Skip to main content

Venous Insufficiency Ulcers

Reviewed 06/2019
 


BASICS

  • Venous insufficiency disorders include simple spider veins, varicose veins, and leg edema.

  • In the United States, 23% of adults have varicose veins, an estimated 22 million women and 11 million m...

DIAGNOSIS

A diagnosis of venous reflux or obstruction must be established by an objective test beyond the routine clinical examination of the extremity. 

HISTORY

  • Family history of venous insufficiency a...

TREATMENT

  • Treatment options: conservative management, mechanical treatment, medications, and surgical options

  • Goals: Reduce edema, improve ulcer healing, and prevent recurrence.

GENERAL MEASURES

  • Compress...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • When ulcers are nearly healed and edema is controlled, switch from compression bandages to compression hose.

  • Insurance may not reimburse for compression hose unles...

REFERENCES

1
O’Meara S, Al-Kurdi D, Ologun Y, et al. Antibiotics and antiseptics for venous leg ulcers. Cochrane Database Syst Rev.  2014;(1):CD003557. [View Abstract on OvidMedline]
2
Latz CA, Brow...

ADDITIONAL READING

  • Kearon C, Kahn SR, Agnelli G, et al. Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th ...

CODES

ICD10

  • I87.2 Venous insufficiency (chronic) (peripheral)

  • I83.009 Varicose veins of unsp lower extremity w ulcer of unsp site

  • I89.0 Lymphedema, not elsewhere classified

  • I83.008 Varicos vn unsp low ext...

CLINICAL PEARLS

  • Venous stasis: dull ache or pain in lower extremities, swelling that subsides with elevation, eczematous changes of the surrounding skin, and varicose veins

  • Venous ulcers often occur ov...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×