Development of a Venous Ulcer can be a life altering event that changes many patient’s lifestyles.  Persistent wound care, pain at the site and social isolation are common themes of this disorder.  Venous Ulcer is a wound that develops on the skin because the leg veins cannot carry blood effectively back to the heart as a result of a concurrent medical issue. This venous insufficiency causes blood to pool in the dependent parts of the leg and ankle leading to skin tissue breakdown and ulcer development. Venous ulcers can result in pain, odor, infection, tenderness and redness. The skin surrounding the affected area may appear dark red or purple and feel thickened, dry and itchy. These ulcers are most often found just above the ankle.  It is important to treat venous skin ulcers as soon as they appear in order to begin the healing process and prevent infection. Treatment of venous skin ulcers is focused on improving circulation. This can be done by elevating your legs above the level of your heart and by wearing compression stockings to prevent blood from building up in the legs. However, these measures alone do not cure the underlying venous insufficiency and intervention is usually needed.  A complex venous ultrasound is performed to understand and detail the functioning of your venous system.  Once performed, we can determine which veins are not functioning properly and make recommendations for endovenous treatment to assist in healing the ulcer.