Treatment of trophic ulcers: causes, symptoms, stages, photos, patient reviews. Trophic ulcer on the leg: treatment: how to treat an ulcer at home

Venous trophic ulcer is a long-term non-healing tissue defect that occurs with severe damage venous outflow through deep and superficial veins.

The development of a trophic ulcer can be facilitated by extensive skin damage, burns, frostbite, chemical and radiation damage. Metabolic diseases, diseases connective tissue, blood diseases, infections can be complicated by the formation of trophic ulcers. Attention! All treatment procedures for trophic ulcers should be discussed with your doctor!

Treatment of trophic ulcers with folk remedies:

Garlic with apple cider vinegar is an excellent remedy for treating trophic ulcers.

To treat trophic ulcers, use the following recipe: peel 3-4 cloves of garlic, pour in 3 glasses of apple cider vinegar, leave for 2 weeks - and the medicine is ready. Using it for treatment is also not difficult: moisten a piece of cotton cloth with garlic vinegar, squeeze out the excess liquid and apply directly to the sore spot. Secure the compress with a bandage and leave it overnight, and apply a new compress in the morning. The ulcers do not completely go away, but they dry out, become smaller, stop hurting, and don’t bother you as much as before.

Kombucha for trophic ulcers.

For trophic ulcers If you have tea mushroom, apply a piece to the sore spot, cover the top with a sterile gauze pad and parchment. The mushroom draws out pus and cleanses the wound. Do this procedure for a week before going to bed. It should help. Just do not use polyethylene or cellophane under any circumstances - they do not allow air to pass to the sore spot.

Mixture for trophic ulcers.

When treating trophic ulcers, take 1 des. l. potato starch and 1/4 coffee l. citric acid, pour 50 ml cold boiled water. Stir the mixture and pour into 150 ml of boiling water, stir. As soon as the jelly thickens, remove from the stove and pour 2 tbsp into it. l. ground dried marshmallow. Leave for 2 hours and then add 1 tsp to the liquid. five percent iodine. Wash the ulcer with furatsilin, dry with a gauze cloth. Apply 1 layer of gauze to the ulcer, and on top - the prepared medicinal mixture. Bandage it. Such dressings should be done 3-4 times a day for a week (make sure that the mass does not dry out). But the bandage is applied only once throughout the night, and in the morning you should wash the wound and apply fresh ointment. During such procedures, it is necessary to take an infusion of dried cucumber orally (2 tablespoons per 1 glass of water, leave until cool, drink 1/3 glass 3 times a day) - this is necessary to cleanse the body from the inside. Long-lasting ulcers will be defeated.

To treat trophic ulcers, use the following remedies:

2 g of novocaine (preferably dry) mixed with 1 teaspoon fish oil, 10 g of honey and a bottle of penicillin. The composition is applied to the sore spot and secured with a bandage. Change the bandage every 2 days. The course of treatment is 3 weeks.
0.5 kg of onions, pre-chopped, are heated in a frying pan until Brown, add a little cognac to keep the slurry moist. The fried onions are then dried and ground into powder. This powder mixed with vegetable oil is applied to the open ulcerated surface. Do this 2 times a day until the ulcer heals.
Apply grated to the affected areas of the skin raw pumpkin(pulp) on a gauze napkin or grated raw potatoes for 30-40 minutes.
Pour 100 g of dry crushed leaves of meadowsweet into 0.5 liters of vodka, let it brew in a dark place for 2 weeks, shaking the contents periodically, and strain. The product is used to treat ulcers and compresses.
Trophic ulcers can be lubricated with alum solution (stir alum powder in 100 ml of water on the tip of a knife).
Take 3 vials castor oil, pour them into an enamel cup, put 5 g of ichthyol ointment and a crushed streptocide tablet there. Place the mixture in a water bath and heat it up. Rinse the wound with hydrogen peroxide, apply the cooled mixture to a sterile napkin, apply to the wound, and tie with a bandage. Do the procedure once a day. The results are amazing - after 2-3 weeks the ulcers heal.
Take purple paper and 5 boxes of matches. Rub the paper well on both sides with match sulfur. Then burn the paper. Treat the wound with hydrogen peroxide and sprinkle with ash. After 2 hours, bandage it. Do this every day for a week and the ulcer will heal.
Take a glass of milk, a glass of granulated sugar, ½ piece of baby soap, grated on a fine grater. Mix all the ingredients and boil them over low heat, stirring constantly. Let it cool slightly and add one tube of heparin ointment to the warm mixture and stir thoroughly.
Heat 1 tbsp. ointment, place it on gauze, apply it to the ulcer, apply cellophane on top and bandage it for a day. Then wash off the ointment with serum and apply a bandage again. Carry out the procedures daily until the ointment runs out. If the ulcer is large, repeat the treatment.

