A doctor has issued a warning over five symptoms of a 'painful' and 'unsightly' leg condition.

The medical professional has urged Brits to be aware of these 'subtle' signs which can affect people's everyday activities including walking. 

The expert has broken down the signs to look for as well as key advice about how you can address the symptoms before they develop into leg ulcers.

Dr Mark Bratby, Consultant Interventional Radiologist at Veincentre has explained that recognising these early indicators of leg ulcers is crucial for effective prevention and treatment. 

"Leg ulcers are a painful and often persistent problem that can significantly impact quality of life," he said.

"While these ulcers are common, they often develop slowly with subtle warning signs that many people may overlook."

1. Persistent swelling and aching in the legs

One of the earliest signs of developing leg ulcers is chronic swelling and aching in the legs.

"This is often due to venous hypertension, which occurs when the valves in the leg veins fail, causing blood to pool and pressure to increase," Dr Bratby said.

The increased pressure can lead to skin damage and fragility over time.

2. Skin discolouration

Changes in skin colour on the lower leg are another warning sign.

"Typically, the skin becomes discoloured and turns into a brown patch, usually on the inside of the leg," Dr Bratby said.

This discolouration, known as hemosiderin staining, is a result of red blood cells leaking into the tissue and breaking down.

3. Development of varicose veins

Varicose veins are not just a cosmetic issue but can be a precursor to leg ulcers.

"Most patients with leg ulcers have varicose veins or a history of them," Dr Bratby said.

The same venous incompetence causing varicose veins also contributes to venous hypertension, setting the stage for ulceration.

4. Dry, itchy skin or eczema

Dry and itchy skin, or even eczema, on the lower legs can indicate poor circulation and venous issues.

"Venous hypertension can lead to complications such as eczema, which, if left untreated, can progress to ulceration," Dr Bratby explained.

5. Hardened or thickened skin

Over time, chronic venous insufficiency can cause the skin to become thickened and hardened, a condition known as lipodermatosclerosis.

"This is a sign that the veins are under significant pressure and the skin is being affected, increasing the risk of ulcer formation," Dr Bratby said.

How to prevent and treat leg ulcers

Leg ulcers affect around one in 500 people in the UK, and recognising these signs early is crucial for preventing them.

Dr Bratby advised that anyone noticing these symptoms should seek medical advice promptly. Traditional methods such as compression bandaging or stockings are essential to improve circulation.

However, Dr Bratby emphasised that addressing the root cause of venous insufficiency is vital for long-term prevention.

"Leg ulcers can be unsightly and painful, preventing you from doing normal activities like walking," Dr Bratby said.


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The Doctor continued: "Endovenous Laser Ablation (EVLA) is a highly effective treatment for venous insufficiency. 

"By treating the underlying cause, we can prevent the development and recurrence of venous leg ulcers.

"Most patients find that after healing post-EVLA, they no longer need to wear compression stockings and can resume normal activities."