Wound healing is a core discipline of dermatology. Nevertheless, the causes of a wound or an ulcer are often of an interdisciplinary nature. Therefore, a careful, mostly instrumental and possibly interdisciplinary clarification of every non-healing wound is important! The doctors at the VENEX center are specialists in the diagnosis and treatment of venous diseases and offer the latest, minimally invasive treatment methods. Most leg ulcers are of venous origin, followed by arterial ulcers and open wounds of other causes. They therefore primarily require clarification using duplex sonography or Doppler ultrasound.

What are the causes of chronic wounds?

Most leg ulcers are of venous and/or arterial origin and therefore primarily require clarification using duplex sonography or Doppler ultrasound.

Ulcus cruris before therapy Ulcus cruris after healing

Drag the arrows to view the before and after pictures.

Bild des Schienbeins eines Patienten, der an Atrophie blanche leidet

atrophy blanche

Nahaufnahme einer chronischen Wunde

CVI with ulcer

Bild einer Wunde, die durch chronisch venöse Insuffizienz entstanden ist

CVI with ulcer

Bild einer chronischen Wunde nach der Sanierung

CVI after rehabilitation

Bild einer abgeheilten chronischen Wunde

Most healed ulcer

Venous ulcers must first be clarified using duplex ultrasound. Around 80% of leg ulcers have a venous origin. The trunk veins are usually affected and the valves can no longer close. The treatment is carried out by endovenous intervention in the area of the affected trunk veins with a radio frequency or laser catheter or sclerotherapy using ultrasound-controlled foam sclerotherapy.

Arterial ulcers usually develop in what is known as peripheral arterial occlusive disease (PAOD). The main causes of this are smoking, diabetes, high blood pressure or disorders of the lipid metabolism. An angiological examination (vascular check) and, if necessary, further instrumental examinations (CT angiography) are required here.

Ulcers of other causes: If the presence of skin cancer or an autoimmune disease is suspected, a sample should always be taken and examined histopathologically.

Due to the often complex development history and numerous causes of chronic wounds, they should be examined by a dermatologist before treatment.

Subsequently, the implementation of phase-appropriate wound therapy with special bandages and compression therapy are important.

Individual consultation

Individual consultation: We would be happy to consult you extensively on the individual examinations and treatment options in one of our offices. You are also welcome to schedule an appointment online.