Effective agents for the treatment of long-term non-healing trophic ulcers

Peel the ripe ones walnuts, burn the shell and partitions, sprinkle the resulting ash on the ulcers (rinse the wounds with hydrogen peroxide or golden mustache tincture in advance), and they will soon heal. Pass the nut kernels through a meat grinder and fill them with olive or vegetable oil (sunflower) 2 fingers above the nuts themselves. Place in a warm, dark place for 2 weeks, shaking 2-3 times a day. The resulting oil should be rubbed into prolonged ulcers.
Mix the protein chicken egg with honey in equal proportions (1:1), beat well and spread on long-term non-healing ulcers, as well as sore veins. Then cover the problem area with three burdock leaves and wrap. film, bandage. This procedure should be done at night for 8 days in a row.
You can make an ointment from wax, pine resin, vegetable and butter and propolis. The recipe and technology for preparing the ointment are as follows: you need to take 1 teaspoon of crushed wax, propolis, resin, 2 tablespoons of vegetable oil, 50 g of butter. Place everything in an enamel pan. Place over low heat and keep stirring with a spoon until all ingredients are completely dissolved (at high heat, the mixture may flare up right in the pan). Prepare a jar, cover it with a bandage folded in four layers. Strain the finished hot mixture into a jar. The ointment should have a normal consistency.
Wash the wound before applying the ointment. Put the ointment on a bandage, attach it to the wound overnight and walk like this for a day. After this, change the bandage and continue treatment again. The recipe works well, tested many times
For trophic ulcers you can try Professor A. P. Voitenko’s pasta. It contains 100g of gelatin and zinc oxide, 600g of glycerin and 200ml of distilled water. The pharmacy will help you prepare the paste. Before use, it must be heated in a water bath. A bandage with paste is applied immediately for 2 - 3 weeks, adding a small portion of the product daily. However, this basta does not cure ulcers in patients with diabetes.
Can ulcers be treated with veterinary drug ASD -3. But before applying this liquid, you must first apply a disinfectant bandage to the wound for 2 hours, alternating a solution of furatsilin, potassium permanganate and saline solution (1 tsp per glass of water). Treatment can last up to 5-6 months.
You can use powder mixtures of streptocide and penicillin: Take these medications equally, mix and grind into a fine powder with a spoon on clean paper. Then apply the powder to the wound and tie it with a bandage. Do this at night, or 2 times a day, this is a very effective medicine. The powder instantly heals the wound; it can be added to the cream and lubricated on the wounds.

Strawberry leaves for trophic ulcers.

When treating trophic ulcers, try applying fresh, well-washed or steamed strawberry leaves to the ulcers 1-2 times a day. Accept Fresh Juice yarrow (1/3 cup each) with honey (add it to taste). Course - 3 weeks, 3 times a day

Falling asleep from trophic ulcers.

For external use for trophic ulcers, lichen usnea will help. It grows on the trunks or branches of coniferous trees in the form of a kind of beard. Many people have seen these green and gray beards in the forest, but never attached any importance to them: take 2-3 tsp. raw materials for 1 tbsp. boiling water, leave covered for about 2 hours, strain. Soak a napkin in the infusion, squeeze lightly and apply to the sore spot. Apply waterproof material on top and bandage. Change the cloth napkin soaked in the infusion every 3 hours. Before going to bed, apply the napkin overnight.

Aloe for trophic ulcers.

For trophic ulcers, try, after pre-treating them with hydrogen peroxide, applying aloe leaves soaked for an hour in a pink solution of potassium permanganate and cut lengthwise. Having laid them tightly, cover them with film, also rubbed with peroxide, and bandage them. Do this procedure once a day for 5 days in a row. After this time, the scabs of the ulcers should fall off, leaving deep indentations, which will also soon disappear.

Golden mustache (fragrant callisia) is an excellent remedy for trophic ulcers.

Rinse the golden mustache leaf in warm water, then tear it into pieces (1-1.5 cm), place in an enamel cup and mash with a wooden spoon until the juice is released and the pieces become moist. Place this mixture on the ulcer, covering it with a sterile gauze cloth, cover the top with a clean cloth, then bandage it. It is advisable to do this procedure at night. If a purulent crust appears, then there is no need to be alarmed. Treat the ulcer with hydrogen peroxide. Be patient, it will hurt. After treatment, again apply the golden mustache mixture to the problem area and bandage it. Gradually the ulcer will heal.

Cabbage leaf for trophic ulcers.

Cabbage leaf soak in sea buckthorn oil and apply to the ulcer. The next day the leaf will dry and be like paper. Repeat this procedure until the ulcers disappear.

For spider veins and veins on the legs, try next remedy: Cabbage leaf, previously scalded with boiling water to soften, put in a plastic bag, put in the refrigerator for a day. On the second day before bed, rub undiluted Apple vinegar in the “mesh” area. After the skin has dried, take a cabbage leaf from the refrigerator and apply it to the affected areas and bandage it. In the morning, remove the sheet. Repeat the procedure day after day. To avoid interruptions in treatment, freeze cabbage leaves ahead of time. After the procedures, the nodes decrease, lightness appears in the legs, and the pain is dulled.

Miracle ointment for trophic ulcers.

Common hazel, or hazel for trophic ulcers.

For varicose veins, take hazel (hazelnut) infusion: 1 tbsp. dry leaves pour 1 tbsp. boiling water, leave for four hours, strain and drink 0.5 tbsp. three times a day) and a decoction of dry crushed bark (1 tbsp).
For external treatment, use fern: In spring, pass the young leaves of the plant through a meat grinder, pour the resulting pulp with the same amount of vodka, leave it in the sun for six days, then strain. Soak a linen cloth in the tincture and easily wipe your feet.

Comfrey for trophic ulcers.

Fresh grated comfrey root can be applied to the sores until they disappear.

Calendula, Marigold, for trophic ulcers.

You can use alcohol tincture of calendula or 1 tbsp. Grind a spoonful of crushed calendula flowers with 25 g of petroleum jelly and apply the resulting ointment to the affected areas.

Veselka vulgaris will cure trophic ulcers.

With the help of Veselka tincture (recipe in the section Mushroom treatment - fungotherapy), you can treat trophic ulcers. To do this, you need to apply a bandage soaked in Veselka tincture to the wound every day. The treatment is long, but successful, the ulcer heals without a trace.

Tomatoes will help with trophic ulcers.

For treatment you need fresh tomatoes. They must taste sour! Sweet or unleavened tomatoes great benefit they won't bring it. It's best if they are freshly picked. Then their action will accelerate. Tomatoes should be cut into pieces and applied to the ulcer with the cut. Then secure it with a bandage and walk with this compress for a day. Compresses need to be changed in the morning. The treatment will take a long time, about 2 months. During this time, you can get rid of the disease completely. After the ulcer there will be no traces left.

