Dressings or creams similarly are not important in those patients who are curable. You cannot cure a venous ulcer by a dressing or a cream.
However, if the patient is one of the 40% who cannot be cured by surgery, then dressings become important for COMFORT - NOT for CURE.
Creams used on skin breaking down at the ankle have no effect and should not be used. Indeed, using these creams may damage the skin if they contain steroids and until the veins are fixed, the skin cannot heal.
Therefore if venous damage is suspected, no cream should be used until the patient has been investigated by Duplex Ultrasound and a specialist venous surgical opinion has been sought. |