Venous ulcers

A reappraisal analyzing the effects of neuropathy, muscle involvement, and range of motion upon gait and calf muscle function

Michael I. Shiman, Barbara Pieper, Thomas N. Templin, Thomas J. Birk, Asha R. Patel, Robert Kirsner

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Chronic venous insufficiency is a complex disease that can result in severe sequelae including venous ulceration. Though the exact progression from chronic venous insufficiency to venous ulcer remains unclear, the high cost and burden of this disease on patients and society is quite clear. Sustained ambulatory venous pressures or venous hypertension plays an integral role in the development of venous ulceration and involves the failure of the calf muscle pump system. Standard of care involves compression therapy to assist the calf muscle pump. However, several cofactors may contribute to or exacerbate this disease and understanding their impact may provide insight into new treatment modalities. Nerve involvement, which may result in neuropathic pain and muscle dysfunction, alterations in mobility and a decrease in range of motion may lead to gait alterations all affecting calf muscle pump function. In this paper, we analyze these cofactors and discuss possible treatment options to target them. Physicians treating this disease should be aware of the numerous factors involved in its development. Exploring new treatment options may 1 day lessen the burden and suffering caused by venous insufficiency.

Original languageEnglish
Pages (from-to)147-152
Number of pages6
JournalWound Repair and Regeneration
Volume17
Issue number2
DOIs
StatePublished - Mar 1 2009

Fingerprint

Varicose Ulcer
Articular Range of Motion
Gait
Venous Insufficiency
Muscles
Cost of Illness
Venous Pressure
Neuralgia
Therapeutics
Standard of Care
Psychological Stress
Hypertension
Physicians

ASJC Scopus subject areas

  • Dermatology
  • Surgery

Cite this

Venous ulcers : A reappraisal analyzing the effects of neuropathy, muscle involvement, and range of motion upon gait and calf muscle function. / Shiman, Michael I.; Pieper, Barbara; Templin, Thomas N.; Birk, Thomas J.; Patel, Asha R.; Kirsner, Robert.

In: Wound Repair and Regeneration, Vol. 17, No. 2, 01.03.2009, p. 147-152.

Research output: Contribution to journalArticle

Shiman, Michael I. ; Pieper, Barbara ; Templin, Thomas N. ; Birk, Thomas J. ; Patel, Asha R. ; Kirsner, Robert. / Venous ulcers : A reappraisal analyzing the effects of neuropathy, muscle involvement, and range of motion upon gait and calf muscle function. In: Wound Repair and Regeneration. 2009 ; Vol. 17, No. 2. pp. 147-152.
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