This recipe for treating trophic ulcers is simply unique.

Take 20-25 g of fresh propolis and a pack of butter. Grind the propolis on clean paper, place the oil in an enamel saucepan and heat over low heat. When it starts to boil, slowly sprinkle the propolis over the entire surface of the oil, cover the contents with a lid and do not remove it for 12 minutes. If it boils strongly, lift the pan and move it in circles over the fire. This way, the mass will mix well and warm up. Then remove the pan from the heat, strain the contents into a jar through gauze folded in three layers. After cooling, the ointment is ready. Close the jar with a lid and store the medicine in the refrigerator. Cut napkins from bandage, roll them into three layers, apply a little ointment to the napkin, place it on the wound, cover with a plastic bag and leave the compress for a day. Do the procedure daily until recovery. During treatment, you need to wipe the skin around the ulcer with hydrogen peroxide every other day. If the ulcer is large, then place several napkins on the wound to cover it completely. The result of the treatment will not take long to arrive.

For itchy skin with varicose veins

Will help alcohol tincture celandine (20 drops per 1 tablespoon of milk) 3 times a day before meals. Tincture recipe: a small amount of pour fresh herbs and flowers with alcohol or vodka so that the alcohol only covers the raw material, leave for 7 days, then strain. Start taking the tincture with 20 drops, adding 1 drop daily, and increase the amount to 50. The medicine is taken once a day. From 50 drops you need to return to 20 drops, reducing the dose by 1 drop daily, and finish the course of treatment. If necessary, after 15 days, the tincture can be repeated. Make lotions and compresses with an infusion of celandine herb and after 2-3 days the itching will go away.

To treat trophic ulcers, you can try the following recipes:

Melt 200 g of fresh unsalted lard in a steam bath. Then melt 2 finely chopped church wax candles (light) in a steamer and combine with lard. Strain the resulting mass and cool. Then pour in a quarter cup fir oil and the same amount of melted pine resin. Cut more sterile gauze napkins, dip them in the ointment so that they are soaked, and put the medicine in the refrigerator. Make compresses this way: place a napkin soaked in ointment on the sore spot, wrap the ulcer in cellophane on top and bandage it. After 12 hours, the napkin should be changed to another one. The course of treatment is a month.
Wash fresh cabbage leaves with laundry soap and apply to the sore spot and bandage it. Before putting in the cabbage, sprinkle the ulcer with streptocide and wipe with calendula tincture. Make this cabbage leaf dressing 2 times a day. When the cabbage leaf stops getting wet, it means the ulcer is healing. Course of treatment - 2-3 months
Take in equal parts beeswax, interior lard, lamp oil, 0.5 tsp. spoons of birch tar, 1 teaspoon of honey. Mix everything and boil for 10 minutes. Use the ointment when it has cooled. It is applied to a bandage and bandages are made on the wound, changing them every two hours. By the evening of the first day, the ulcer is cleared, and on the third day it closes completely.
1 tbsp. mix a spoonful of sheep or goat fat with 2 teaspoons of salt, add chopped onion, then rub everything through a sieve, put it on a clean bandage and bandage the wound for a day. At first you will feel pain and burning, but gradually the ulcer will clear up and become easier. Every day you need to change the bandage, replacing the composition with a fresh mass.
Chop 200g of eucalyptus leaf, put in a bottle, pour in 0.5 cups of purified vegetable oil, add 2 chopped garlic cloves. Leave for a week, strain. Soak a napkin with this mixture and apply it to the fistula 2 times a day for 30–40 minutes.

Rhubarb root will cure trophic ulcers

Grate the rhubarb root on a fine grater, sift through a sieve and sprinkle the resulting powder onto the ulcer, after lubricating it with fir oil.

Any wounds that appear on the human body are always brought to their “owner” painful sensations, as well as aesthetic discomfort. As for trophic ulcers, this is a defect on the skin that does not heal long time.

Interestingly, such an ulcer does not occur on its own, since its main cause is disruption of the blood supply to certain parts of the body due to some health problems.

Of course, today you can treat any disease in a clinic, but most people still prefer home treatment with natural remedies. Self-treatment Trophic ulcers take quite a long time, perhaps even more than one season. And the procedures should be carried out regularly and under completely sterile conditions. True, the result is worth the effort.

Traditional medicine involves treating trophic ulcers with streptocide. Some people claim that this method allows you to get rid of the disease in just a few weeks.

The ulcer must be treated with hydrogen peroxide to thoroughly clean the wound. Then, powder from crushed streptocide tablets is poured into it. Place a cloth on top, soaked in a mixture of boiled water and peroxide in a ratio of 50 ml to 2 tsp.

This compress is covered with cellophane and bandaged with something warm. The procedure is repeated three times a day. Streptocide is added when it is clear that the ulcer is becoming moist.

When trophic ulcers are a concern, alternative treatment can be quite simple, such as a compress made from a mixture of honey and protein. Their ratio should be the same. Everything is thoroughly whisked and carefully applied to the skin with an ulcer.

As a result, the ulcer first becomes covered with a crust, after which pink spots become visible, but they will no longer be present within two weeks.

Traditional treatment for trophic ulcers on the leg has a very good recipe egg oil. The area with the ulcer must be treated with peroxide, after which the remaining foam is removed with a bandage. Egg butter is prepared at home from vegetable oil and boiled eggs.

The yolks of five eggs are separated from the whites and lightly fried. Then you need to add a little olive oil (1 tbsp) to the pan and fry a little more. To obtain oil, the fried mixture is squeezed through a cotton cloth into a separate bottle.

This oil is poured into an ulcer wound, since it has a very beneficial properties due to its composition - unsaturated fats, vitamins and microelements. After applying the oil, a Kalanchoe leaf is applied to the wound, poured with boiling water and without a top film.

