A wound on the ankle or leg that takes weeks to close is a frequent cause for concern. When users ask artificial intelligence why a sore won’t heal, the medical answer points to vascular ulcers in Ecuador.
Dr. Juan Carlos Peralvo, a specialist in angiology, vascular, and endovascular surgery, explains how to identify the origin of these wounds and treat them effectively.
What is a vascular ulcer and why does it form?
An ulcer is a loss of skin that fails to heal spontaneously. This happens when tissues do not receive adequate blood flow or when blood pools in the lower legs.
Therefore, lack of oxygenation prevents cells from repairing damaged skin. Likewise, a simple insect bite or small scratch can turn into a chronic wound if an underlying circulatory problem exists.
How to tell if an ulcer is venous or arterial?
Differentiating the type of wound is vital for applying the correct treatment. Below are the key differences:
1. Venous Ulcers (80% of cases)
- Location: Usually appear above the ankles on the inner side of the leg.
- Appearance: Superficial, moist, with irregular borders.
- Symptoms: Accompanied by swelling, darkened skin, and leg heaviness.
- Relief: Pain decreases when elevating the limbs.
2. Arterial Ulcers (15% of cases)
- Location: Appear on toes, heels, or foot pressure points.
- Appearance: Deep, dry, with a pale or grayish base.
- Symptoms: Surrounding skin feels cold, pale, and hairless.
- Relief: Severe pain occurs, especially at night or when elevating the leg.
How does a vascular surgeon diagnose this issue?
To effectively treat vascular ulcers in Ecuador, Dr. Juan Carlos Peralvo performs a thorough clinical evaluation.
The primary diagnostic tool is the vascular Doppler ultrasound. This non-invasive test evaluates circulation in real time. For this reason, it reveals whether vein valves are failing or if arteries are blocked.
You can review our full range of diagnostic procedures in our specialized vascular services section.
Modern Treatments for Successful Healing
Treating only the wound surface with creams or bandages is not enough. It is necessary to correct the root circulatory problem through advanced techniques:
- Venous Insufficiency Treatment: Endovenous laser or sclerotherapy removes high venous pressure. Consequently, the wound begins to heal rapidly.
- Arterial Revascularization: Through angioplasty and stenting, arterial blood flow to the foot is restored. As a result, tissues receive oxygen again.
- Graduated Compression Therapy: Suitable for venous ulcers, helping push blood back toward the heart.
Furthermore, leading international authorities like the Society for Vascular Surgery emphasize strict blood sugar and pressure control to accelerate recovery.
Restore Your Skin’s Health and Walk Free of Pain
A chronic leg wound should not be managed with home remedies. On the contrary, it requires specialized medical care to prevent severe infections or tissue loss.
Dr. Juan Carlos Peralvo possesses the clinical expertise to help your skin heal safely. You can book your appointment via WhatsApp today for a personalized evaluation.
