The Vein CompanyThe Vein Company

    Leg Ulcers & Skin Changes

    Many people are told that skin changes or non-healing wounds on the lower legs are “just part of aging” or a skin problem. They’re often something more — advanced signs of vein disease. The good news: when the underlying cause is treated, most leg ulcers can heal.

    Non-healing venous leg ulcer near the ankle showing dark hyperpigmentation, broken skin, and surrounding inflammation caused by chronic venous insufficiency.

    Leg ulcer not healing?

    Example of a venous leg ulcer caused by untreated vein disease.

    Contains clinical photography | click to expand | © The Vein Company

    Symptoms of Leg Ulcers & Skin Changes

    Do you have one or more of the following?

    Early Signs (the skin changes)

    • Darkening or brown discoloration on the lower legs
    • Itchy, flaky, or eczema-like skin patches
    • Hardened, thickened, or leathery skin texture
    • Deepening of natural skin folds around the ankle

    Later Signs (the ulcer stage)

    • Open or slow-healing sores near the ankle
    • Pain or tenderness around the wound
    • Recurrent wounds that heal and reopen
    • Increased risk of skin infections

    How we treat leg ulcers & skin changes

    1

    Duplex ultrasound — map the underlying vein dysfunction

    2

    Minimally invasive vein treatment — catheter-based therapy or injection to correct the source of high pressure

    3

    Coordinated wound care — alongside vein treatment for fastest healing

    4

    Professionally fitted compression — daily wear during healing, removed at night, replaced every 3–6 months

    Why it matters

    Venous ulcers can take months to heal and frequently recur without addressing the underlying vein disease. Treating the root cause—malfunctioning veins—dramatically improves healing and reduces recurrence.

    When should you see a specialist?

    Don’t wait for an open wound. The earlier we evaluate skin changes, the more options we have — and the less likely you are to develop an ulcer at all.

    See a vein specialist if you notice:

    Skin discoloration on the lower legs that’s been there for weeks or months
    Persistent itching or eczema-like patches that don’t respond to creams
    A wound near the ankle that hasn’t closed in 2+ weeks
    A wound that heals and reopens

    Frequently asked questions

    Leg Ulcers & Skin Changes treatment near you

    We treat leg ulcers & skin changes at all of our locations across East Tennessee and Southwest Virginia.

    You don’t have to live with non-healing wounds.

    Skin changes and persistent wounds should not be overlooked. With the right diagnosis, the underlying cause can be identified and a treatment plan can help your skin heal — and stop the cycle of ulcers returning.