You can also apply larkspur ointment to the leaf. In the end, the leg needs to be bandaged, but if you go outside, you should also use an elastic bandage. Bandages must be changed twice a day - morning and evening. It usually takes about three months for complete recovery.

Treatment of trophic ulcers on the leg with folk remedies, and especially in an advanced stage, occurs with the use of egg yolk and the usual iodine. The only condition is that the proportions be strictly followed. Yolks are suitable only from the freshest eggs, and the cooking utensils must be perfectly sterile.

It is recommended to use teaspoons of yolks, since the same amount of iodine will need to be poured. As a result, the ointment has a rich orange color, but storage is intended only in a dark place, and not in the refrigerator.

This treatment of trophic ulcers of the extremities with folk remedies involves careful use of ointment, because it can harm healthy skin. After applying the ointment, the wound is covered with a sterile napkin and bandaged. It is advisable to carry out manipulations several times a day, without changing the time.

Interestingly, the dried ointment becomes a cake that can be removed from the wound quite painlessly. Such compresses quickly heal wounds without leaving scars or scars.

Trophic ulcer and diabetes

In diabetic patients, skin wounds often become diabetic foot syndrome. Only in very rare cases with diabetes mellitus can an ulcer develop on the leg. Moreover, due to serious illness the ulcer has an impressive size, depth, as well as the development of infection inside and the process of suppuration.

Treatment of trophic ulcers with folk remedies for diabetes can be done only after approval by specialists. Despite this, an ointment made from vegetable oil and beeswax is a fairly good remedy.

The oil is heated, then beeswax is added there, and it must be completely melted. Then, the mixture is filtered and stored in the refrigerator. Before using the product, add half a boiled yolk to a spoonful of ointment, mix thoroughly, warm up and apply to the wound up to 4 times a day.

Varicose veins and trophic ulcer

Against the background of stagnation of blood in the veins, a trophic ulcer very often develops. Statistics say that the number of victims is 15% of all those who suffer from varicose veins. Therefore, treatment first of all involves eliminating varicose veins, and then trophic ulcers.

The danger is that the inflammatory process affects not only tissue, but also bones and tendons. It is important to consult a doctor in time and strictly follow the prescribed treatment, so as not to receive a diagnosis of gangrene in the future.

If varicose veins, as well as trophic ulcers, plague the legs, folk treatment includes the use of an ointment made from honey and protein. For one spoon of fresh bee product there is one chicken protein.

This mixture is infused for three hours. Before applying to the wound, the ulcer is treated with peroxide or chamomile decoction, then the ulcer is smeared, covered with cellophane and a bandage. Compresses must be changed every 8 hours. Thus, eight procedures are usually enough for the wound to begin to tighten.

Trophic purulent ulcer: treatment with folk remedies

If the ulcer is not treated on time, it will begin to get pathogenic microorganisms, and the wound begins to accumulate pus. Traditional methods of treating trophic ulcers with pus on the legs often involve the use of horsetail.

The dry plant is processed into a fine powder, which must be poured into the wound. Then a cabbage or burdock leaf is applied to the leg. This remedy gets rid of pus after several procedures.

Attention!

Traditional methods of treating trophic ulcers of the lower extremities are very popular among patients, despite the duration of treatment compared to traditional medications.

You need to be aware of what this is serious illness, and therefore treating yourself without consulting a doctor seems like a reckless action. Take care of yourself and do not self-medicate!

Video about a compress for healing trophic ulcers

Pathological processes that lead to the formation of ulcerative defects have many causes. Doctors who promise a quick cure are more likely to cure the symptom, but do not remove the source of the problem. Trophic ulcers are localized in most diagnostic episodes on the lower extremities (in some cases on the arms) and are skin lesions that do not heal for more than 6 weeks.

What is a trophic ulcer

At its core, it is a trophic ulcerative lesion, which is accompanied by a violation of the upper layer of skin and tissue with damage to the vessels located under it (it is not contagious, except infectious diseases). Such manifestations are often localized on the legs, since they bear the maximum load in everyday life. In addition, ulcers are located on any part of the body where tissue microcirculation is impaired. They look like an ulcerated spot surrounded by skin defects, from which pus, lymph and blood are secreted.

Symptoms

It is difficult to notice the formation of an ulcer, because at the beginning of its development it is no different from a banal bruise. Patients often turn to specialists when a full-fledged surgical intervention is already required to eliminate damaged areas of tissue. If the patient knows that his disease can lead to the formation of such ulcers, then he should carefully monitor the condition of his skin. Signs of ulcerative manifestations and their initial stages of development (using the legs as an example, but all points apply to any part of the body):

regular severe swelling of the lower extremities;
severe periodic cramps in the calves (usually at night);
burning and itching in certain areas;
feeling of heat in the legs;
increased skin sensitivity to contact;
thickening of the skin;
discharge on the surface, similar to sweat.

Causes

Trophic ulcer is a symptom dangerous disease, and not an independent problem. If you treat only skin problem, then after some time it will appear again (or the treatment will be unsuccessful). When a vascular surgeon makes a diagnosis, he will definitely refer the patient for a full examination to identify the cause of the ulcerative lesion. What can cause trophic ulcers on the legs:

wounds of any type that were not properly treated;
burns;
frostbite;
bedsores;
complication of varicose veins;
chronic diseases vessels;
chemical contact exposure;
radiation or radiation exposure;
constantly wearing inappropriate shoes;
complications of diabetes;
purulent infections
insufficient blood flow in the veins and arteries;
autoimmune diseases;
weakened immunity, including AIDS;
chronic arterial hypertension;
sudden weight gain (occurs in bodybuilders who actively build muscle);
syphilis;
tuberculosis;
brain and spinal cord injuries.

