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Non healing arterial ulcer
Non healing ulcer on inner foot above ankle with discoloration to skin around the wound and itching. Shooting pain during rest or standing which goes away when walking
Answers (13)
A non-healing ulcer above the inner ankle with surrounding skin discoloration and itching is highly characteristic of a venous (varicose) ulcer due to chronic venous insufficiency. The rest pain relieved by walking further supports venous origin, as movement improves venous return. These ulcers need proper wound care, compression therapy, and vascular assessment.
Next Steps
Please see a vascular surgeon urgently for Doppler ultrasound of the leg veins and proper ulcer management â non-healing ulcers worsen quickly without treatment. Please consult me directly on Practo for a detailed evaluation.
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Need further evaluation
Any history of diabetes ,varicose vein
Consult surgeons
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The ulcer location (medial aspect above the ankle), surrounding skin discoloration, itching, and chronic non-healing nature are highly suggestive of a venous (stasis) ulcer with chronic venous insufficiency. However, the complaint of shooting pain at rest or standing that improves with walking is atypical for a venous ulcer and warrants evaluation for neuropathic pain, lumbar radiculopathy, or less likely peripheral arterial disease. A thorough vascular examination (including palpation of peripheral pulses and ABPI) is essential before initiating compression therapy.
Next Steps
Consult a General Surgeon/Vascular Surgeon.
Clinical examination of lower limb veins and arterial pulses.
Venous duplex Doppler to assess venous reflux.
Screen for diabetes (HbA1c), CBC, renal function, and wound swab only if there are signs of infection.
Appropriate wound care , initiate graduated compression therapy, leg elevation, calf muscle exercises, and treatment of venous insufficiency.
Health Tips
Do not start compression bandaging until arterial insufficiency has been excluded.
Seek urgent medical attention if the ulcer rapidly enlarges, develops foul-smelling discharge, fever, increasing redness, severe pain, or black discoloration of the foot.
Persistent ulcers (>3 months) or atypical ulcers should be biopsied to exclude malignant transformation or other uncommon causes.
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Non healing ulcers need vascular evaluation.
I would suggest consulting a vascular specialist for assessment and wound care.
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Better if you consult with General surgeon physically.
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U NEED A GENERAL SURGEON WHO EXAMINE N IF SLOUGH IS THERE REMOVE IT THAN CLEAN PROPERLY, MAKE IT WITH PROFUSE BLOOD SUPPLY THAN DRESS IT.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Can be varicose
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.