{"id":7116,"date":"2024-10-15T14:05:08","date_gmt":"2024-10-15T14:05:08","guid":{"rendered":"https:\/\/venaziel.de\/phlebology\/ulcus-cruris-causes-connection-with-cvi-and-comprehensive-therapeutic-approaches\/"},"modified":"2026-05-24T10:43:44","modified_gmt":"2026-05-24T10:43:44","slug":"ulcus-cruris-cvi","status":"publish","type":"page","link":"https:\/\/venaziel.de\/en\/phlebology\/ulcus-cruris-cvi\/","title":{"rendered":"Ulcus cruris &#8211; causes, connection with CVI and comprehensive therapeutic approaches"},"content":{"rendered":"<h2><span style=\"font-weight: 400;\">What is a leg ulcer?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The <\/span><b>leg ulcer<\/b><span style=\"font-weight: 400;\">  is a chronic wound on the lower leg that is difficult to heal and is usually due to impaired circulation. In about 80 % of the cases, this is a  <\/span><b>Ulcus cruris venosum<\/b><span style=\"font-weight: 400;\">which is caused by venous circulatory disorders. Other forms, such as the  <\/span><b>Ulcus cruris arteriosum<\/b><span style=\"font-weight: 400;\"> (due to arterial disorders) or the <\/span><b>ulcus cruris mixtum<\/b><span style=\"font-weight: 400;\"> (a combination of venous and arterial causes) also occur, but are rarer.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Anatomical basics<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Blood circulation in the legs works via a network of superficial and deep veins that transport blood back to the heart against the force of gravity. When the  <\/span><b>Venous valves<\/b><span style=\"font-weight: 400;\">  do not close properly, the blood can flow back and accumulate in the veins. This condition is referred to as  <\/span><b>venous insufficiency<\/b><span style=\"font-weight: 400;\"> and leads to a chronic increase in pressure in the veins, which can ultimately lead to a leg ulcer.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Causes of venous leg ulcers<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The main cause of a <\/span><b>venous leg ulcer<\/b><span style=\"font-weight: 400;\"> is <\/span><a href=\"https:\/\/venaziel.de\/en\/phlebology\/chronische-venoese-insuffizienz-cvi\/\"><b>chronic venous insufficiency (CVI)<\/b><\/a><span style=\"font-weight: 400;\">a disease in which the venous valves lose their function and the blood is no longer transported efficiently to the heart. The persistent backlog of blood in the leg veins leads to permanent overstretching of the vein walls and damages the surrounding tissue. The most important risk factors include<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/venaziel.de\/venenzentrum-leistungen\/krampfadern-entfernen\/\"><b>Varicose veins (varicosis)<\/b><\/a><span style=\"font-weight: 400;\">These dilated veins prevent the smooth flow of blood and increase the pressure in the veins.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Chronic venous insufficiency (CVI)<\/b><span style=\"font-weight: 400;\">The main cause of venous leg ulcers, which is caused by dysfunction of the venous valves.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Deep vein thrombosis (DVT)<\/b><span style=\"font-weight: 400;\">A previous thrombosis in the deep veins can permanently damage venous valves and lead to venous congestion.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Being overweight<\/b><span style=\"font-weight: 400;\">Excessive body weight increases the pressure on the leg veins, which impedes the return flow of blood.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Standing or sitting for long periods<\/b><span style=\"font-weight: 400;\">Occupational groups who spend long periods of time in one position have an increased risk of CVI and leg ulcers.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">What is chronic venous insufficiency (CVI)?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The <\/span><b>chronic venous insufficiency (CVI)<\/b><span style=\"font-weight: 400;\"> is a chronic venous disease in which the venous valves <\/span><b>venous valves<\/b><span style=\"font-weight: 400;\">  in the leg no longer function properly. The blood no longer flows effectively back to the heart and builds up in the veins, which in the long term leads to  <\/span><b>Swelling<\/b><span style=\"font-weight: 400;\">, <\/span><b>skin changes<\/b><span style=\"font-weight: 400;\"> and <\/span><b>ulcers<\/b><span style=\"font-weight: 400;\"> like the <\/span><b>ulcus cruris<\/b><span style=\"font-weight: 400;\">  can lead to. CVI is diagnosed on the basis of  <\/span><b>CEAP classification<\/b><span style=\"font-weight: 400;\"> is divided into different degrees of severity:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>C1<\/b><span style=\"font-weight: 400;\"><a href=\"https:\/\/venaziel.de\/venenzentrum-leistungen\/besenreiser-entfernen\/\">Spider veins<\/a> or reticular veins<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>C2<\/b><span style=\"font-weight: 400;\">: Visible varicose veins<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>C3<\/b><span style=\"font-weight: 400;\">: Swelling (edema) in the legs<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>C4a<\/b><span style=\"font-weight: 400;\">: Skin changes such as pigmentation disorders and eczema<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>C4b<\/b><span style=\"font-weight: 400;\">: Hardening of the tissue (lipodermatosclerosis)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>C5<\/b><span style=\"font-weight: 400;\">Healed leg ulcer<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>C6<\/b><span style=\"font-weight: 400;\">Active, open leg ulcer<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The treatment of CVI is crucial to prevent the development of a leg ulcer or to heal an existing wound.