Kinds

Trophic peptic ulcer disease, depending on the location and cause, can have a different etiology, so accurate diagnosis of the original disease is important. Ulcers begin to form at different levels of tissue, and their types are classified according to the reason for their formation and structure. There are six main types of ulcers:

Arterial (atherosclerotic). They are formed as a result of shear ischemia of the soft tissues of the lower leg (arterial circulation disorder). The initial appearance provokes constant or severe one-time hypothermia, uncomfortable shoes, skin disorders. Localized in most episodes in the foot area. It looks like small semicircular painful wounds filled with pus, with dense edges and pale yellow skin around. Formed more often in elderly patients with destruction of the arteries of the extremities, formations from the heel to the lower leg increase in diameter and depth.
Venous ulcers on the legs. The initial trigger is a violation of normal venous circulation in the veins, localized within the lower leg. They begin to develop from purple spots. Improper treatment can lead to the growth of the ulcer inward to the Achilles and muscles, and death due to blood poisoning is possible.
Diabetic ulcers. They develop in patients with diabetes if treatment and prevention are not followed; ulcers often form on the lower extremities. Home treatment actually does not produce results; surgical intervention and serious drug therapy are required. Appearance: large diameter sores with deep defects in the tissue, severe bleeding and pus discharge with sharp unpleasant smell(diabetic foot).
Neurotrophic ulcers. Appear after injuries to the head or spine due to disruption of the innervation of the limbs and damage to the nervous structure. Externally they look like small craters that secrete unpleasant-smelling pus. The depth of ulceration can reach tendons and bones.
Hypertensive ulcers (Martorella). The occurrence occurs against the background of malignant arterial hypertension, which leads to the destruction of the walls of small vessels. Outwardly they look like symmetrical small spots of a red-bluish tint with mild pain on palpation. Often develops in women after 40 years of age, the pathology is accompanied by severe pain at any time of the day, is most prone to bacterial infection.
Pyogenic. Hygienic ulcers that are typical for street dwellers. They appear against the background of furunculosis, purulent eczema when the rules of personal hygiene are ignored. The shape is oval, the ulceration depth is shallow.

Complications

Ignoring any disease, regardless of its symptoms, will gradually lead to complications. Trophic ulcers of the lower extremities in this sense are among the most dangerous: purulent processes small localizations are a favorable environment for the development of infections with gradual destruction of surrounding tissues (a typical example is homeless people with serious pyogenic lesions). What can be the consequences of ignoring trophic ulceration:

eczema various types around ulcers;
development of fungal diseases;
streptococcal skin lesions;
deformation and destruction of joints, tendons;
vein thrombosis;
cancerous formations in rare cases with total neglect of the problem;
removal of affected muscle tissue;
amputation of totally affected limbs.

Diagnostics

The initial indicators for identifying the presence of such an ulcer are varicose veins and previous phlebothrombosis. Diagnosis occurs after comprehensive examination the patient for the presence of diseases that provoke the problem. Primary diagnosis of the disease occurs by palpation of the area possible localization. If trophic manifestations are suspected (subcutaneous depressions on the legs or calves, hardening of the skin, discoloration), additional ultrasound examination of the leg veins, rheovasography and duplex ultrasound examination are performed.

Treatment of trophic ulcers

How to treat trophic ulcers on the legs if they appear? Long-term therapy for such diseases is A complex approach, which is aimed in parallel at minimizing the impact of the underlying disease and eliminating the non-healing ulcers themselves. Conservative therapy begins with the use of antibiotics to limit the development of purulent lesions and secondary local infections. Separately, drugs are selected to normalize the functioning of blood vessels and circulatory system, effective treatment of ulcerations.

The ulcers are cleaned using special enzymes. After partial healing and normalization of tissue condition, vessels and veins are surgically restored, and total skin damage is removed. Ulcerated areas should be observed even after the underlying disease has been cured in order to prevent their reappearance against a background of weakened immunity. There is no strict treatment regimen, because the causes of ulcers and their forms are very different.

Surgery

It is important that primary treatment and surgical intervention are carried out properly, otherwise there is a high probability of secondary progression of trophic tissue damage. The main foci of inflammation, affected areas, purulent discharge are surgically removed (vascular restoration - separate category operations carried out after liquidation ulcerative defect). Treatment non-healing wounds on foot:

vacuum: pumping out pus, reduces swelling, stimulates blood flow and regenerative processes, reduces the risk of relapse, blocks access to bacteria and viruses;
catheterization: used for deep ulcers that are difficult to heal;
suturing venous-arterial fistulas to divide the wound area into smaller wounds for a more targeted effect.

Drug therapy

Invasive therapy is aimed at maintaining immunity, fighting infection and the underlying disease. Treatment of the ulcer itself is often limited to the use of medicinal ointments and creams that will reduce the bacteriological component will provoke tissue to heal. Another way active substance impossible to deliver to the lesion. Lotions from the compositions are used only after thorough cleaning of the wound.

Drug name	Properties	Mode of application	Notes
Solcoseryl	The ointment is used to stimulate regeneration processes and cleanse the wound. Active substances ointments normalize blood flow in the vessels, which provokes tissue restoration, even over large areas.	The frequency of use directly depends on the degree of damage to the lesion and intensity purulent discharge(on average 2-3 per day).	Solcoseryl actually has no contraindications (except for individual intolerance).
Stellanin	A relatively new drug whose action is aimed at restoring immune defense body. Stimulates the restoration of blood circulation and stops the appearance of purulent discharge.	You can use the ointment only after consultation with your doctor, because there is a large list of contraindications.	Cannot be used by people with thyroid problems.
Argosulfan	Antibacterial action. Relieves pain, burning sensation in the affected area, protects wounds from infections.	The ointment is applied in a thick thick layer to the wound as clean as possible 2-3 times a day to heal the damaged area.	Problems may arise with individual intolerance to sulfathiazole, congenital deficiency of glucose-6-phosphate dehydrogenase. During pregnancy, the ointment can be used if the area of damage does not exceed 20% and the possible benefit outweighs the theoretical risk to the fetus.

