are applied in several layers. If wet wipes are prescribed for treatment – they are placed directly on the wound, then on top – dry wipes.
  9. To fix the bandage, it is best to use a band-aid. To do this, a long adhesive plaster is applied to the gauze bandage in several layers, forming ends of 10 centimeters for the convenience of fixing the bandage. For convenience, it is better to shave the hair in the dressing area.

If the trophic ulcer is dry and the bottom of the wound is covered with a black scab, the wound must be moistened to clean it. For this, there are special dressings, you can use infusions of medicinal herbs or home-made ointments.

Varicose trophic ulcers of the lower extremities, and their treatment at home, require a mandatory compression dressing – so trophic ulcers heal more easily.

Bandage the leg, after covering the trophic ulcer with a dressing from a sterile bandage or fixing a gauze napkin, a rubber sponge is placed on top. Make compression bandage with a special elastic bandage that provides good compression in the morning without getting out of bed.

You need to start with your toes, gradually rising up. Each top layer of the bandage should not overlap the bottom ball by ½. Bandage height – to the knee. When applying a bandage to the shin, the bandage must be turned over to uniformly apply.

As the bandage rises, it should become less tight for comfort when walking. The foot during ligation is fixed at right angles to the leg. Do not apply a bandage to the knee and thigh, as this does not have the proper therapeutic effect. The bandage under the knee should not be too tight – the lymph will leak poorly, making it difficult to treat the ulcer.

A bandage on the foot should be applied taking into account the shoes, sometimes two rounds of bandage will be enough. If the sensitivity of the skin on the leg is increased, then you can bandage the leg on a cotton stocking. At night, the bandage must be removed.

Treatment with folk remedies

Pharmacy drugs can be supplemented with folk remedies for trophic ulcers on the legs. Conventionally, they can be divided into several groups:

  • compress with herbs;
  • anti-inflammatory and painkillers, healing lotions;
  • ointments with a healing effect;
  • decoctions of herbs for treating wounds before applying fixed assets.

The most effective compresses and lotions. Their use allows you to combine treatment with folk remedies and drugs from the pharmacy. With varicose and diabetic foot ulcers, the following decoctions and infusions can be used:

  1. Antiseptic compress with lavender. To prepare the product, you need to take 2 tablespoons of dry inflorescences (spikelets along with the stem), fill them with 500 ml of hot water in a thermos and leave for 4-5 hours, and preferably all night. The resulting composition is filtered and cooled, used for a compress, which is applied for 1-2 hours under an insulating bandage. Also, the infusion is used to wash purulent trophic ulcers.
  2. Antiseptic and healing compress with calendula and eucalyptus. To prepare the infusion, you will need three tablespoons of dried calendula baskets and eucalyptus leaves. They are mixed and poured with half a liter of water, slowly heated for 10 minutes and left to cool completely. The filtered broth is used in the form of a compress on wet wounds.
  3. A cleansing and healing compress of chamomile, oregano and fireweed. Three tablespoons of a mixture of equal parts of dried herbs are poured with a glass of boiling water and left in a thermos for the night. In the resulting infusion add a tablespoon of propolis tincture, shake. This composition is recommended to treat trophic ulcers on the leg of all forms and types.

If necessary, anesthetize a trophic ulcer on the leg with folk remedies, use cooling lotions. They are prepared and used a little differently. The concentration of herbs in their composition is higher: not a couple of tablespoons per 500 ml of water, but 4-6 tablespoons per glass of liquid. After filtering, the prepared infusions are cooled in the refrigerator so that they are noticeably cold.

The most effective lotions are:

  • decoction of an Equalipt with the addition of propolis;
  • stone oil solution;
  • a decoction of datura herb with nettle in equal proportions;
  • nettle broth with the addition of propolis tincture.

