Chronic venous insufficiency is the most common cause of lower extremity ulceration, accounting for up to 80% of the approximately 2.5 million cases of leg ulcers in the United States.
The goals of treatment in patients with chronic venous disease and lymphedema are the reduction of discomfort and pain, the reduction of the severity and extent of edema, the improvement of skin changes (eg, lipodermatosclerosis), and the healing of associated ulcers. Compression therapy remains the primary and most important treatment for these conditions. For patients with venous ulceration, the benefits of long-term compression therapy (stockings or bandages) have been repeatedly demonstrated in randomized studies. Healing rates of up to 97% can be achieved in patients with venous ulcers who are compliant with treatment. Patients with edema, active discharge, or skin changes in the absence of ulceration also benefit.
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