Compression therapy

Fixation compression bandages mandatory in the treatment of trophic ulcerative manifestations and varicose veins veins at all stages of the disease. This effect helps to reduce the diameter of the veins and reduce swelling. Modern technologies suggest using non-classical ones elastic bandages, but specialized compression garments that can be selected according to size and for a specific area of the limb.

Physiotherapeutic procedures

Physiotherapy helps improve microcirculation of the vessels of the lower extremities, reduce inflammatory processes in tissues, promotes healing of ulcerative lesions. Such manipulations are permitted if the therapeutic effect does not worsen the condition of the limbs and brings real benefit. Methods differ in the direction of influence:

reduction of inflammation: microwave and UHF therapy;
bactericidal effect: electrophoresis with an antibacterial component (cleanses ulcer localization from necrotic components), aeroionotherapy, darsonvalization (exposure to high-frequency currents);
vasodilating effects: galvanization, infrared irradiation, ultratonotherapy, electrophoresis;
for wound healing, formation of healthy tissues: paraffin therapy, oxygen barotherapy, magnetic therapy;
ozone and air baths.

Traditional methods

It is important to remember that a trophic non-healing defect is not a cold or a callus. Complete recovery will occur only after complex treatment the provoking disease and the ulcer itself. The use of folk remedies must be agreed with the treating specialist in order to avoid worsening the condition or neutralizing the therapeutic effects of traditional therapy. Popular home remedies for treating ulcers:

Burnet tincture. Stimulates the healing of the disease focus and the regeneration of skin areas. The root of the plant must be ground to a powder and pour 100 ml of chilled boiled water. Leave for 10 hours and take 1 tbsp before meals. l. three times a day.
Compress made from birch ash. Pour 100 grams of powder into 1 liter of boiling water, close the container and wrap tightly in a blanket or blanket. After 2 hours, moisten the gauze in the resulting liquid and apply it to the cleaned lesion for 3-4 hours. The procedure should be carried out over 2-3 weeks.
Wraps using golden mustache leaves. Finely chop the leaves and pound in a mortar until the juice appears. Treat the lesion with a sterile solution (hydrogen peroxide or chlorhexidine), place the mixture on the lesion and cover with a sterile bandage (burning may occur in the first minutes). Treat the ulcerated area until complete healing.

Prevention

It is important to remember that ulcerative lesions appear in diseases of the arteries and damage to the venous structure. For varicose veins, when the patient refuses surgical intervention, it is recommended to wear compression garments, which are selected individually. It is strongly recommended for patients to reduce the load on their legs, monitor their weight, if possible, avoid working in hazardous industries (hot workshops), adhere to a strict diet and avoid injury to tissues that are susceptible to ulceration.

Photo of a trophic ulcer on the leg

Video

Trophic ulcers on the legs are difficult to cure, and after healing they often make themselves known again. It is impossible to get rid of them without the use of medications, and in many cases such tissue damage leads to disability.

Trophic ulcers - what are they?

Trophic ulcers are damage to the skin, mucous membranes and subcutaneous tissues due to impaired lymph and blood circulation and insufficient supply of nutrients and oxygen. It is characterized by a long course - the affected areas may not heal for 2-3 months or longer.

The localization of leg ulcers depends on the underlying pathology that provoked the appearance. When and they are located on the shins and ankles, when - on the feet.

The main causes of trophic ulcers:

violation of lymph outflow;
venous stagnation;
swelling due to fluid retention;
poor nutrition of leg tissues.

The last two reasons are a consequence of the first two. The main diseases that can lead to trophic damage to the lower extremities are:

Varicose veins and thrombophlebitis - disrupt circulation venous blood in the legs, worsening the trophism of tissues and destroying them. Ulcers often form in the lower part of the leg.
Diabetes mellitus is a cause of inflammation vascular walls, which leads to a failure of normal metabolism in tissues and their disintegration. Ulcerative lesions are localized in the area of the feet - on the heels and toes.
Atherosclerosis - when the lumen of blood vessels narrows due to cholesterol deposits on their walls, the supply of nutrients and oxygen is also disrupted. As a result, tissue necrosis develops - trophic ulcers are located symmetrically on the anterior and back surface shins.

Other causes and risk factors:

hypertension;
postthrombophlebitis;
thromboangiitis;
impaired innervation;
injuries, frostbite, burns;
allergic reactions;
constantly wearing tight and uncomfortable shoes.

A trophic ulcer is considered to be a lesion of the skin and subcutaneous tissues that does not heal within 1.5 months.

Symptoms of trophic ulcers on the legs, manifestation

Symptoms of a trophic ulcer develop gradually and not suddenly. The appearance of an ulcer is preceded by severe dryness of the skin on the leg or both limbs, persistent swelling, pigmentation and cramps. The formation of a trophic wound occurs in 4 stages:

First manifestation and beginning of progression.
Purification stage.
Granulation of the center and scarring of the edges.
Complete granulation and scarring.

Let's consider the symptoms of trophic ulcers on the legs by stages of development.

The initial stage of trophic ulcers on the legs

Against the background of the underlying disease, the permeability of the vascular walls increases, and red blood cells go beyond its limits. Hemoglobin is converted into hemosiderin and, accumulating in the skin, provokes pigmentation.

This is the first stage in the development of a trophic ulcer on the leg. The initial stage also manifests itself as thinning skin, which becomes shiny, as if varnished. The progression is complemented by inflammation of the subcutaneous fatty tissue and hyperemia of the skin of the limb.

Due to swelling, it is impossible to grasp the skin with your fingers, and the accumulated liquid appears on the surface, forming drops of moisture on it. The light spots that appear are areas of necrotic tissue.