<\/span><\/p>\n<p><picture class=\"wp-picture-7054\" style=\"display: contents;\"><source type=\"image\/avif\" srcset=\"https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz-jpg.avif 1200w, https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz-250x167-jpg.avif 250w, https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz-1024x683-jpg.avif 1024w, https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz-768x512-jpg.avif 768w\" sizes=\"(max-width: 1200px) 100vw, 1200px\"><img data-dominant-color=\"a19181\" data-has-transparency=\"false\" style=\"--dominant-color: #a19181;\" decoding=\"async\" class=\"lazyload alignnone size-full wp-image-7054 not-transparent\" src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz.jpg\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz.jpg\" alt=\"cvi-Chronic-venous-insufficiency-phlebologist-doppler-ultrasound-of-the-veins-cvi-Ulcus-cruris\" width=\"1200\" height=\"800\" title=\"\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271200%27%20height%3D%27800%27%20viewBox%3D%270%200%201200%20800%27%3E%3Crect%20width%3D%271200%27%20height%3D%27800%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz-200x133.jpg 200w, https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz-250x167.jpg 250w, https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz-400x267.jpg 400w, https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz-600x400.jpg 600w, https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz-768x512.jpg 768w, https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz-800x533.jpg 800w, https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz-1024x683.jpg 1024w, https:\/\/venaziel.de\/wp-content\/uploads\/2024\/10\/cvi-Chronische-Venose-Insuffizienz.jpg 1200w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/picture><\/p>\n<h2><span style=\"font-weight: 400;\">Ulcus cruris in connection with other diseases<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Although the <\/span><b>CVI<\/b><span style=\"font-weight: 400;\"> is the main cause of <\/span><b>venous leg ulcer<\/b><span style=\"font-weight: 400;\"> there are several other conditions that can influence the development or healing of leg ulcers:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Diabetes mellitus<\/b><span style=\"font-weight: 400;\">Poor blood circulation and wound healing disorders in diabetes make those affected more susceptible to chronic wounds.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Arterial occlusive disease (AVD)<\/b><span style=\"font-weight: 400;\">Patients with arterial circulatory disorders are more likely to develop <\/span><b>ulcus cruris arteriosum<\/b><span style=\"font-weight: 400;\">which is caused by a lack of oxygen in the tissue.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Rheumatoid arthritis<\/b><span style=\"font-weight: 400;\">Chronic inflammation weakens the tissue and can lead to the development of ulcers.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Heart failure<\/b><span style=\"font-weight: 400;\">Patients with chronic heart failure are prone to swelling and fluid accumulation in the legs, which favors the development of leg ulcers.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">How are venous leg ulcers treated?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The treatment of a <\/span><b>venous leg ulcer<\/b><span style=\"font-weight: 400;\">  requires a comprehensive and long-term approach that addresses both the causes of the disease and the wound itself. The main therapeutic approaches include  <\/span><b>compression therapy<\/b><span style=\"font-weight: 400;\">modern wound care, surgical interventions and innovative procedures such as <\/span><b>VenaSeal<\/b><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.medtronic.com\/de-de\/fachkreise\/therapien-prozeduren\/wirbelsaulenchirurgie-orthopadie\/rf-ablation-bei-knochentumoren.html\" target=\"_blank\" rel=\"noopener\"><b>radiofrequency ablation<\/b><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">1. compression therapy<\/span><\/h3>\n<p>Compression therapy is the basis for the treatment of venous leg ulcers. It improves venous return and lowers the pressure in the veins, which helps the wound to heal. Elastic bandages or medical compression stockings are used for this purpose. Common methods include:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Short-stretch bandages<\/b><span style=\"font-weight: 400;\">These provide high pressure at rest and lower pressure when moving, which is particularly helpful for acute wounds.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Medical compression stockings<\/b><span style=\"font-weight: 400;\">These must often be worn long-term to prevent the ulcus cruris from recurring.<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">2. wound care<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Modern wound care plays a decisive role in the treatment of leg ulcers. A thorough  <\/span><b>Wound cleansing<\/b><span style=\"font-weight: 400;\"> and the use of special <\/span><b>wound dressings<\/b><span style=\"font-weight: 400;\">  promote healing. The most frequently used materials include<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hydrocolloid dressings<\/b><span style=\"font-weight: 400;\">These keep the wound moist and promote the formation of new tissue.