{"id":239075,"date":"2021-12-06T22:36:05","date_gmt":"2021-12-06T11:36:05","guid":{"rendered":"https:\/\/vascularsurgeons.com.au\/?page_id=239075"},"modified":"2023-06-15T21:03:34","modified_gmt":"2023-06-15T11:03:34","slug":"chronic-wound-and-ulcer-management","status":"publish","type":"page","link":"https:\/\/vascularsurgeons.com.au\/index.php\/chronic-wound-and-ulcer-management\/","title":{"rendered":"Chronic wound and ulcer management"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;rgba(255,255,255,0.83)&#8221; background_enable_image=&#8221;off&#8221; background_blend=&#8221;saturation&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;50px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|600|||||||&#8221; header_text_color=&#8221;#000000&#8243; header_font_size=&#8221;26px&#8221; header_2_font=&#8221;|600|||||||&#8221; scroll_fade_enable=&#8221;on&#8221; scroll_fade=&#8221;0|31|31|100|0|100%|100&#8243; border_width_top=&#8221;2px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>Chronic wounds and ulcers<\/h1>\n<h3><em><\/em><\/h3>\n<h3><em>Chronic ulceration often occurs in the setting of disorders of circulation, and adequate healing often requires optimisation of both arterial and venous circulation.<\/em><\/h3>\n<h2><em><\/em><\/h2>\n<h2><\/h2>\n<h2>Why do they occur?<\/h2>\n<div class=\"et_pb_row_inner et_pb_row_inner_1\">\n<div class=\"et_pb_column et_pb_column_4_4 et_pb_column_inner et_pb_column_inner_1 et-last-child\">\n<div class=\"et_pb_module et_pb_text et_pb_text_1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<p>\u00a0There are a number of factors that can lead to chronic ulceration. These include inadequate blood flow to the leg or the foot (or sometimes even the hands) or conversely insufficient venous circulation allowing the blood to flow adequately back towards the heart causing venous erythema, skin changes and sometimes ulceration. There are sometimes less common and rare causes that include skin conditions, other more rare vascular disorders or systemic issues. Even some medications can cause ulcers to develop. Often there is a minor trauma that has occurred damaging the skin, and due to one of these factors the wound is unable to heal and can in some instances deteriorate further.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; scroll_fade_enable=&#8221;on&#8221; scroll_fade=&#8221;0|28|28|100|0|100|100&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><strong>How is it diagnosed?<\/strong><\/h2>\n<p>A complete history and examination is required often with imaging of both the arteries and veins. Sometimes a tissue biopsy is also required for further examination for more rare and unusual cases.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; scroll_fade_enable=&#8221;on&#8221; scroll_fade=&#8221;0|34|34|100|0|100|100&#8243; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2><strong>How is it treated?<\/strong><\/h2>\n<p>First, if there is an underlying circulatory problem this needs to be addressed. This can often mean an angiogram needs to be performed to treat any peripheral vascular disease that may be present. If the problem is with the venous drainage (especially if associated with varicose veins) then ablation of these veins may be needed. This can be done by radiofrequency ablation, venaseal or sclerotherapy.<\/p>\n<p>Other adjunctive measures may be required, which include a good wound dressing plan, compression garments or optimisation of medications or antibiotics.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; border_color_top=&#8221;RGBA(0,0,0,0)&#8221; border_color_left=&#8221;RGBA(0,0,0,0)&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/vascularsurgeons.com.au\/wp-content\/uploads\/2021\/11\/8images-8.png&#8221; title_text=&#8221;8images-8&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; scroll_fade_enable=&#8221;on&#8221; scroll_fade=&#8221;0|31|31|100|0|100|100&#8243; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(0,0,0,0)&#8221; positioning=&#8221;fixed&#8221; position_origin_f=&#8221;bottom_left&#8221; vertical_offset=&#8221;20px&#8221; horizontal_offset=&#8221;30px&#8221; z_index=&#8221;500&#8243; max_width=&#8221;350px&#8221; global_module=&#8221;1104&#8243; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#092e72&#8243; height=&#8221;500px&#8221; custom_margin=&#8221;-7px||||false|false&#8221; global_module=&#8221;1100&#8243; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_4,1_4,1_4,1_4&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#092e72&#8243; width=&#8221;100%&#8221; max_width=&#8221;10000px&#8221; custom_padding=&#8221;0px|29px||48px|false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;DM Sans||||||||&#8221; text_text_color=&#8221;#FFFFFF&#8221; header_3_text_color=&#8221;#FFFFFF&#8221; width=&#8221;300px&#8221; max_width=&#8221;300px&#8221; module_alignment=&#8221;left&#8221; height=&#8221;200px&#8221; custom_margin=&#8221;||0px|0px|false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; border_width_right=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><span style=\"text-decoration: underline;\">Contact<\/span><\/h3>\n<p><span style=\"text-decoration: underline;\"><\/span><\/p>\n<p><a href=\"mailto:admin@vascularsurgeons.com.au\">admin@vascularsurgeons.com.au\u00a0<\/a><\/p>\n<p>T: +61 3 8362 3780<\/p>\n<p>F: +61 3 8677 1755<\/p>\n<p>A: 80 Yarra St