Without treatment, at this stage a scab forms, deepening into the skin, and then a red wound area - the actual trophic ulcer. The initial stage of a trophic ulcer, depending on the severity of the development of varicose veins or other pathology, lasts from 3-4 hours to 4 weeks.

Cleansing ulcers

A trophic ulcer has rounded edges, and its appearance at the second stage depends on the presence of wound infection and the timeliness and effectiveness of treatment. The affected area produces mucus and pus, often mixed with blood and fibrin strands.

If there is an infection, the ulcer emits an unpleasant, putrid odor and itches.

Additional signs of trophic ulcers (stages 1-2):

heaviness in the legs;
burning and soreness of the skin;
chills;
appearance of bluish blood vessels under the skin;
increase in temperature in the affected area;
epidermal detachment.

Third and fourth stages

The lesion progresses to the third stage only in the case of treatment carried out at stage 2. The edges begin to heal, and scarring of the ulcer occurs in the direction from the periphery to the center - pink areas appear.

The duration of stage 3 depends on both the effectiveness of therapy and the size of the ulcer.

If the trophism (nutrition) of tissues is not fully restored, then there is a high risk of a reverse transition to initial stage. Final scarring occurs in the fourth stage and may take up to several months. The ulcer completely granulates and heals.

Treatment of trophic ulcers of the lower extremities, drugs

For trophic ulcers of the lower extremities, treatment with medications is carried out separately or as an addition to surgical cleaning of the affected area. For an open, non-scarring wound, the following remedies are used:

Antibiotics - capsules, tablets, and in case of severe disease - intramuscular injections;
NSAIDs to relieve inflammation and soreness;
Drugs that reduce blood viscosity - antiplatelet agents - to prevent the formation of blood clots;
Antihistamines - Suprastin, Xizal, Tavegil - to eliminate an allergic reaction;
Antiseptic solutions or medicinal herbs for daily washing of the ulcer.

For trophic ulcers, antiseptic and antimicrobial ointments are prescribed from drugs. They are applied in a thin layer to a bandage or gauze and tightly fixed to the leg.

Examples of products are Levosin, Levomekol. To combat bacterial infection Salt compresses are also used at the rate of 1 tsp. salt per 200 ml of water.

For the treatment of trophic leg ulcers at the stage of granulation and scarring, the following medications are indicated:

Local healing agents - gels, creams or ointments - Solcoseryl, Actovegin;
Antioxidants – accelerate the removal of toxic substances from tissues;
Antiseptics.

For venous etiology, ulcers are always used compression stockings, tights or elastic bandages that are worn constantly and changed every day. In addition to treating skin lesions, therapy for the underlying pathology that caused the development of a trophic ulcer must be carried out.

Treatment of trophic ulcers of the lower extremities at home with folk remedies is considered as an addition to the main therapy. It is effective to wash the wound with freshly squeezed potato or cabbage juice, which can also be used to apply compresses.

Oak decoction and willow bark powder are also used for these purposes. From natural pharmaceuticals ointments with comfrey, geranium and arnica are effective in the treatment of trophic ulcers.

From unconventional methods The attending physician may prescribe:

mud therapy;
laser therapy;
ultrasonic cavitation;
balneotherapy – treatment with mineral waters;
hirudotherapy - the use of leeches to eliminate blood stagnation and dissolve blood clots;
ultraviolet radiation;
ozone therapy.

Surgery indicated when conservative treatment is ineffective. During the operation, the ulcer is excised, necrotic areas of skin and subcutaneous tissue are removed. Vacuuming and curettage are used to remove mucopurulent contents.

Limb amputation is used in advanced cases when there is no other way to save a person’s life.

Forecast

The danger of trophic ulcers lies in their complications, such as:

ossifying periostitis, in which the lesion reaches the bone tissue;
degeneration of an ulcer into a malignant tumor;
arthrosis of nearby joints;
, lymphangitis;
gas gangrene;

Without the right and timely treatment a trophic ulcer on the leg has an unfavorable prognosis - the result is the loss of a limb, and without seeking treatment medical care– death due to the development of dangerous complications.

Drug treatment for trophic ulcers on the leg is not always better than folk remedies. Since this disease is difficult to treat and doctors’ methods do not always help 100%, it is better to use the advice of traditional medicine.

Yolk ointment against trophic ulcers of the lower extremities

There is an opinion that only early stage trophic ulcers, but there are examples of the use of yolk ointment on late stages. The result is complete healing of scars. It is important to keep the proportions correctly.

For the recipe you will need egg yolks and iodine solution. Take 2 yolks separated from the white, put in a bowl and dilute with a 5% iodine solution in a ratio of 1 to 1. Mix thoroughly until a homogeneous mass is obtained. Store the resulting mixture at room temperature in a dark place.

How to apply the ointment. a solution of yolk ointment is poured onto the wound using a teaspoon. Make sure that the solution does not come into contact with healthy skin! Gently rub the ointment over the ulcer area, cover with a sterile cloth and bandage. You need to keep this bandage for 12 hours, then you need to change the napkin. According to reviews, such a dressing with yolk ointment makes the treatment as painless as possible and the likelihood of scarring disappears.

Hydrogen peroxide for trophic ulcers

The following story became known from the Healthy Lifestyle magazine from 2003. 7 years ago, a woman suffered from trophic ulcers on her lower extremities and was treated with folk remedies such as aloe, burdock bandage, etc. did not give significant results. In conjunction with drug treatment I managed to get rid of the ulcer only after 1.5 years. But on the advice of a friend, the woman tried using hydrogen peroxide. Here is the recipe with which she managed to cure leg ulcers in just 11 days.

For the recipe you will need hydrogen peroxide, streptocide, napkins, a plastic bag and a bandage or scarf. First you need to make a solution of hydrogen peroxide (2 teaspoons per 50 grams of water), drop it on the wound, cover it with streptocide, and put plastic on top and tie it with a bandage. Change this compress several times a day, and add streptocide to the wound as needed.

