Arterial Ulcer Treatment
Specialized care for arterial wounds in Boise and the Treasure Valley
What is an Arterial Ulcer?
An arterial ulcer, also known as an ischemic ulcer, is a wound that develops due to poor arterial blood flow to the lower extremities. When arteries become narrowed or blocked (peripheral artery disease or PAD), tissues don't receive enough oxygen and nutrients, leading to tissue breakdown and wound formation.
Arterial ulcers differ from venous ulcers in their appearance, location, and treatment approach. They typically occur on the feet, toes, or lower legs and are often very painful.
Arterial vs. Venous Ulcers
| Characteristic | Arterial Ulcer | Venous Ulcer |
|---|---|---|
| Location | Toes, feet, outer ankle | Inner ankle, lower leg |
| Appearance | Deep, "punched out" look | Shallow, irregular edges |
| Pain | Very painful, especially at night | Mild to moderate, improves with elevation |
| Surrounding Skin | Pale, cool, shiny, hairless | Discolored, warm, swollen |
| Pulses | Weak or absent foot pulses | Normal pulses |
Risk Factors for Arterial Ulcers
Smoking
The single greatest risk factor for peripheral artery disease and arterial ulcers.
Heart Disease
Atherosclerosis affecting the heart often affects leg arteries as well.
Diabetes
Accelerates atherosclerosis and compounds wound healing challenges.
High Blood Pressure
Damages artery walls over time, contributing to blockages.
Other risk factors include high cholesterol, kidney disease, and a family history of peripheral artery disease.
Signs of Arterial Ulcers
- Wounds on toes, feet, or outer ankle that won't heal
- Pain in the legs or feet, especially at night or when lying down
- Pain that improves when legs are dangling
- Cool, pale skin on feet and legs
- Loss of hair on feet and lower legs
- Thick, brittle toenails
- Leg cramps when walking (claudication)
Dr. Bennett's Treatment Approach
Arterial ulcers require a comprehensive approach that addresses both the wound and the underlying vascular issues:
Vascular Assessment
Evaluation of arterial blood flow to determine the extent of vascular compromise and guide treatment decisions.
Vascular Specialist Coordination
Collaboration with vascular surgeons when revascularization procedures may help improve blood flow and healing potential.
Wound Care Optimization
Gentle debridement and appropriate dressings that promote healing without compromising already limited blood flow.
Pain Management
Strategies to manage the significant pain often associated with arterial ulcers.
Risk Factor Modification
Guidance on lifestyle changes and medical management to slow disease progression and improve outcomes.
Important Note
Unlike venous ulcers, arterial ulcers should NOT be treated with compression therapy, as this can further restrict blood flow. Dr. Bennett's expertise ensures you receive the appropriate treatment for your specific type of wound.
Schedule Your Evaluation
Arterial ulcers require specialized care. Dr. Bennett provides mobile wound care in your home.
Request AppointmentService Area
Dr. Bennett provides mobile wound care throughout:
- Boise
- Meridian
- Nampa
- Caldwell
- Eagle
- Mountain Home
- Ada, Canyon & Elmore Counties
Medicare Coverage
Arterial ulcer treatment is typically covered by Medicare Part B. Dr. Bennett's office handles all insurance verification and billing.
Arterial Wounds Need Expert Care
Don't wait on a wound that's not healing. Schedule your evaluation today.
Schedule Your Wound Evaluation