To eliminate the inflammatory process and accelerate the regeneration of trophic ulcers, alternative medicine suggests using an ointment prepared on an oil-wax basis according to the following recipes:

  1. Sulfuric ointment. To prepare, you need a sheet of beeswax (about 80 g) and a quarter pack of butter, two small onions, a teaspoon of sulfur and a small piece of fir resin. All solid components are crushed into small crumbs or gruel, placed in a water bath and mixed until a plastic homogeneous mass is obtained. The resulting ointment is applied to natural tissue, preferably on flax, applied to a trophic ulcer, bandaged on top. Leave for the night.
  2. Yolk ointment. From a half glass of olive oil, 50 g of wax and 4 hard-boiled quail yolks, a liquid ointment is prepared. It is applied directly to the ulcer and left for 2-3 hours. This tool is recommended for use in trophic ulcers in the lower extremities with varicose veins.
  3. Ointment from the kidneys. The basis of 100 g butter is added 4 tablespoons of rye flour and 6 tablespoons of dried and mashed poplar and aspen kidneys. The mixture is heated in a water bath for 20 minutes, constantly stirring with a wooden spoon or spatula. Cool, apply to a trophic ulcer daily for 1-2 hours. This recipe is recommended for use in diabetic ulcers.

Some recipes that traditional medicine offers to treat trophic ulcers in the legs, according to doctors, are not effective. Moreover, they can be hazardous to health. These include warming folk remedies for trophic ulcers. Local heating, according to experts, accelerates the process of tissue death, promotes the spread of purulent process and can provoke blood poisoning (sepsis).

You can use the funds listed in the article only after consulting a doctor. It is important to remember that the treatment of trophic ulcers requires constant monitoring by a specialist, so you should not hide the methods of therapy that are used from your doctor.

Treatment of a trophic ulcer at home

The treatment process is long, and it requires its own efforts at home. But any kind of therapy should be monitored by a specialist. Trophic ulcers appear in most cases near the tibia (lower part). The reason is a violation of blood circulation, swelling of the legs.

  1. Special diet. The amount of carbohydrates needs to be reduced, portions of vegetables and fruits should be increased. Completely abandon spices, spicy dishes.
  2. Bed rest. Spending all your free time in bed is not worth it, but peace should be every day.
  3. A set of special exercises several times a week. Exercises relieve stagnation of blood, improve metabolism. They are performed in a prone position: legs unbend and bend, rotate in feet, cross legs up, having previously stretched them.
  4. Purchase special shoes with orthopedic soles. This will eliminate soft tissue injuries.

To treat a trophic ulcer, it is necessary to perform daily procedures: treat the lesion with antiseptic agents, use creams and gels to repair tissues, take anti-inflammatory drugs and antibiotics, as well as vitamins and drugs to increase immunity.

Traditional medicine recommends oils, eggs, honey, herbs and plant juice. On the basis of honey, an ointment is prepared: 1 tbsp. l mix honey with fresh chicken protein and let it brew for 3 hours. Before applying the ointment, it is necessary to treat the wound with hydrogen peroxide and a decoction of chamomile.

For the complex treatment of trophic ulcers on the leg, not only folk remedies are used, but also various medications: dressings, ointments, tablets, plasters, etc. Medicines are the basis for the treatment of trophic ulcers.

Unna’s dressing is often used to treat ulcers. To do this, you need a gelatin-glycerin mixture with the addition of zinc and an elastic bandage. Mode of application:

  1. A bandage should be applied to the shin from the foot to the knee.
  2. The finished mixture is applied to the skin, then wrapped with 1 layer of a bandage and re-coated with the mixture already on top of the bandage. Do the same with other layers.
  3. After 10 minutes, the dressing should be lubricated with formalin to get rid of stickiness.
  4. You can walk after 3 hours. After 1,5 months, the ulcers heal.

Treatment gel

For the treatment of trophic ulcers, heparin-based topical gels are used. They usually do not cause allergies or side effects. The greater the heparin composition in the gel, the better the effect. These gels include:

These gels can be used to prevent trophic ulcers, they relieve fatigue and heaviness. It can also be used in the postoperative period.


For internal treatment of trophic ulcers, the following drugs are used:

  • Antistax – take 2 capsules in one morning dose for 8 weeks. Contraindicated in pregnant women and during lactation;
  • Detralex – 1 tablet 2 times a day, the course of taking 2 months. Contraindicated in the first trimester of pregnancy and while breastfeeding;
  • Endotelon – 1 tablet 2 times a day, for 20 days. It is forbidden during childbearing and during feeding;
  • Troxevasinum – 1 tablet 3 times a day after meals. It has side effects: gastrointestinal problems and an allergic reaction.
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To start treatment with a patch, you need to prepare it:

  • 20 g of combustible sulfur;
  • two medium onion heads;
  • 80 g of wax;
  • 20 g of resin ate;
  • 60 g of butter.

