Ulcers

Physiotherapy is used to treat skin ulcers, where there is an open sore in the skin. Venous ulcers occur mainly on the ankles and lower legs. They are caused by chronic congestion in the veins due to failure of the valves which usually ensure effective blood flow. The physiotherapist elevates the leg to help the veins to drain and uses massage to reduce swelling and congestion.

Ultraviolet rays, ultrasound or other forms of electrotherapy are sometimes used to help the ulcer heal. Active exercises of the legs and ankles improves circulation and mobilises the joints. Arterial ulcers are the result of poor arterial blood supply. The physiotherapist will then use the same techniques as for venous ulcers to reduce infection and promote healing. Pressure sores can also cause ulceration and are treated similarly to venous ulcers. Through advice and positioning, exercise and massage, the physiotherapist can also help to prevent pressure sores.