Arterial Ulcer

The feet are the site of arterial ulcers. Common places include the points of the toes, the outer ankle, and the spaces in between the toes. 

What is Arterial Ulcer

The feet are the site of arterial ulcers. Common places include the points of the toes, the outer ankle, and the spaces in between the toes. These ulcers are difficult to cure and can be quite deep. Blood flow is slowed when the arteries in the leg or foot are constricted or obstructed. Arterial ulcers may develop as a result. When patient have long-term diabetes or other blood circulation issues, small blood arteries can become damaged and lead to artery ulcers.

Couses

  • Arterial ulcers have well-defined, even wound edges, a punched-out appearance, and are typically spherical in shape. In between or on the points of the toes, on the heels, on the outside of the ankle, or anywhere there is pressure from walking or footwear, arterial ulcers are frequently discovered. The wounds themselves are infamously deep, frequently reaching the tendons beneath, and frequently show no indications of new tissue growth. The wound’s base is often yellow, brown, grey, or black in appearance and does not usually bleed.
  • The extremity frequently has little to no apparent pulse and feels cool or cold to the touch. Additionally, the extremity’s skin nails, and hair will all become atrophic and lose hair.
  • These ulcers typically cause severe pain, especially when exercising, relaxing, or during night. Allowing gravity help blood flow to the ulcerous area while hanging the affected legs over the edge of the bed is a frequent way to temporarily relieve this pain.

Symptoms

Vasculitis (inflammatory damage of blood vessels)

Diabetes mellitus

Renal failure

High blood pressure

Diagnostic

  1. Transcutaneous oxygen measurement
  2. Toe Brachial Index
  3. Absolute toe systolic pressure
  4. Arteriography
  5. Buerger’s test
  6. Arterial Doppler studies

Treatment

Check your legs and feet every day for any unusual colour changes or the emergence of sores. Pay specific attention to the area in between your toes.

Stop smoking.

control the levels of glucose, triglycerides, cholesterol, and blood pressure.

Make sure your shoes fit properly to prevent pressure or rubbing points. Do not wear proper socks.

Keep away of cold conditions.

Prevent against damage and illness to the legs and feet.

Exercise as often as you feel comfortable.

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