Foot and Leg Ulcers

There are a wide variety of ulcers that can appear on feet and legs. Some of the most common that we see include:

• Neurotrophic foot ulcers. These are most commonly found around pressure points on the soles of the feet, but can also develop on other parts of the foot after a direct injury. They tend to have a “punched out” appearance and range from pinkish to brown or even black in color. Most diabetic wounds are neurotrophic ulcers, although you don’t have to have diabetes to get them. Anyone with severe neuropathy is at risk.
• Venous stasis ulcers. These ulcers usually appear somewhere along the inner part of the lower leg, often just above the ankle. They tend to be irregularly shaped, feel warm to the touch, be red in color (and possibly covered in yellowish, fibrous tissue), and may produce significant drainage. If you have a history of varicose veins, blood clots, or swollen legs, you’re at greater risk.
• Arterial (ischemic) ulcers. These ulcers tend to have a “punched out” look similar to neurotrophic ulcers, and typically appear in high-friction spots—such as where toes rub against each other, or where toes, heels, or ankles rub against an ill-fitting shoe. Because they occur when there is a severe lack of blood flow, there is rarely any bleeding to these ulcers, and they are often gray, brown, or black.

Exceptional Wound Care from Capital Podiatry Associates