Leg Ulcer Treatment in Sioux Falls, South Dakota (SD)

Leg ulcers, also known as venous ulcers or stasis ulcers, are non-healing or slow-to-heal wounds on the skin that are most commonly caused by improper blood flow in your veins. Leg ulcers are a serious, and often long-term condition that is difficult to treat and may require multiple long-term therapies. Leg ulcer treatments can include compression, medication, or surgery.

Treating leg ulcers

Leg ulcers can have a significant impact on your quality of life, and treatment can be challenging. Your doctor can work with you to create a plan to heal your leg ulcer with a combination of conservative therapy, medication, and surgery.
  • Compression in the form of bandages, gauze wrappings, and graduated compression stockings can improve your blood flow. 
  • Dressings over the ulcer can help keep it clean and prevent it from sticking to bandages or clothes.
  • Lifestyle changes like regular exercise, elevating your legs, quitting smoking, eating a healthy diet and maintaining a healthy weight can improve your vein health. 
  • Vaccum assisted closure, also known as topical negative pressure, can shrink the size of the ulcer and help it heal by removing excess fluid and promoting blood flow. 
  • Hyperbaric oxygen therapy is a non-invasive procedure where your leg is placed in a chamber that feeds pure oxygen to the wound, helping with inflammation and infection.
  • Antibiotics and antiseptics are used to treat infection in and around the ulcer. 
  • Anti-clotting or anti-platelet medications help prevent blood clots and improve your blood flow.
  • Aspirin taken daily has been shown to speed up healing, especially in combination with compression therapy.
  • Oral zinc can help with inflammation and speed up healing.
  • Debridgement is the process of removing dead tissue and foreign material like dirt from your wound. It’s usually one on larger, deeper ulcers. 
  • Skin grafting applies healthy skin from your body to the ulcer to help it heal. 
  • Endovenous thermal ablation is a non-invasive procedure that uses a thin, wire-like catheter inserted into your varicose veins to heat them up from the inside. This shrinks and collapses the treated vein.
  • Endoscopic vein surgery is a non-invasive procedure that uses a catheter inserted into your vein. The catheter has a camera and surgical tool. This can be used to close up your vein.
  • Phlebectomy removes your unhealthy veins through tiny cuts or punctures in your skin. 
  • Sclerotherapy is a non-invasive chemical injection that shrinks and collapses your varicose veins to make them eventually dissolve.

Symptoms of leg ulcers 

Venous ulcers appear as painful, shallow sores on the surface of your skin that look inflamed or red. They usually appear on top of bony areas around your ankles, but can develop in other areas as well. Venous ulcers are slow to heal, or may not heal at all without treatment. If the ulcer is infected it may have an odor or give off a yellow or green fluid. There can also be skin discoloration, thickening of the skin, and varicose veins in the area.

Leg ulcers can also have a psychological impact on you as well because they can affect your sleep, mobility, and even your social life. It’s important to discuss any anxiety, depression, or other mental effects with your doctor and address these symptoms as well.

Causes of leg ulcers

Venous ulcers are most commonly caused by improper, backwards blood flow in your veins that leads to pooling blood and increased pressure in your veins. Your veins have one-way valves inside of them that help your blood move back up to your heart, but these valves can be damaged by conditions like venous insufficiency and venous stasis. If these conditions are left untreated, it can damage your veins and lead to ulcers.

Venous ulcers are more common in women and older people, and risk factors include obesity, previous leg injuries, deep blood clots (called deep vein thrombosis, or DVT), and vein inflammation (phlebitis). 

Diagnosing leg ulcers

Your doctor can diagnose leg ulcers by performing a physical exam, checking your blood pressure in your limbs, and performing imaging tests like duplex ultrasound, X-rays, or MRI. These imaging tests check how well blood flows through your veins. They can also detect blockages in your veins and see if there are specific vein segments that aren’t working properly.


There are many different treatments and therapies for leg ulcers, and the cost of treating venous leg ulcers varies depending on your area, physician and insurance coverage. You can speak with your doctor and health insurance provider for more exact cost information.

About Physicians Vein Clinics

Thank You For Choosing Physicians Vein Clinics

Physicians Vein Clinics is proud to offer the region’s finest vein removal services, using state-of-the-art technology and the skill of a board certified vein physician and laser expert.

About that free screening…

If you have ever wondered whether or not your vein problems can be easily fixed, find out with a free screening at Physicians Vein Clinics. The screening won’t take long and you’re under no obligation to receive further services. We should also be able to tell you whether your insurance will cover the procedure.

Easy as 1, 2, 3

Your free screening consists of three steps:
  1. We will review your medical history and perform a visual exam of the problem area. If necessary, an ultrasound examination will be obtained to identify the underlying cause of your problem. The ultrasound diagnosis isn’t needed very often, but if it is, this is a separate diagnostic test that requires billing to your insurance.
  2. We will diagnose your vein issues and discuss expected outcomes with you.
  3. Dr. Hansen will perform a visual exam and talk over the next course of action with you. If it is determined that your case is medical in nature, we will schedule a consult that consists of mapping and drawing your veins to prove venous deficiency and submit it to your insurance company. If the problems are cosmetic, they will discuss costs and treatment options with you.
Once you decide to move forward with treatment, we will work around your schedule to perform the procedures. Each outpatient procedure is different, but you should expect to return to normal activities in no time with minimal discomfort. Your specific treatment expectations and after-care will be discussed in detail prior to your appointment. Our professional and friendly staff is here to answer all your questions and make your time with us comfortable.

Featured Specialist for Leg Ulcer Treatment in Sioux Falls, SD

Physicians Vein Clinics

Lornell E. Hansen II, M.D.

Call Now: (605) 937-6503
3401 S. Kelley Ave.
Sioux Falls, SD 57106

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