Risk factors for the development of venous stasis ulcers include varicose veins, chronic venous insufficiency, DVT, obesity, and local trauma. 28 The vast majority (90%) of venous stasis ulcers occur around the malleoli. 28 In addressing patients with venous stasis ulcers, EPs must evaluate for the presence/absence of cellulitis.

Varicose veins are abnormal blood vessels that typically develop in your legs and feet. They look like bulging, twisted clusters of blue or purple veins. Faulty valves and increased pressure in your legs can cause vessel walls to weaken and veins to swell and protrude, Dr. Joseph explains.

Symptoms of vein disease include dull aching, heaviness, cramping, itching, tingling, and pain that worsens with standing but improves when the legs are elevated. This vein condition is considered chronic (that is, it lasts a long time or recurs) and may lead to complications if left untreated.

Varicose veins can cause pain, swelling, and other uncomfortable sensations in the legs. While lifestyle changes like using compression stockings and staying active may bring some relief, see a healthcare provider if you notice worsening pain, skin sores, or a sudden increase in inflammation.

Many venous ulcers are painful, so appropriate pain relief and advice should be given. Ninety five per cent of venous ulceration is in the gaiter area of the leg, characteristically around the malleoli. Ulceration may be discrete or circumferential.