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Antimicrobial dressings<\/b><span style=\"font-weight: 400;\">These are useful if the wound is infected or there is a high risk of infection.<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">3. VenaSeal: A minimally invasive treatment method<\/span><\/h3>\n<p><b>VenaSeal<\/b><span style=\"font-weight: 400;\">  is one of the most modern and effective treatments for eliminating varicose veins and improving venous circulation. In this procedure, a special medical  <\/span><b>Vein glue<\/b><span style=\"font-weight: 400;\">  is injected into the diseased vein, which closes the affected vein and prevents the backflow of blood. This minimally invasive technique does not require anesthesia, is virtually painless and allows a quick return to normal activities.  <\/span><a href=\"https:\/\/venaziel.de\/venenzentrum-leistungen\/venenkleber-venaseal\/\"><b>VenaSeal<\/b><\/a><span style=\"font-weight: 400;\"> is particularly advantageous as it does not require the use of heat or large incisions, which reduces the risk of post-operative complications.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">4. radiofrequency ablation (RFA)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The <\/span><b>radiofrequency ablation<\/b><span style=\"font-weight: 400;\">  is another modern and effective method for treating varicose veins that contribute to the development of leg ulcers. A thin probe is inserted into the affected vein, which emits high-frequency radio waves. These waves heat and close the vein, diverting the blood flow into healthy veins. This procedure is minimally invasive, requires only local anesthesia and enables a quick recovery.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">5 Surgical treatment<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">In advanced cases, surgical intervention may be necessary, especially if conservative measures are not sufficient. The surgical procedures include<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Vein operations<\/b><span style=\"font-weight: 400;\">Removal or sclerotherapy of diseased veins to improve blood flow.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Skin grafts<\/b><span style=\"font-weight: 400;\">In the case of large wounds, a skin graft may be necessary to close the wound and promote healing.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Prevention and aftercare<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The avoidance of risk factors and consistent follow-up care are crucial to prevent the recurrence of leg ulcers. <\/span><b>leg ulcer<\/b><span style=\"font-weight: 400;\">  to prevent. These include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Regular exercise<\/b><span style=\"font-weight: 400;\">: Promotes blood circulation and reduces the risk of venous congestion.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Weight reduction<\/b><span style=\"font-weight: 400;\">Obesity puts pressure on the leg veins and increases the risk of CVI.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Wearing compression stockings<\/b><span style=\"font-weight: 400;\">These should be worn for the rest of the patient&#8217;s life to prevent recurrence of the disease.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Conclusion<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The treatment of <\/span><b>venous leg ulcer<\/b><span style=\"font-weight: 400;\"> requires an individually adapted, holistic therapy that includes both conservative and modern minimally invasive approaches such as <\/span><b>VenaSeal<\/b><span style=\"font-weight: 400;\"> and <\/span><b>radiofrequency ablation<\/b><span style=\"font-weight: 400;\">  includes. Early treatment of the underlying  <\/span><b>chronic venous insufficiency<\/b><span style=\"font-weight: 400;\"> is the key to avoiding serious complications. <a href=\"https:\/\/venaziel.de\/en\/kontakt\/\">Patients should also be monitored regularly by a doctor<\/a> and, if necessary, preventive measures should be taken to minimize the risk of recurrence.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ulcus cruris, often referred to as an &#8220;open leg&#8221;, is a chronic wound that usually affects the lower part of the leg. These hard-to-heal wounds are one of the most common complications in patients with chronic venous insufficiency (CVI). Ulcus cruris is a serious condition that significantly impairs quality of life. In this article, you will learn everything you need to know about the causes of venous leg ulcers, the link to CVI, the connection with other diseases and the latest modern treatment methods such as VenaSeal, radiofrequency ablation and other treatment approaches.   <\/p>\n","protected":false},"author":1,"featured_media":7107,"parent":4959,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7116","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/7116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/comments?post=7116"}],"version-history":[{"count":2,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/7116\/revisions"}],"predecessor-version":[{"id":32977,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/7116\/revisions\/32977"}],"up":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/4959"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/media\/7107"}],"wp:attachment":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/media?parent=7116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}