If arterial flow is normal. I would recommend closing the incompetent perforator with a laser depending on the size. This is especially true if you already have an ulcer and skin changes. Vasculera may help some of aching or symptoms. Wearing compression hose is a must and a necessity.

Published on Jul 11, 2012

If you have a venous stasis ulcer then the mainstay of treatment is to reduce the venous pressure feeding the ulcer. The most common causes of this venous hypertension are saphenous vein reflux and perforator reflux. A good venous ultrasound is most important. I usually wrap the ulcer in an unna boot initially then treat the reflux. There is a procedure called TIPS which can treat the perforator reflux very easily.

Published on Jul 11, 2012