Arterial Ulcer Treatment, Management and Wound Care

Arterial ulcers are a serious condition that requires prompt attention and specialized care. These painful wounds can develop when there is poor blood flow to the lower extremities, leading to tissue damage. Proper treatment and management are essential to prevent complications and promote healing.

What is an Arterial Skin Ulcer?

An arterial ulcer is an open wound that typically forms on the feet, toes, heels, or lower legs. These ulcers develop due to a lack of oxygen and nutrients reaching the tissues, which happens when the arteries that supply blood to the area are narrowed or blocked. This results in tissue breakdown and slow-healing wounds.

What Causes It?

The primary cause of arterial ulcers is peripheral arterial disease (PAD), a condition in which fatty deposits build up in the arteries, restricting blood flow. Other contributing factors include atherosclerosis, diabetes, and smoking, all of which can lead to reduced circulation and tissue damage.

What Puts You at Risk of Having One?

Certain risk factors increase the likelihood of developing arterial ulcers, including:

• Smoking – Damages blood vessels and accelerates atherosclerosis.
• Diabetes – Affects blood circulation and nerve function.
• High blood pressure – Puts extra strain on arteries, leading to damage.
• High cholesterol – Contributes to plaque buildup in arteries.
• Aging – Blood vessels naturally narrow and stiffen over time.
• Lack of physical activity – Reduces blood flow and circulation.

What Are the Symptoms?

Arterial ulcers present several distinct symptoms, such as:

• Deep, painful ulcers with a punched-out appearance.
• Cool or pale skin around the ulcer site.
• Reduced hair growth on the legs or feet.
• Shiny skin with little or no pulse in the affected area.
• Pain that worsens at night or when the leg is elevated.

How is it Diagnosed?

Diagnosis involves a combination of physical exams and tests, including:

• Doppler ultrasound – Measures blood flow in the arteries.
• Ankle-brachial index (ABI) – Compares blood pressure in the ankle to the arm.
• Angiography – Provides detailed images of blood vessels.
• Wound assessment – Evaluates the size, depth, and condition of the ulcer.

How is it Treated?

Treatment focuses on improving blood flow, healing the ulcer, and preventing infection. Common approaches include:

• Revascularization procedures – Bypass surgery or angioplasty to restore blood flow.
• Debridement – Removal of dead tissue to encourage healing.
• Medications – Blood thinners, pain relief, and antibiotics for infection control.
• Specialized dressings – Designed to keep the wound clean and moist.

How Can You Care for Your Ulcer?

Caring for arterial ulcers at home involves:

• Keeping the wound clean and dry.
• Avoiding pressure on the affected area.
• Quitting smoking to improve circulation.
• Following a healthy diet and staying active to manage cholesterol and blood pressure.

DFW Wound Care Center specializes in treating arterial ulcers and other chronic wounds. Our expert team utilizes advanced wound care techniques, including hyperbaric oxygen therapy, compression therapy, and vascular interventions. We have immediate openings and are accepting new patients at our four clinics in Plano, Lewisville, Irving, and DeSoto.

Contact DFW Wound Care Center today for compassionate, expert care to help you heal and prevent further complications.