Mix everything thoroughly to make one dense mass. Apply the mixture to the linen fabric and put on a sore spot, fix with a bandage. Remove after 2 days. Use only after consultation with the doctor, when using this tool, the risk of wound infection is increased.

Ointment ulcer treatment

Of the ointments for treatment, it is necessary to use antiseptics, proteolytics and venotonics.

  1. The first include: Bioptin, Miramistin, Levomekol.
  2. To the second group: Iruksol.
  3. The group of venotonics includes: Detralex, Normoven.

Any options for home treatment should be agreed with your doctor. If some recipe does not help, then do not despair: you need to try new ways that will prove effective in each case.

After elimination of trophic ulcers, scars remain on the legs that require treatment. Care is also needed to prevent relapse. Feet should be lubricated with oils based on St. John’s wort, chamomile and calendula. Do not load your legs: do not carry heavy loads, do not go long distances. It is necessary to choose a set of exercises to improve blood flow, increase the elasticity of blood vessels.

To eliminate lesions and prevent complications, experts prescribe drugs. Additionally, many patients use traditional medicine recipes and other methods.

In most cases, external agents are used as the main treatment. However, to enhance the action, the specialist additionally prescribes systemic drugs.

The most popular will be the following:

  1. Solcoseryl is an effective ointment, which contains an extract from the blood of young calves. It has anti-inflammatory, regenerative effect, accelerates the healing process of tissues, prevents complications. Used to treat wounds 1 to 3 times a day. Apply the composition with a thin layer, do not rub. The duration of the course is from 2 to 4 weeks. The price of the product starts from 300 rubles. for packing.
  2. Stellanin is an effective ointment with regenerating, antibacterial, anti-inflammatory properties. The active ingredient is diethylbenzim />
  3. Reosorbilact is an effective medication prescribed for blood purification. It is used in case of advanced trophic ulcers with infection in the blood. 200 to 400 ml of the drug is administered to the patient per day using a dropper. The duration of the course is from 3 to 10 days. The price of 1 bottle of 200 m is about 100 rubles.

Complex treatment of trophic ulcers allows you to accelerate recovery and prevent complications. In some cases, specialists prescribe systemic antibiotics, such as Ceftriaxone, to reduce the risk of blood poisoning.

Such products are considered very effective if used properly.

Folk methods

Trophic ulcers on the legs (a specialist often shows the patient a photo), many patients are treated with alternative medicine recipes.

Some of them are quite effective.

Dry leaves of tartar are often used for treatment. It is necessary to take raw materials, grind into powder. After washing the ulcers with hydrogen peroxide, sprinkle them with powder, apply a clean bandage or gauze on top, leave overnight. Repeat daily for 2 weeks. The recipe helps to speed up healing and cleanse the wound from pus, it is considered very effective.

Garlic broth is used for compresses. You can cook it with 5 cloves of garlic and 1 liter of water. Cook garlic for at least 10 minutes, filter. In a hot composition, moisten a piece of gauze or tissue, apply to the affected areas, wrap with cling film, leave for 2 hours. Repeat daily for 1-2 weeks.

A mixture of 1 tbsp. l honey and protein 1 fresh chicken eggs – an effective and safe tool. It is necessary to apply it to the affected area, apply a burdock leaf on top and wrap the foot in cellophane, leave it overnight. The course of treatment consists of 5-8 daily sessions.

Any of the remedies is effective, it helps to accelerate recovery. However, they are allowed to be used only after consultation with a doctor. In some cases, such treatment can harm the patient.

Other methods

Vacuum therapy is one of the types of surgical intervention in which pus and necrotic masses are removed from the wound in 1 procedure, it is cleaned and treated with antiseptic solutions, which accelerates recovery and eliminates the possibility of infection entering the bloodstream. Only 1 session is enough and the patient feels relief. The method is considered effective.

Medicinal electrophoresis is a type of physiotherapy in which special pads impregnated with antibacterial agents are attached to the wound.

With the help of an electric current of high frequencies, the components of drugs are delivered to the deep layers, which allows to accelerate recovery and prevent the spread of necrosis. To achieve the result, you need at least 10 sessions with a frequency of 2-3 days.

Such methods are often used, are highly effective and accelerate recovery.

