- If no improvement in wound healing/ulcer size in 4 weeks, ensure diagnosis of VLU is correct.
- Take a biopsy if other aetiology or malignancy is suspected or if not healing after 4-6 weeks
- Is the surrounding skin of reasonable quality – has any varicose eczema been adequately treated?
- Is the treatment correct? If unsure, refer to specialist particularly if unsure of aetiology on presentation or non-healing atypical leg ulcers. It is important that the HCP is able to recognise when the management of an individual is beyond their competency and they make appropriate referral to a specialist service (eg, specialist VLU service, vascular, dermatology, diabetes service or cardiology).
EWMA Statement 5.4.b: Specialised leg ulcer clinics are recommended as the optimal service for treatment of VLU in the primary care setting
The Lindsay Leg Club Foundation promotes and supports community based treatment, health promotion and education for people with leg ulcers.