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Will compression wraps over an active ulcer be counter-productive?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My father is 85 years old, diabetic, hypertensive, and has had a bypass and stroke earlier. A few months back, he had a mild case of cellulitis, which was treated with antibiotics orally. After this, he has been advised to wear grade 2 compression wraps with velcro. He wears those for about five hours a day, but he is not comfortable wearing them when he goes for a walk. He has some swelling in both legs. Now, he has suddenly developed a small ulcer and wound in his right leg on the tibia bone area for two days. He does not remember how he got this. It could be due to scratching after an insect bite. We went to our general physician. She prescribed dressing with gauze and Tbact twice a day and Ceftum for five days twice a day. I had a question: When this ulcer is still there, should we tie the compression bandage over the dressing or wait for it to heal? Will putting compression wraps over an active ulcer be counter-productive? Also, is the treatment alright?

Thanks.

Answered by Dr. Pandian. P

Hello,

Welcome to icliniq.com.

I can understand your concern.

This could be due to a diabetes problem or due to venous insufficiency. Kindly do a Doppler ultrasound of both legs for venous and arterial systems, and treatment should be given based on that. Kindly upload all the reports that were taken within one month.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

The last time we visited a vascular surgeon was two months back. He did Doppler in his clinic and told us that he could feel the pulse in his feet.

Thanks.

Answered by Dr. Pandian. P

Hello,

Welcome back to icliniq.com.

I can understand your concern.

DPA is the dorsalis pedis artery. I am insisting on a venous system Doppler. So, better do it in a scan center. Kindly upload the latest reports of blood sugar levels and HbA1C. Better avoid compression dressings. You can do normal dressing.

I hope this information will help you.

Thanks.

Answered byDr. Pandian. P

Medically reviewed byiCliniq medical review team

Published At February 2, 2025
Reviewed AtOctober 9, 2025

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