Ulcer prevention

Our nursing team will show you how to check your skin, keep it clean, and look after any sore spots early. We can also give advice on staying active, wearing the right support stockings, and looking after your feet. If you notice swelling, pain, or a new sore, tell us straight away, as catching problems early can stop ulcers from starting.

Leg ulcers

Leg ulcers are long-lasting sores that usually develop on the inside of the leg, between the knee and the ankle. They are usually caused by poor circulation, inflammation or injury. 

Venous leg ulcers are estimated to affect around 1 in 500 people in the UK, although they become much more common with age.

You’re more at risk of developing one if you previously had deep vein thrombosis (DVT) or find it difficult to walk because of a problem such as:

• osteoarthritis
• a leg injury
• obesity
• paralysis

You’re also more at risk if you recently had an operation on your leg, such as a hip replacement or knee replacement.

People with swollen and enlarged veins (varicose veins) also have a higher risk of developing venous leg ulcers.

There are several ways to help prevent developing a venous leg ulcer if you’re at risk, including:

• wearing compression stockings
• losing weight if you’re overweight
• exercising regularly
• elevating your leg when possible
• stopping smoking if you smoke

These measures are particularly important if you previously had a leg ulcer, as you are at increased risk of getting another.

Find out how to prevent venous leg ulcers

More information on looking after leg conditions can be found here:

• Lower leg wounds (break to the skin on the legs or feet)
• Venous hypertension (pressure in the veins in your legs)
• Varicose veins (swollen veins)
• Oedema/ lymphoedema (swelling in the legs or feet)
• Charcot foot (nerve damage and numbness)

The Legs Matter website has lots of useful information to help you.

Pressure ulcers

Pressure ulcers (pressure sores or bed sores) are areas of damage to your skin and the tissue underneath. You have a higher chance of getting them if you have difficulty moving.

Whilst you’re in hospital and moving less, bony areas may be at risk of a pressure ulcer.

You may be at higher risk if:

• You are diabetic
• You are older
• You have reduced sensation

These seven steps will help keep you safe:

Assessment – We will ask you questions about your health, skin and risk factors

Surface – A special mattress or pillow might be used to help protect your skin

Skin inspection – Tell someone if you feel any pain or notice changes

Keep moving

Incontinence – Ask for support with any continence needs

Nutrition and hydration – Keep hydrated and eat well

Giving information – We will provide you with information and signpost you to helpful sources

If you’ve experienced a pressure ulcer before, please do let the people in charge of your care know, so they can take extra steps to keep you safe.