Which doctor treats an open leg?
Since an open leg is usually due to vascular disease, vascular surgeons are the primary treatment for this condition. If an infection occurs, microbiologists are sometimes also consulted. In general, doctors from areas of internal medicine are also involved in the treatment. They are usually more responsible for drug therapy. Wound treatment can also be carried out by a family doctor or his specialist staff.
Duration
The wounds as they appear in the open leg are extremely protracted injuries. With good cooperation of the patient and adequate therapy, healing can be achieved within a few months. If the disease is preceded by arterial problems, it usually progresses more slowly; open legs caused by venous disorders usually heal faster.
Healing
A complete healing of the open leg is quite possible. However, it can only be achieved with the active assistance of the patient. It is important here that the patient knows exactly what has to be done and is supportive in the healing process. Last but not least, existing risk factors should be minimized or, in the best case, avoided completely.
Prognosis
As mentioned above, the prognosis of open leg disease varies greatly: It is in any case a long lasting, frequently recurring (recurrent) disease. Unfortunately, in many cases there is no consistent cooperation of the patients, especially with regard to the reduction of risk factors. Serious complications are rarely expected, but an open wound is of course in any case a potential entry point for bacteria, viruses and other pathogens, which can lead to inflammation and in the worst case to life-threatening blood poisoning (sepsis).
Prophylaxis
To avoid an open leg, some simple behaviours are suitable; if you have a known venous disorder, regular compression therapy and frequent walking is recommended. Remaining immobile in the same position for long periods of time should be avoided, as should crossing the legs while sitting.The legs should be raised regularly to promote venous blood flow. In addition, risk factors should be reduced if possible; i.e. avoid smoking, reduce obesity and, if diabetes mellitus is known, ensure good blood sugar control.
Blood lipid values should also be within the normal range. All diabetics should also be advised to choose comfortable shoes and very careful foot care (preferably by specially trained chiropodists). Under no circumstances should injuries occur during foot or nail care. Patients in the risk group should consult a doctor at an early stage – i.e. in the case of skin changes on the ankles or lower legs – and have even minor injuries checked regularly. Inform yourself additionally:
- Compression stockings
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