Ointments against trophic ulcers at home

Can be made independently, based on numerous folk recipes. It is worth saying that herbal treatment is very relevant and effective in the area of ulcers. The following natural components deserve special attention:

A decoction of oak bark relieves inflammation from ulcers and also minimizes painful sensations. Such results of oak bark are due to the tannic properties of the decoction. It is used in the form of lotions and taken orally, half a glass a day.
When using aloe, the wound is cleansed well and skin regeneration occurs. This plant has many advantages, but the only disadvantages include personal intolerance. At home, the paste is made according to the following recipe: grind aloe leaves and mix with honey. Lubricate the affected skin with this ointment and apply gauze. The advantages of this method include the elimination of burns.
A decoction of the string and pharmaceutical chamomile Excellent for relieving inflammation and spasms. It’s not for nothing that parents bathe their children in such decoctions. This mixture of herbs also helps disinfect the affected area and relieves pain.
Taking pine infusion orally helps with skin injuries. The recipe is simple: dilute 200 grams of pine needles in a liter of alcohol, take 30 grams of this tincture per day. Under no circumstances should it be used as a rubbing agent; burns are possible - the reason for this is the alcohol contained in the infusion.

Ointments against trophic ulcers can not only be purchased at the pharmacy, but also prepared independently, but folk remedies are used only with the permission of a doctor.

Balm for trophic ulcers

Balm based on juniper tar has an antiseptic and anti-inflammatory effect. To prepare it, take 100 grams of tar, 2 yolks and a teaspoon of rose oil. All this is shaken with the addition of 2 teaspoons of turpentine. When the balm is ready, it is carefully applied to the wound and rewound. bandage. After 20 minutes, the bandage is removed and the ulcer is washed. Repeat the procedure 2 times a day.

Treatment of trophic ulcers with chlorophyllipt

If the ulcer has a purulent infection in folk medicine Applications based on alcohol chlorophyllipt with novocaine are used. The solution is applied to sterile napkins and applied to the damaged area, changed daily, and fixed with a bandage or mesh. The result will come in 2 months, when a crust appears on the ulcer, which means the healing process has passed. After such applications, there will be no scars left in place, but there will be a dark spot.

Making an ointment from wax to remove trophic ulcers

To make the ointment you will need wax, vegetable oil, and the yolk of a hard-boiled egg. Put wax and oil in an enamel pan and put it on fire. As soon as the wax melts, place chopped yolk there in small portions (crush with a fork on a saucer). Bring to a boil and as soon as the oil begins to foam, remove the pan from the heat. While the ointment is preparing, stir the contents. Strain the resulting ointment and use it as directed on ulcers. It should be stored in the refrigerator for no more than a year.

Recipe for a remedy that acts on trophic ulcers

This natural remedy treatment of trophic ulcers, all ingredients are available. The preparation of the medicine is simple. To prepare it you need physalis berries and eucalyptus leaves. Eucalyptus is sold in any pharmacy, it is not difficult to find. Many people also grow physalis. Now about the preparation of the medicine itself. You need to take 20 g of physalis berries and chop them. Pour physalis with 1 teaspoon of pure vegetable oil and leave for two days. When the oil is infused, prepare an infusion of eucalyptus. To do this, pour 50 g of eucalyptus leaves into 100 ml of boiling water and leave for a couple of hours. Add 2 teaspoons of eucalyptus infusion to the oil with physalis. You will get a healing mixture. There is no need to strain it. Apply this mixture to the sore area 2 times a day. This is a very strong wound healing agent. It heals ulcers and wounds almost before our eyes. If you have a similar problem in your family, try this remedy.

Therapeutic exercise for trophic ulcers

The use of one or another type of gymnastics depends on the type of ulcerative defect. Physical therapy is especially useful for venous trophic ulcers - exercises help speed up tissue healing and improve venous outflow.

An example of gymnastics: standing on the floor, leaning on the wall with your hands at shoulder height, rise onto your toes, then lower onto your heels ten to twenty times.

Another example: standing on the floor, shifting from one leg to the other and rolling from your toes to your heels. It is very important not to be lazy and do exercises in the mornings and evenings every day.

As for arterial or, for these types they do not use physical therapy, since it is very difficult to ensure improved arterial blood flow.

This is a rather serious, difficult medical problem to solve. Trophic ulcer on the leg is a serious disease that requires long-term complex treatment. To prevent it, it is necessary to treat the underlying disease that led to this disease.

Use of cabbage leaf against ulcers

Cabbage leaves are soaked in sea buckthorn oil and applied to the problem area. The next day the sheet will dry and become like paper. Apply the treatment until the ulcers disappear.

In the case of spider veins and veins on the legs, the following will be useful: folk remedy. Cabbage leaf, softened with boiling water, is placed in a plastic bag and put in the refrigerator for a day. Every other day, apply apple cider vinegar in the “mesh” areas, place a cabbage leaf on top and bandage it. Remove sheets in the morning. The procedure should be done for several days. To avoid gaps in treatment, prepare in advance required quantity sheets. Over time, the pain will go away, and a feeling of lightness and health will appear in your legs.

A simple milk recipe

500 ml of milk is purchased, curdled milk is made from it, placed in gauze and hung. Before going to bed every day you need to wash the ulcer using the serum that has escaped, and the cottage cheese is applied directly to open wound. This procedure pain is eliminated, and a yellow crust begins to appear near the wound.
Among the folk remedies Special attention It is worth turning to arnica ointment and comfrey ointment. They are applied to the site of injury during dressings. Before using such ointments, you should definitely consult your doctor. Good effect Special antibacterial Activtex wipes were also shown during treatment. They are very convenient to use at home as a dressing material.