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This page/column contains information which may be of interest to consumers. The information is based on articles which appear in Australian Prescriber. As Australian Prescriber is written for health professionals, you should discuss any issues raised by this page/column with your doctor or pharmacist. They will be able to give a more detailed answer to your questions by reading the main article.
Australian Prescriber is unable to comment on individual cases or give second opinions.
Australian Prescriber Vol. 23 No. 1 2000
Chronic wound management
Ulcers on the legs are a common problem particularly in the elderly. These ulcers are more likely to occur in people who have diabetes, a poor circulation, or are confined to bed. When the skin breaks down to form the ulcer it can take months to heal. Sometimes, particularly in people with diabetes, the ulcer can cause gangrene. The patient may then need an amputation.
When an ulcer appears the cause must be found before it can be treated. Many ulcers are caused by problems with the leg veins. Special stockings are needed to help heal these ulcers. The commonly used crepe bandage is not good enough.
Another myth about ulcers is that they should be cleaned with antiseptic and kept dry. In fact, antiseptics can delay healing and the wound heals more quickly with a moist dressing.
With ulcers prevention is better than cure. People at risk of getting an ulcer should eat a healthy diet, not smoke and take good care of their feet. Those with diabetes should clean and check their feet daily and have regular visits to a podiatrist. They should wear good shoes and not walk barefoot.