In the process of treating a trophic ulcer, the phlebologist must solve a whole range of problems. It is necessary to eliminate or minimize the manifestations of the underlying disease that caused the formation of the ulcer. It is necessary to fight against a secondary infection and treat the trophic ulcer itself.

General conservative therapy is carried out. The patient is prescribed drugs for the treatment of the underlying disease (phlebotonics, antiplatelet agents, etc.), antibiotics (taking into account the sensitivity of microflora). Topically, enzymes are used to cleanse the trophic ulcer, local antiseptics are used to fight the secondary infection, and wound healing ointment dressings are used after eliminating the inflammation.

Surgical treatment is carried out after preparation (ulcer healing, normalization of the general condition of the patient). Perform operations aimed at restoring venous blood flow in the affected area: bypass surgery, removal of varicose veins (miniflebectomy, phlebectomy).

Can I treat trophic ulcers at home?

The defeat of the skin or mucous membranes, with the development penetrating deep into the subcutaneous layers and muscles, lasting more than 6 weeks without a tendency to heal is designated as a trophic ulcer. It occurs as a complication and is evidence of the depth and, in many cases, neglect of the underlying disease of the patient.

If you imagine a pyramid on top of which a trophic ulcer with its deep damage to the limb – then the main disease that triggered its appearance is located below, and at the very bottom there will be a large set of various congenital and acquired diseases that caused and support disorders in the tissues, vessels, blood and cells that do not allow the body to independently cope with the wound and the infection in it.

It is pointless to treat a trophic ulcer in isolation from the disease with which it was caused, and since it is caused by severe, sometimes incurable diseases, the patient must be patient and courageous.

Therapy for such lesions is long and the patient is better treated on an outpatient basis. Treatment of trophic ulcers of the lower extremities at home will include:

  • therapy of the underlying disease according to medical prescriptions;
  • daily ligation of trophic ulcers;
  • wound care;
  • the use of drugs for treatment;
  • control over the occurrence of new lesions;
  • preventive measures to prevent the appearance of ulcers.

Unfortunately, for many patients, a regular visit to a doctor and buying medications with a tiny pension is an expensive pleasure, so they consider home treatment and traditional medicine to be the most acceptable for themselves. With the correct implementation of the received appointments, competent dressing of the lower limbs at home, the correct use of alternative recipes for recovery, it is quite possible to achieve.

Some patients, faced with incompetence or an inattentive attitude on the part of doctors, decide on independent actions. They use the most unexpected means to treat trophic ulcers, and such experiments may not always end safely.

Each person suffering from a trophic ulcer should remember that this is a serious and dangerous condition, and incorrect or untimely treatment that can be started can lead to loss of limb parts or an irreparable outcome.


• to stimulate and accelerate reparative processes, it is recommended to use VoskoPran dressings with methyluracil ointment and Chitopran – a bioplastic dressing made of chitosan nanofibers. Treatment of trophic ulcers • As well as hydrogel coatings GelePran with miramistin and Gelepran with lidocaine, which create and maintain a moist environment in the wound, which contributes to epithelium.

• A special patch or bandage is used to fix the dressings. The most convenient non-woven adhesives are RolePlast and DocaPlast, which allow air to pass through well and do not injure healthy skin. • It is very convenient to use CoG Bandage, which does not need to be tied (bandage layers are fixed to each other) and have a small compression effect.

Local treatment of trophic ulcers is necessarily carried out in combination with standard compression and systemic drug therapy of the underlying disease! Consult a specialist!

Some folk recipes

For the treatment of trophic ulcers at home, you can use:

