Non-Healing Ulcer Treatment in Kerala: A Comprehensive Guide by Trives Hospital

Types of Non-Healing Ulcers and How to Identify Them

There are various types of non-healing ulcers, each with distinct characteristics. Early diagnosis and appropriate treatment are crucial to prevent complications. Let’s explore the common types and how to identify them:

1. Diabetic Ulcers

Diabetic ulcers are one of the most common types of non-healing ulcers. These ulcers typically form on the feet due to prolonged high blood sugar levels, which damage the nerves and blood vessels. Patients with diabetes may not feel pain in the affected area, allowing the wound to worsen over time.

Symptoms:

Pain in the affected area (if feeling is still intact)

Skin discoloration or redness around the wound

Swelling around the wound

Presence of discharge or pus

2. Venous Ulcers

Venous ulcers are associated with poor blood circulation, typically caused by chronic venous insufficiency. These ulcers are often found on the lower legs, particularly near the ankles. The underlying cause is the failure of veins to return blood to the heart efficiently, resulting in pooling of blood and increased pressure.

Symptoms:

Swelling and pain in the lower legs

Skin discoloration, usually brown or reddish

Presence of ulcers with a shallow, irregular shape

Itchy skin around the wound



3. Arterial Ulcers

Arterial ulcers occur when there is insufficient blood flow to the extremities, usually caused by atherosclerosis. This type of ulcer can be severe and is often found on the feet or toes. The lack of adequate blood supply hinders the healing process, making it a non-healing ulcer.

Symptoms:

Pain in the affected area, especially while walking

Cool or cold feet and legs

Shiny, hairless skin

Pale or purple skin around the wound



4. Pressure Ulcers

Also known as bedsores or decubitus ulcers, these are caused by prolonged pressure on the skin, especially in patients who are bedridden or wheelchair-bound. The pressure reduces blood flow to the skin and underlying tissues, leading to tissue breakdown.

Symptoms:

Reddened skin that doesn't fade when touched

Blisters, open sores, or deep wounds in severe cases

Pain or discomfort in the affected area



5. Infected Ulcers

Infected non-healing ulcers can occur when a wound becomes contaminated with bacteria, fungi, or other pathogens. These ulcers are often painful and can lead to more serious conditions if left untreated.

Symptoms:

Increased redness and warmth around the wound

Pus or foul-smelling discharge

Fever or chills



Identifying the Type of Non-Healing Ulcer

To effectively treat non-healing ulcers, it is essential to first identify the type of ulcer. Trives Hospital uses advanced diagnostic tools to determine the underlying cause of the wound, enabling us to develop a targeted treatment plan for each patient.

The Importance of Early Treatment for Non-Healing Ulcers

Non-healing ulcers are not only physically uncomfortable, but they can also lead to serious complications such as infections, gangrene, or even limb loss. Early treatment and appropriate care are crucial to avoid these life-threatening complications. Non-healing ulcer treatment in Kerala has advanced significantly in recent years, and patients now have access to more effective solutions than ever before.

At Trives Hospital, we provide comprehensive care for non-healing ulcers. Our team of skilled doctors and specialists works together to determine the cause of the ulcer and develop a personalized treatment plan to promote healing and prevent future complications.

How Trives Hospital Treats Non-Healing Ulcers

Trives Hospital in Thrissur specializes in the treatment of non-healing ulcers through a multidisciplinary approach. Our medical team includes wound care specialists, vascular surgeons, and dermatologists, ensuring the best possible outcome for our patients.

They offer various treatment options tailored to the type and severity of the ulcer. Some of the most common treatments include:

1. Wound Care and Dressing

Proper wound care is crucial for healing non-healing ulcers. Our experts clean the wound and apply appropriate dressings to protect it from infection and promote faster healing. We use advanced wound care products that support tissue regeneration and prevent bacterial growth.

2. Debridement

In some cases, the wound may need to be cleaned and debrided to remove dead or infected tissue. This helps to create an optimal environment for new tissue to grow and speeds up the healing process.

3. Compression Therapy

For venous ulcers, compression therapy is often used to improve blood circulation and reduce swelling. Special stockings or bandages are applied to the affected area to provide pressure and promote healing.

4. Antibiotic Therapy

If the ulcer is infected, we use targeted antibiotic therapy to control the infection. Depending on the severity of the infection, we may prescribe oral or intravenous antibiotics.

5. Surgical Intervention

In certain cases, surgery may be required to treat the underlying cause of the ulcer. Vascular surgery, for example, may be necessary for arterial ulcers to improve blood flow to the affected area. In severe cases, skin grafting may be performed to promote healing.

