iCliniq logo

Ask a Doctor Online Now

HomeAnswersGeneral Surgerydelayed wound healing in older peopleWhy is my mother's leg wound, not healing for months?

It has been months, and still, my mother's leg wound has not gotten better. Why?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At June 10, 2020
Reviewed AtJanuary 18, 2024

Patient's Query

Hi doctor,

I need an opinion from a general surgeon regarding my mother's wound. My mother is 81 years and she has wound for a year. She has consulted three doctors and done some laboratory tests. Based on her reports, the first doctor suggested her to use Mupirocin ointment and Mefenamic acid. It has not helped her. She usually have wound in the same area during her young age.

Hi,

Welcome to icliniq.com.

I have gone through the image and laboratory reports of your mother (attachment removed to protect patient identity). She has an ulcer in her leg on the medial aspect. It seems to be a chronic non-healing ulcer as the margins are sharp and the base is filled with yellow debris. In healing ulcers, the margins are sloppy and the base is filled by healthy red granulation tissue. But in your mother, it is of non-healing type. There are many reasons to have a non-healing ulcer at this age. The reasons are diabetes, hypertension, and immunodeficiency. As your mother is 81 years, then it may be a probable cause and her blood investigations appear normal.

The other reason can be varicose veins. It can present along with this type of ulcer in the medial side of the leg where the ulcer is located. To confirm the diagnosis, you need to send an image of the whole leg to see for dilated veins. It is good to do a venous doppler exam on both legs to rule out varicose veins. There is no need to take antibiotics as there is no active pus discharge. Now, it can be treated by scraping the dead floor and margins of the ulcer to have faster healing. It is done by a local surgeon. You can apply Mupirocin ointment. She can start taking vitamin C 1 gm daily for enhancing immunity and it helps for healing the ulcer.

Patient's Query

Thank you doctor,

I am attaching the image. It is hard to schedule a doppler now. What to do?

Hi,

Welcome back to icliniq.com.

I have gone through the reports. Her venous system is normal. There is atherosclerosis in the lower limb vessels and stenosis on the right proximal tibial artery. It does not have any direct impact on the healing of the ulcer. But it indirectly delays healing due to improper blood supply. She may have pain during or after walking in her calf muscle due to it. To fasten her healing, debridement is needed. It is nothing but it involves freshening of margins by cutting the small part until they bleed. It includes scraping of the floor to remove yellow debris until it looks red with fresh blood. It can be done by a general surgeon. Healing takes place only when the margins are fresh with fresh bleeding. Good nutrition is the key factor to promote healing.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Lalit Kumar Bansal
Dr. Lalit Kumar Bansal

General Surgery

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

General Surgery

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy