Non-Healing Ulcers

Homeopathic Treatment for Non-Healing Ulcers

Causes:

Some of the major causes are listed under:

  • Vascular congestion
  • Infection (mostly due to resistant bacteria)
  • Poor nutritional
  • Diabetes mellitus
  • Some systemic disease such as SLE (Systemic Lupus)
  • Unknown causes


Types of Non-Healing Ulcers

There are a few types of Non-healing ulcers:

  • Pressure ulcers
  • Venous stasis ulcer
  • Diabetic Ulcer
  • Arterial ulcer
  • Pyoderma gangrenosum
  • Marjolin's ulcer


Diagnosis:

Diagnosis of Non-healing ulcers is based on physical examination and specific tests such as Biopsy, Magnetic resonance imaging of Non-healing pressure ulcers, Doppler flow-metry of leg arteries or Doppler Ultra-sonography of the lower limb venous system.

Avoid walking barefoot. Wearing compression stockings, skin care (Keep legs and feet clean and dry, lubricate dry skin), avoid cuts, cracks, abrasions. Leg elevation and calf exercise are recommended. Patients are encouraged to decrease their risk factors (e.g., smoking, tobacco, etc.) and to manage co-existing conditions such as diabetes, blood pressure, cholesterol.

Conventional Treatment:

Topical antibacterial agents, Antiseptics, Antibiotics, Skin grafting, Reconstructive surgery, angioplasty, amputation, Hyperbaric oxygen (HBO) therapy.

Diabetic ulcers have a high incidence of infection, which further slows the healing process. Cleansing and semi-permeable foam dressing is recommended along with diabetes control. Venous ulcers are also susceptible to infection. Venous eczema is seen in severe cases.

In Marjolin's ulcer, wide excision followed by skin grafting is recommended. Elective lymph node dissection has been suggested because of the high rate of metastasis. Finally, amputation may be recommended for recurrent disease, or when a Marjolin's ulcer is associated with underlying osteomyelitis (ulcerated bone). Non healing ulcer generally does not respond to conventional therapies in few weeks of treatment.

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