Venous Ulcers Specialist

Rodolfo Farhy, MD, FACC, FAHA -  - Cardiologist

Heart and Vein Center

Rodolfo Farhy, MD, FACC, FAHA

Cardiologist & Vein Specialist located in Lathrup Village, MI

If you notice problems in your legs, like a change in the skin color, the beginning of an ulcer, or pain, schedule a vein evaluation with Dr. Rodolfo Farhy at the Heart and Vein Center. These symptoms are signs of venous insufficiency, which must be managed early to prevent venous ulcers. When venous ulcers go untreated, they may become progressively worse and difficult to heal. To schedule a vein assessment, call the doctor’s office in Lathrup Village, Michigan, or book an appointment online.

Venous Ulcers Q & A





What causes a venous ulcer?

A venous ulcer, or stasis ulcer, is a skin ulcer that develops on your leg due to underlying problems in leg veins. Venous ulcers are significant health concerns because they’re painful, very difficult to heal, and recur frequently. The most common cause of venous ulcers is a condition called chronic venous insufficiency.

What is chronic venous insufficiency?

Chronic venous insufficiency develops when valves inside leg veins are weak or damaged. Veins must return blood to your heart. To accomplish that task, valves open to let blood flow up the leg, then close to stop it from flowing backward.

When valves don’t work properly, blood flows backward and pools in the veins, leading to chronic venous insufficiency.

Chronic venous insufficiency is caused by:

  • Trauma to the leg
  • History of blood clots
  • High blood pressure in leg vein due to prolonged sitting or standing
  • Lack of exercise
  • Overweight and obesity
  • Smoking
  • Blood clot deep in the vein (deep vein thrombosis)
  • Swelling and inflammation of a vein (phlebitis)

What symptoms will you experience?

When chronic venous insufficiency develops, you’ll likely have pain that feels better when you walk or elevate your legs. Other possible symptoms include:

  • Burning
  • Swelling
  • Aching or cramping
  • Leg heaviness or fatigue
  • Restless legs

How can you recognize a venous ulcer?

Chronic venous insufficiency leads to changes in the skin of your lower legs, including hardened or thickened skin, inflammation of the fat beneath your skin, redness, and small white areas. Venous ulcers develop in areas where you notice skin changes.

A venous ulcer begins as a shallow, painful area where the skin begins to erode, usually over a bone like the ankle. Since they’re difficult to heal, the ulcer gradually worsens. You may develop inflammation, swelling, skin discoloration, and a progressively larger and more painful ulcer.

How is a venous ulcer treated?

An open venous ulcer can persist for a few weeks or many years. After the ulcer heals, it often recurs. Ongoing ulcers increase your risk for complications such as infection, cellulitis, and osteomyelitis.

Venous ulcers require multimodal treatment that includes:

  • Compression therapy
  • Leg elevation
  • Diligent wound care
  • Specialized dressings
  • Topical and systemic antibiotics for infected ulcers
  • Medication to improve blood flow
  • Intervention to treat the underlying condition

Dr. Farhy identifies the underlying condition using ultrasound to evaluate circulation in your legs. Then he may recommend intervention in the form of an endovenous laser, radiofrequency ablation, ambulatory phlebectomy, or ultrasound-guided foam sclerotherapy, depending on your diagnosis.