Journal articlesBack to basics: understanding venous leg ulceration

Back to basics: understanding venous leg ulceration

29/06/17 | Leg Ulcers | Trudie Young

Venous leg ulceration is caused by chronic venous insufficiency (CVI) as a result of raised ambulatory venous hypertension. Persistent or chronic venous hypertension results in macro- and micro-vascular changes in the limb — leading to venous ulcers. The failure of venous return — the flow of blood back to the heart — is commonly due to valve and calf or foot muscle pump incompetence. Physical, biochemical and radiological examination will establish the underlying pathology and the severity of the CVI. The Comprehensive Classification System for Chronic Venous Disorders (CEAP) is a recognised system for recording the clinical manifestations of the disease and compression therapy remains the most commonly applied treatment for venous leg ulceration, as Trudie Young explains in this article.