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Venous Leg Ulcers

Advanced regenerative care for chronic leg wounds caused by poor vein circulation. Break the cycle of non-healing with proven treatments.

What Are Venous Leg Ulcers?

Venous leg ulcers are open wounds that develop on the lower legs when damaged veins fail to properly return blood to the heart. This causes blood to pool in the legs, creating pressure that damages skin and underlying tissue.

They're the most common type of leg ulcer, accounting for 70-90% of all leg wounds. Without proper treatment, venous ulcers can persist for months or even years, causing significant pain and impacting quality of life.

What Causes Venous Leg Ulcers?

Chronic Venous Insufficiency (CVI)

Valves in leg veins become damaged, preventing proper blood flow back to the heart and causing fluid buildup.

Venous Hypertension

Increased pressure in leg veins damages surrounding tissue and impairs skin's ability to heal.

Blood Clots (DVT)

Previous deep vein thrombosis can cause permanent vein damage, increasing ulcer risk.

Risk Factors

Obesity, prolonged standing, previous leg injuries, pregnancy, and family history increase risk.

Recognizing Venous Ulcers

Venous leg ulcers typically appear on the inner ankle or lower calf and have distinct characteristics:

Shallow, irregular wound edges
Heavy drainage or weeping
Swollen, achy legs (especially at end of day)
Brown discoloration around wound
Thickened, hardened skin
Varicose veins visible

How Healix360 Treats Venous Leg Ulcers

Venous ulcers require a comprehensive approach that addresses both the wound and the underlying circulation problem:

Amniotic Membrane Grafts

Our most effective treatment for venous ulcers. These grafts provide growth factors that accelerate healing while protecting the wound bed. See skin substitute options.

Advanced Compression Therapy

Proper compression is critical. We use medical-grade compression systems to reduce swelling and improve venous return. 80% of venous ulcers heal with proper compression alone.

Cellular Therapies

Stem cells and biologics promote new blood vessel formation and tissue regeneration for faster healing. Learn about cellular therapy options.

Gentle Debridement

Remove slough and non-viable tissue to promote healthy granulation. Less aggressive than diabetic ulcers due to fragile venous skin.

Mobile Monitoring

We come to you for regular wound assessments and compression adjustments—no need to travel to a clinic.

Why Venous Leg Ulcers Don't Heal

Venous ulcers are notoriously difficult to heal because the underlying circulatory problem persists. Several interconnected factors prevent closure:

Chronic Venous Hypertension

Damaged vein valves allow blood to pool in lower legs, creating constant pressure that damages capillaries. This pressure must be controlled with compression therapy—without it, wounds cannot heal regardless of other treatments.

Persistent Inflammation

Venous congestion causes chronic inflammation with elevated inflammatory markers. Wounds remain stuck in inflammatory phase unable to progress to proliferation and tissue formation.

Heavy Bacterial Load

Venous ulcers produce copious drainage creating moist environment perfect for bacterial growth. Biofilm formation prevents healing even when infection isn't clinically apparent.

Impaired Oxygen Delivery

While not as severe as arterial insufficiency, venous congestion reduces oxygen delivery to tissue. Cells can't generate energy needed for repair processes.

Fibrin Cuff Formation

Venous hypertension causes fibrin to leak from capillaries and form cuff around vessels, acting as barrier preventing oxygen and nutrients from reaching wound.

Risks if Untreated

Without proper treatment, venous leg ulcers progressively worsen with serious consequences:

  • Chronicity: 50% of venous ulcers remain open for over 9 months without specialist care
  • Infection: Cellulitis, lymphangitis, or sepsis requiring hospitalization and IV antibiotics
  • Increased size: Ulcers enlarge over time, eventually encircling entire lower leg
  • Lipodermatosclerosis: Permanent skin hardening and woody texture from chronic inflammation
  • Malignant transformation: Long-standing ulcers (10+ years) can develop squamous cell carcinoma
  • Disability: Chronic pain, inability to work, social isolation, and depression

What a Home Visit Includes

Our mobile wound care specialists bring hospital-quality venous ulcer treatment to your home. Each visit includes:

Comprehensive Assessment

Wound measurements, photography, circulation evaluation, and documentation

Wound Cleaning & Debridement

Remove slough, clean wound bed, prepare for advanced treatments

Compression Therapy

Application and adjustment of medical-grade compression systems

Advanced Dressings

Absorptive dressings for heavy drainage, antimicrobial layers if needed

Skin Substitute Application

Amniotic grafts or cellular therapies when indicated for non-healing ulcers

Education & Supplies

Leg elevation techniques, supplies for between visits, warning signs to watch

Visits typically occur 1-2 times weekly initially, then weekly as healing progresses. We coordinate all care with your primary doctor and vascular specialist if needed.

Insurance Coverage

Medicare Part B covers venous leg ulcer treatment including mobile visits, debridement, compression therapy, advanced dressings, and skin substitutes when medically necessary. Medicare pays 80% after deductible, you pay 20% coinsurance (typically $0 with Medigap supplement).

Most private insurance plans cover venous ulcer care similarly to Medicare. We handle all billing and authorization. Learn more about Medicare wound care coverage.

85%+

Of venous ulcers heal with our regenerative approach

Most patients see improvement within 4-8 weeks

Frequently Asked Questions

Stop Living With Chronic Leg Pain

Even if your venous ulcer has been open for months or years, regenerative therapy can help. Connect with a specialist today.