Most patients with venous leg ulcers in the UK only get dressings and bandages.

Understanding venous reflux the cause of varicose veins and venous leg ulcers by Prof Mark S Whiteley

Understanding venous reflux the cause of varicose veins and venous leg ulcers by Prof Mark S Whiteley

Despite the National Guidelines from NICE (the National Institute for Health and Clinical Excellence), most patients do not get sent to a specialist vascular service for a full venous duplex scan.

Because they don’t have a scan, the underlying cause of the leg ulcer isn’t found and so no cure can be offered.

These patients end up having dressings and compression bandages for months or years – and even when they “heal”, the ulcers come back again in the future.

Understanding the Cause of Most Venous Leg Ulcers

Most venous leg ulcers are caused by venous reflux.

This might be from varicose veins.

It might be from “hidden varicose veins”.

It might be from incompetent perforator veins.

Rarely, it might be from pelvic veins.

The most important point is that venous reflux can usually be cured. This means that most leg ulcers can be permanently cured. But to do so, patients need to be assessed and treated in a specialist clinic (see: https://www.ncbi.nlm.nih.gov/pubmed/22833505).

Understanding Venous Reflux is a simple book aimed at patients, relatives, nurses and doctors who actually want to cure venous leg ulcers (https://www.amazon.co.uk/Understanding-Venous-Varicose-College-Phlebology-ebook/dp/B005QBFBUC/).

It explains how normal veins work, and what goes wrong in patients with varicose veins and most venous leg ulcers.

Once you understand the underlying problem, you will be empowered to know what to demand of your doctor and nurses if you are a patient, and if you are a doctor or nurse, who to treat you patients optimally.

Links:

Understanding Venous Reflux: The Cause of Varicose Veins and Venous Leg Ulcers – Link for book

NICE Guidelines on Varicose Veins and Including Venous Leg Ulcers: https://www.nice.org.uk/guidance/cg168/