Venous Ulcers..

Veins are thin vessels that transport blood from the body back to the heart. Veins contain valves that act like gates providing a continuous forward flow of blood. When valves become weakened and incompetent they allow blood to flow backwards and pool in the lower extremity. This pooling of blood stretches the skin and can lead to the development of venous ulcers.

Clinically, venous ulcers present as shallow irregular ulcers located over bony prominences. Varicosities, edema and skin discolorations are common findings associated with venous ulcers. Risk factors for developing venous ulcers are older age, obesity, previous leg blood clots, and history of leg swelling.

Treatment options include:

Debridement – can be sharp (with a blade or curette), enzymatic (topical ointments that are applied and eat away at the dead skin), mechanical debridement (wound scrub). Debridement aids in removal of dead and unhealthy tissue that hinders the healing process.

Dressings – promotes faster healing. Some dressings may contain antibiotic properties to prevent infection

Compression – there are two types of compression, inelastic and elastic. Unna boot is an example of inelastic compression. Unna boots provide static compression and aids in removing excess fluid from the lower extremities. It contains zinc an anti-bacterial and anti-inflammatory agents and calamine lotion to sooth skin irritation. Compression stockings are an example of elastic compression. Compressions stockings should provide at least 30mmHg of compression to aid in moving blood up the legs and reduce edema.

Skin grafting – to help close non-healing wounds, improve function and appearance of the leg

Surgery – to remove insufficient veins to prevent recurrence of venous ulcers

For treatment of venous ulcers please visit us at Foot & Ankle Doctors, Inc

Dr. Nejad

Ganglion Cysts- Foot Lumps

If you are noticing a fluid like lump on your foot, you probably have a ganglion cyst. Ganglion cysts are not cancerous and do not spread to other areas, however cysts may appear at multiple locations. They commonly appear on the hands and wrists and feet. Ganglion cysts form lumps beside joints or tendons and is filled with a viscous fluid. Irritation at a joint or tendon is believed to cause the formation of a ganglion cyst. They may grow in size or disappear spontaneously.

At Foot& Ankle Doctors, Inc we offer a variety of treatment options, which include:

  • Monitoring – if the cyst is painless intervention may not be needed since it may disappear completely on its own

  • Aspiration – placing a needle into the cyst to remove fluid and allow the cyst to decompress

  • Shoe modifications – padding may be used to reduce irritation and pressure of the cyst

  • Surgery – involves removing the cyst and a portion of the joint capsule or tendon sheath

It is important to note that regardless of the treatment option ganglion cysts may return, even with surgery.

Dr. Dardashti