  • fresh juice of aloe leaves for compresses; for this, sterile wipes are moistened in it and applied to a cleaned wound;
  • good therapeutic effect in compresses using lilac leaves – washed in hot water and crushed in a sterile napkin, the leaves are applied to the wound;
  • To improve wound healing and moisturization, a saline solution of 100 grams of sea salt and a liter of water is used. A sterile cloth is moistened in a warm solution and applied to an ulcer covered with a sterile cloth, bandaged. The course of treatment is a week;
  • for the treatment of diabetic ulcers use juice from the roots and leaves of burdock. To do this, thoroughly washed and crushed raw materials are passed through a meat grinder, squeezed juice, which is used to wash the wounds;
  • A drop of peroxide is dripped onto the cleaned wound, then the ulcer is carefully sprinkled with streptocide powder. A wet towel is placed on top (to wet 100 g of water, dissolve 2 tablespoons of peroxide). The bandage is fixed. Compress is changed several times a day. At each dressing, the state of streptocide is monitored. If it is moistened – dry streptocide is poured on top;
  • To lubricate ulcers, use vegetable oil according to the following recipe – a glass of unrefined fresh vegetable oil is fried in a thick cast-iron skillet with 2 medium finely chopped onions and two medium carrots. Fry vegetables until golden brown, squeeze. Oil ulcers several times a day;
  • in order to cure a trophic ulcer on the leg, herbs are used for washing – in equal parts take chamomile, marigolds and St. John’s wort grass (2 teaspoons each), in equal parts violet tricolor, field horsetail, yarrow and oak bark (1 teaspoon each). A tablespoon of the mixture is insisted in a glass of boiling water for half an hour, a warm infusion is used for compresses for a week;
  • 5 days after treatment with infusion, the herb uses a decoction of plantain leaves (a tablespoon in a glass of water that boils for 10 minutes. Used to irrigate the wounds. After 5 days, replace the decoction from the previous recipe;
  • leeches are used for treatment, which are placed on areas around the wound. Use 3-4 leeches every other day;
  • for the general strengthening of the body, the patient is given a drink of infusion from the crushed root of selera in a liter of hot water, which they drink throughout the day;
  • A good restorative effect on the body is exerted by a mixture of homemade butter, honey, goose fat, quality cocoa in equal quantities. A warm, warmed up in a water bath, single serving (tablespoon) is taken 3-4 times a day, washed down with milk.

Treatment of an ulcer at home requires pedantry and accuracy from the patient, giving up bad habits. Modern drugs in combination with alternative methods of treatment and therapy of the underlying disease allow the treatment of previously hopeless patients.

Preparations for conservative treatment

Varicose ulcers occur against the background of thrombophlebitis or varicose veins, which are caused by stagnation and reverse blood flow in large and small veins. Blood flow disorders depend on the weakness of the venous valves, which is caused by a number of different reasons – from trauma to heredity. Ulcers of this type arise and develop rapidly.

Martorell ulcers and arterial ulcers are provoked primarily by hypertension, which is caused by a violation of the blood flow through the deformed arteries. As a result of a decrease in blood flow through small vessels, tissue trophism, cell death, and the occurrence of ulcers are disrupted.

With diabetes, there are multiple disorders in the body – nervous and vascular, metabolic and hormonal, which result in insensitivity to injuries, inflammation and death of small vessels, a tendency to poor healing of all types of wounds.

The development of ulcers can take place against the background of traumatic injuries of various types.

antibiotics to destroy pathogenic flora; phlebotonics, which are used to strengthen the walls of blood vessels, improve blood supply and oxygen supply of tissues; antithrombotic drugs for the treatment of trophic ulcers, which make blood less capable of clotting; anticoagulants that thin the blood; antispasmodics, anesthetize by relieving vascular spasms and improve blood flow, analgesics;

Stages and degrees of trophic ulcers on the legs

Trophic ulcers on the legs (photo by stages helps a person to independently assess their condition) in most cases develop gradually. Regardless of the type of disease, the necrotic process develops in several stages.

At the initial stage, the patient feels only mild discomfort. The skin becomes cold (with arterial ulcer) or hot (with venous) to the touch. In the area of ​​future localization of the ulcer, the skin becomes denser. The patient can talk about itching in the affected area, which intensifies on contact with chemicals. In addition, the skin may be excessively dry, peeling areas appear.

As the disease progresses in problem areas, minor external manifestations appear.

Exudation is the next stage in the development of an ulcer. A swollen area appears, in the center of which there is a necrotic focus, gradually spreading over the entire area. The entire exudation process lasts approximately 14 days, sometimes longer.

The next stage is called repair or granulation, lasts 3-4 weeks. The ulcer area is covered with fresh granulations that look like small red dots. The depth of the lesion increases, but at the same time cleansing from necrotic masses and pus.

Epithelization is the next stage, which can last several months, depending on the age of the patient and the individual characteristics of the body. In this case, ulcer healing, tissue repair and reduction in the size of the affected area occur.

Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.