Putting pressure on venous ulcers

Patients must be assessed to see if they are suitable for compression therapy. Look particularly for signs of occult arterial disease.

Measuring the ankle brachial pressure index is an important part of assessing arterial compromise. This index is the ratio of the systolic pressure at the ankle relative to the arm. Arterial compromise, a contraindication to compression therapy, is unlikely to be present if the ratio is between 0.8 and 1.2.

Bandages are commonly used for treatment of venous ulcers