I had vein surgery on both of my ankles, and for a year now I have wounds on both feet that won't heal. What should I do?

I had vein surgery on both of my ankles, and for a year now I have wounds on both feet that won't heal. I am using a steroid at this time to help them heal. The wounds go from raw to crusted over, peeling and cracked. What should I do? The problem has been ongoing for a year.

Answers from doctors (5)


New York Vein Treatment Center

Published on Mar 24, 2016

What you are describing is consistent with trophic ulcers of venous stasis disease. They can be caused by only one of two reasons First, due to the most advanced degree of a condition called chronic saphenous insufficiency. Second, due to incomplete intervention on your veins, which is much more likely. It is known that any kind of incomplete venous intervention is much worse than no intervention at all. This type of diseased veins behaves similarly to weeds--if you do not remove every little bit of it, it will grow back twice as big. Steroids suppress your immune system and slow down tissue regeneration. Steroids are not indicated under circumstances. Furthermore, they are absolutely contraindicated. You must see a specialist very very soon, who can: A. identify the vein(s) responsible for persistence of your ulcers; B. treat these vein temporary conservatively as long as it takes for ulcers to contract (to heal entirely); C. treat the above so-called incompetent veins interventionally and this time completely to prevent recurrence of your ulcers. I hope I was of some assistance. Do not waste any time. Non-healing ulcers, over a prolonged time, unavoidably undergo so-called malignant degeneration (become cancerous). Good luck!

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Answered by New York Vein Treatment Center

What you are describing is consistent with trophic ulcers of venous stasis disease. They can be caused by only one of two reasons First, due to the most advanced degree of a condition called chronic saphenous insufficiency. Second, due to incomplete intervention on your veins, which is much more likely. It is known that any kind of incomplete venous intervention is much worse than no intervention at all. This type of diseased veins behaves similarly to weeds--if you do not remove every little bit of it, it will grow back twice as big. Steroids suppress your immune system and slow down tissue regeneration. Steroids are not indicated under circumstances. Furthermore, they are absolutely contraindicated. You must see a specialist very very soon, who can: A. identify the vein(s) responsible for persistence of your ulcers; B. treat these vein temporary conservatively as long as it takes for ulcers to contract (to heal entirely); C. treat the above so-called incompetent veins interventionally and this time completely to prevent recurrence of your ulcers. I hope I was of some assistance. Do not waste any time. Non-healing ulcers, over a prolonged time, unavoidably undergo so-called malignant degeneration (become cancerous). Good luck!

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Mar 10, 2016

Vitamins and aloe vera cream may help.

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Answered by Cosmetic Vein Centers of Texas

Vitamins and aloe vera cream may help.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Mar 09, 2016

I would recommend a thorough evaluation by a board-certified vascular surgeon, including ultrasound. Another option would be to seek an evaluation from a certified dermatologist who specializes in wounds.

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Answered by Vein Specialties of St. Louis

I would recommend a thorough evaluation by a board-certified vascular surgeon, including ultrasound. Another option would be to seek an evaluation from a certified dermatologist who specializes in wounds.

Published on Jul 11, 2012


Vein Specialists of Arizona

Published on Mar 09, 2016

You need an ultrasound of the area where the wounds are to make sure there is no perforator vein that may be incompetent and requires treatment.

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Answered by Vein Specialists of Arizona

You need an ultrasound of the area where the wounds are to make sure there is no perforator vein that may be incompetent and requires treatment.

Published on Jul 11, 2012


Hratch Karamanoukian, MD, FACS, RVT, RPVI, RPhS

Published on Mar 09, 2016

Foot ulcers are not venous in origin; they may be related to peripheral artery disease or other causes. It is best to see a wound specialist and or arterial vascular surgeon. Before doing that, however, you should get arterial Doppler examination with toe brachial indices and photoplethysmography to determine if you have adequate arterial blood flow to the toes.

Venous ulcers occur in the gaiter areas of the leg, near or above the inner ankle bone (medial leg).

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Answered by Hratch Karamanoukian, MD, FACS, RVT, RPVI, RPhS

Foot ulcers are not venous in origin; they may be related to peripheral artery disease or other causes. It is best to see a wound specialist and or arterial vascular surgeon. Before doing that, however, you should get arterial Doppler examination with toe brachial indices and photoplethysmography to determine if you have adequate arterial blood flow to the toes.

Venous ulcers occur in the gaiter areas of the leg, near or above the inner ankle bone (medial leg).

Published on Jul 11, 2012


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