Heidelberg VIC 3084<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;DM Sans||||||||&#8221; width=&#8221;300px&#8221; max_width=&#8221;300px&#8221; height=&#8221;303px&#8221; border_width_right=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><span style=\"color: #ffffff;\"><u>Hospital Locations<\/u><strong><\/strong><\/span><\/h3>\n<p><span style=\"color: #ffffff;\"><strong><\/strong><\/span><\/p>\n<p><span style=\"color: #ffffff;\"><strong><\/strong><\/span><\/p>\n<p><span style=\"color: #ffffff;\"><strong>Private\u00a0<\/strong><\/span><\/p>\n<ul>\n<li><span style=\"color: #ffffff;\">Epworth Eastern<\/span><br \/><span style=\"color: #ffffff;\"><\/span><\/li>\n<li><span style=\"color: #ffffff;\">Knox Private<\/span><br \/><span style=\"color: #ffffff;\"><\/span><\/li>\n<\/ul>\n<p><span style=\"color: #ffffff;\"><strong><\/strong><\/span><\/p>\n<p><span style=\"color: #ffffff;\"><strong>Public Affiliations<\/strong><\/span><\/p>\n<ul>\n<li><span style=\"color: #ffffff;\">Austin Health<\/span><\/li>\n<li><span style=\"color: #ffffff;\">Alfred Health<\/span><\/li>\n<li><span style=\"color: #ffffff;\">Eastern Health<\/span><\/li>\n<\/ul>\n<ul><\/ul>\n<p><span style=\"color: #ffffff;\"><strong><\/strong><\/span><\/p>\n<p><span style=\"color: #ffffff;\"><u> <\/u><\/span><\/p>\n<p><u><\/u><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;DM Sans||||||||&#8221; text_text_color=&#8221;#FFFFFF&#8221; width=&#8221;300px&#8221; max_width=&#8221;300px&#8221; height=&#8221;198px&#8221; custom_margin_tablet=&#8221;-27px||0px||false|false&#8221; custom_margin_phone=&#8221;28px||51px||false|false&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; border_width_right=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><span style=\"text-decoration: underline; color: #ffffff;\">Consulting Locations<\/span><\/h3>\n<p><span style=\"text-decoration: underline; color: #ffffff;\"><\/span><\/p>\n<p><span style=\"color: #ffffff;\"><a href=\"https:\/\/vascularsurgeons.com.au\/index.php\/locations\/#heidelberg\" style=\"color: #ffffff;\"><span style=\"font-size: 16px;\">Heidelberg<\/span><\/a><\/span><\/p>\n<p><span style=\"color: #ffffff;\"><a href=\"https:\/\/vascularsurgeons.com.au\/index.php\/locations\/#holmesglen\" style=\"color: #ffffff;\"><strong><\/strong><span style=\"font-size: 16px;\">Holmesglen Private<\/span><\/a><\/span><\/p>\n<p><a href=\"https:\/\/vascularsurgeons.com.au\/index.php\/locations\/#epworth\" style=\"color: #ffffff;\"><span>Epworth Eastern<\/span><\/a><\/p>\n<p><span style=\"color: #ffffff;\"><a href=\"https:\/\/vascularsurgeons.com.au\/index.php\/locations\/#bundoora\" style=\"color: #ffffff;\"><span style=\"font-size: 16px;\">Bundoora <\/span><\/a><\/span><\/p>\n<p><span style=\"color: #ffffff;\"><a href=\"https:\/\/vascularsurgeons.com.au\/index.php\/locations\/#knox\" style=\"color: #ffffff;\"><span style=\"font-size: 16px;\">Knox <\/span><\/a><\/span>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/vascularsurgeons.com.au\/wp-content\/uploads\/2022\/05\/transparent.png&#8221; title_text=&#8221;transparent&#8221; align=&#8221;center&#8221; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;80%&#8221; custom_margin=&#8221;|||-1px|false|false&#8221; custom_margin_tablet=&#8221;64px|||-3px|false|false&#8221; custom_margin_phone=&#8221;28px|||15px|false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221; custom_margin__hover_enabled=&#8221;off|desktop&#8221;][\/et_pb_image][et_pb_social_media_follow _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_social_media_follow_network social_network=&#8221;instagram&#8221; url=&#8221;https:\/\/www.instagram.com\/melbournevascularassociates\/&#8221; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#ea2c59&#8243; global_colors_info=&#8221;{}&#8221; follow_button=&#8221;off&#8221; url_new_window=&#8221;on&#8221;]instagram[\/et_pb_social_media_follow_network][\/et_pb_social_media_follow][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#092e72&#8243; width=&#8221;100%&#8221; max_width=&#8221;100000px&#8221; height=&#8221;100px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.10.6&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#FFFFFF&#8221; custom_margin=&#8221;20px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"text-align: center;\">\u201cAlone we can do so little, together we can do so much.\u201d \u2014 Helen Keller<\/p>\n<p style=\"text-align: center;\"><strong>\u00a9 Melbourne Vascular Associates PTY LTD 2023<\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chronic wounds and ulcers Chronic ulceration often occurs in the setting of disorders of circulation, and adequate healing often requires optimisation of both arterial and venous circulation. Why do they occur? \u00a0There are a number of factors that can lead to chronic ulceration. These include inadequate blood flow to the leg or the foot (or [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-239075","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Chronic wound and ulcer management<\/title>\n<meta name=\"description\" content=\"Chronic wounds often occur due to a multitude of factors, often involving disorders involving both arteries and veins.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mva.mystagingwebsite.com\/index.php\/chronic-wound-and-ulcer-management\/\" \/>\n<meta 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