Leg ulcers are a big problem for both patients and health care providers. Care for patients with leg ulcers has improved in the past two decades as research-based approaches have been implemented. This article outlines the management of venous leg ulcers. Most venous leg ulcers are associated with venous disease, but other causes or contributing factors include immobility, obesity, trauma, arterial disease, vasculitis, diabetes, and neoplasia.

Furthermore, ulcers often recur when the patient returns home and resumes a lifestyle in which most of the day is spent with the legs in dependency. Causes Chronic venous insufficiency has been widely assumed to be due to deep venous obstruction or incompetence. Venous ulceration is clearly associated with age, and younger patients with severe chronic venous insufficiency may avoid ulceration by virtue of their mobility, which maintains the…