6. Hyperbaric Oxygen Therapy (HBOT)

Hyperbaric oxygen therapy is an advanced treatment option that involves breathing pure oxygen in a pressurized environment. This therapy helps improve oxygen supply to the tissues and promotes faster healing of non-healing ulcers.

Prevention of Non-Healing Ulcers

While treatment is essential for healing non-healing ulcers, prevention is equally important. Patients can reduce their risk of developing these ulcers by following certain precautions:

Manage Chronic Conditions: Conditions like diabetes and hypertension can increase the risk of ulcers. Managing these conditions through medication, regular check-ups, and lifestyle changes is crucial for preventing ulcers.

Practice Good Hygiene: Regular cleaning and care of the skin can help prevent infections and reduce the risk of ulcers. Moisturizing the skin and keeping it free from cuts or abrasions is also important.

Use Proper Footwear: For patients with diabetes or peripheral artery disease, wearing properly fitting shoes is crucial in preventing foot ulcers. Shoes should be comfortable and provide adequate support.

Avoid Prolonged Pressure: Individuals who are bedridden or wheelchair-bound should change positions regularly to prevent pressure ulcers. Using specialized cushions and mattresses can also help reduce the risk.

Quit Smoking: Smoking reduces blood flow to the extremities, making it more difficult for wounds to heal. Quitting smoking can significantly improve circulation and promote faster healing of ulcers.

Meet the Expert: Dr. Vineeth Kumar P M

Consultant Vascular and Endovascular Surgeon, TRIVES Hospital

When it comes to treating non-healing ulcers, the role of a skilled vascular specialist is paramount. At the forefront of TRIVES Hospital’s vascular team is Dr. Vineeth Kumar P M, a highly qualified and experienced consultant known for his expertise in both vascular and endovascular procedures.

Educational Background & Credentials:

MBBS – Government Medical College, Kozhikode

MS General Surgery – Postgraduate Institute of Medical Education & Research (PGI), Chandigarh

MCh Vascular Surgery – Sree Chitra Tirunal Institute for Medical Sciences & Technology (SCTIMST), Trivandrum

FIAGES – Fellowship in Minimal Access Surgery (Laparoscopic Surgery)

FMAS – Fellowship in Minimal Access Surgery

Specialized Endovascular Training:

Medanta – The Medicity, Delhi (Outstation Endovascular Training)

Sir Ganga Ram Hospital, Delhi (Outstation Endovascular Training)

ISIR, SCTIMST, Trivandrum – Advanced training in Imaging Science and Interventional Radiology

Contact Trives Hospital for Non-Healing Ulcer Treatment

If you are suffering from a non-healing ulcer, don't wait for it to worsen. Contact Trives Hospital today to schedule a consultation with our experts. Our advanced diagnostic and treatment options can help you heal faster and avoid complications.

Phone Numbers:

+91 94952 92866

Location:

D.N Menon Road, Chembukkavu, Thrissur 680020

Email Address:

[email protected]

 10 Frequently Asked Questions (FAQs) About Non-Healing Ulcer Treatment in Kerala

1.What causes non-healing ulcers?

Non-healing ulcers are often caused by underlying conditions such as diabetes, venous insufficiency, arterial diseases, or infections.

2.Can non-healing ulcers be treated without surgery?

Yes, many non-healing ulcers can be treated with wound care, antibiotics, and compression therapy without the need for surgery. However, some cases may require surgical intervention.

3.How long does it take to heal a non-healing ulcer?

The healing time varies depending on the type of ulcer and the treatment approach. In general, ulcers can take anywhere from a few weeks to several months to heal.

4.What are the complications of untreated non-healing ulcers?

If left untreated, non-healing ulcers can lead to infections, gangrene, and, in severe cases, amputation.

5.Can non-healing ulcers lead to amputation?

In some cases, if the ulcer is not treated promptly and adequately, it can result in tissue death, necessitating amputation to prevent the spread of infection.

6.Is hyperbaric oxygen therapy effective for non-healing ulcers?

Yes, hyperbaric oxygen therapy can significantly speed up the healing process by improving oxygen supply to the tissues, making it an effective treatment for non-healing ulcers.

7.How can I prevent non-healing ulcers?

Preventive measures include managing chronic conditions, maintaining good hygiene, using proper footwear, and avoiding prolonged pressure on the skin.

8.What is the role of compression therapy in treating venous ulcers?

Compression therapy helps improve blood circulation in the legs, reducing swelling and promoting faster healing of venous ulcers.

9.Can non-healing ulcers recur after treatment?

While recurrence is possible, proper management of underlying conditions and good wound care practices can reduce the likelihood of recurrence.

10.How do I know if my ulcer is infected?

Signs of infection include increased redness, warmth, swelling, pus, or a foul-smelling discharge from the wound. If you notice any of these symptoms, consult a healthcare professional immediately.