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Finding The Right Treatment for Venous Insufficiency Ulcers

Finding The Right Treatment for Venous Insufficiency Ulcers
Kevin Cleary

Treating venous insufficiency leg ulcers can be difficult and can require comprehensive wound care and compression therapy. Often they reoccur creating potential health issues down the road such as infection which can increase healing time, not to mention cost. Treatment for venous insufficiency ulcers can include involving both patient and their caregivers in order to develop a plan that has the greatest chance of success. With wound closure the ultimate goal, what treatments and products offer the greatest results and can help patients recover quickest? Visit HPFY for all your wound care needs and effective treatments for chronic venous insufficiency ulcers.

Treatment for Venous Insufficiency Ulcers

Venous insufficiency leg ulcers are caused by a common type of valve dysfunction preventing proper blood flow that unfortunately has a high recurrence rate. Understanding underlying causes and pathological features of these wounds give patients the greatest chance of success. Any treatment plan has wound closure as its primary goal and preventing any recurrence and infection is just as crucial. Some treatments for venous ulcers include -

1. Compression therapy

This type of therapy can include edema management, venous reflux management, and enhanced healing. Often compression therapy involves one or more layers of compression. Medical aids such as elastic bandages, compression stockings, and pneumatic compression pumps are used in association with leg elevation.

2. Advanced wound care dressings

Selecting a dressing for chronic insufficiencies venous ulcers involves considering location, size, depth, and exudate amount. Dressings that offer antimicrobial benefits, such as silver or honey, can be beneficial and include hydrocolloid, collagen matrix, and alginates.

3. Wound cleansers and surfactants

Wound bed preparation solutions are available in rinse and no-rinse options and can remove exudate, contaminants, and foreign debris from wound beds.

4. Antimicrobials and antiseptics

Options that may help improve venous ulcers can include cadexomer iodine, povidone-iodine, and medical grade honey (Manuka). Also, peroxide-based preparations and silver are other options.

5. Advanced wound care therapies

Venous leg ulcers can be tricky and stubborn to treat, therefore requiring the use of advanced techniques such as cellular and tissue-based products as well as possibly requiring skin grafts as secondary therapy.

6. Medications

A comprehensive treatment for venous insufficiency ulcers can include medications such as statins, antibiotics, aspirin, and pentoxifyllin or phlebotomics.

7. Debridement

Wound bed preparation can expedite healing and reduce wound size. Options can include enzymatic, autolytic, and mechanical debridement. Believe it or not, a biological option for debridement can include maggots…yes, maggots.

8. Endovenous intervention

Early endovenous ablation has shown faster healing rates when performed in conjunction with compression therapy. Endovenous ablation, ligation, sclerotherapy, and subfascial endoscopic perforator surgeries can be options for venous ulcer treatments.

7 Best Supplies for Treating Venous Insufficiency Ulcers

When developing a treatment plan for venous insufficiency leg ulcers, it’s important to find products that help you achieve optimal healing. With all the products on the market, how do you find the best venous ulcer treatment products available? Fortunately, we have chosen 7 of the best options available for you. They are:

1. Medline EMS Knee Length 15-18mmHg Anti-Embolism Stockings:

LatexFree Latex Free

These latex-free stockings provide the right amount of gradient pressure with the greatest pressure at the ankle and gradually decreases over the length of the entire leg. They reduce the risk of deep vein thrombosis and have an open toe for circulation monitoring making them a customer favorite.

Medline EMS Knee Length 15-18mmHg Anti-Embolism Stockings


2. 3M Coban Two Layer Lite Compression System:

FSA Eligible Items FSA Approved LatexFree Latex Free

This FSA approved, latex free compression system is specifically designed for the treatment of chronic venous ulcers. It features:

  • Low-profile for increased comfort
  • Roll #1-Comfort layer
  • Roll #2-Compression layer
  • Designed for patients less tolerant of compression

3M Coban Two Layer Lite Compression System


3. BSN Gelocast Unna Boot Dressing:

FSA Eligible Items FSA Approved

FSA approved and quick drying, this economical dressing provides gradient compression therapy for various venous insufficiencies. It’s ideal for conditions such as phlebitis, venous stasis ulcers, dislocations, or strains and sprains. The 100% cotton base won’t unravel.

BSN Gelocast Unna Boot Dressing


4. Convatec DuoDERM CGF Sterile Dressing:

FSA Eligible Items FSA Approved Made in USA Made In USA LatexFree Latex Free

The hydrocolloid formulation of this sterile, self-adhesive dressing holds exudate and provides a moist environment for healing. It can manage moderate to heavy exudating wounds without damaging any newly formed tissue making it a highly-rated product.

Convatec DuoDERM CGF Sterile Dressing


5. BSN Medical Compression Bandage:

FSA Eligible Items FSA Approved

This FSA approved compression bandage is available in a variety of widths and is perfect for providing compression and high resistance to stretch to increase the venous return for the treatment of venous leg ulcers. It can be worn comfortably, safely, and effectively during rest/activity. It’s durable and economical!!

BSN Medical Compression Bandage


6. Medline Opticell Gelling Fiber Wound Dressing:

FSA Eligible Items FSA Approved LatexFree Latex Free

Made in the USA and FSA approved, this gelling fiber wound dressing features:

  • Chytoform gelling fiber technology
  • Fluid wicking only vertically not laterally
  • Requires prescription
  • Reduces risk of periwound maceration
  • Gentle removal

Medline Opticell Gelling Fiber Wound Dressing


7. Lohmann & Rauscher Vliwasorb Super Absorbent Wound Dressing:

FSA Eligible Items FSA Approved

Designed to absorb 20x its weight, the super absorbent polymers have a great capacity for wound exudate absorption and retention. This wound dressing has a thin flexible cushioning that adheres securely while reducing the risk of adhering to the wound.

Lohmann & Rauscher Vliwasorb Super Absorbent Wound Dressing


Treating venous insufficiency ulcers can be time-consuming, expensive, and difficult. Finding the right treatment and medical aid to maximize the efficacy of any treatment is crucial. Be sure to visit HPFY for all your venous insufficiency ulcer treatments as well as any wound care needs you might have.


Disclaimer: All content found on our website, including images, videos, infographics, and text were created solely for informational purposes. Our reviewed content should never be used for the purpose of diagnosis or treatment of any medical conditions. Content shared on our websites is not meant to be used as a substitute for advice from a certified medical professional. Reliance on the information provided on our website as a basis for patient treatment is solely at your own risk. We urge all our customers to always consult a physician or a certified medical professional before trying or using a new medical product.


HPFY Kevin Cleary

Kevin Cleary

Kevin Cleary has been a Health Products For You contributor for many years and has a degree in marketing. His health and wellness journey has a very personal meaning and has guided him in his content writing for HPFY.

In 2006, ...

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