Where do arterial ulcers usually occur?

Most ischemic (arterial) ulcers occur on the feet and legs. They may appear on the legs, ankles, toes, and between the toes, but location alone doesn’t identify the type of wound.

Most ischemic ulcers occur on the feet and legs. Much less often, they can occur in other parts of the body. Ischemic ulcer is another name for an arterial ulcer.

More precisely, these wounds may appear on the legs, ankles, toes, and between the toes.

Between the toes is worth pausing on, because it’s the one spot you’re least likely to check. For prevention, check your feet and legs every day, including the tops and bottoms, ankles, heels, and between your toes. Look for changes in color and red or sore areas.

Location by itself does not tell you what kind of wound you have. Venous ulcers occur on the leg, above the ankle, and heels and ankles are among the places pressure sores tend to form. Those lists overlap. A wound on an ankle could be any of the three, and which one it is depends on what is happening to the blood supply or the pressure on the skin, not on the map.

That’s why an exam at a wound care center includes checking the blood flow in the area around the wound, rather than simply recording where the wound sits.

What to watch for

If you are at risk for ischemic ulcers, check your feet and legs every day. That includes the tops and bottoms, ankles, heels, and between your toes. Look for changes in color and red or sore areas.

These steps help keep those areas from breaking down in the first place: wear shoes that fit properly and do not rub or put pressure on your feet; wear socks that fit, because socks that are too big can bunch up in your shoes and cause rubbing of the skin, which can lead to a sore; try not to sit or stand too long in one position; protect your feet from the cold; do not walk barefoot; and do not soak your feet in hot water.

A new sore in any of these places is a reason to have the leg looked at rather than to watch it, because these wounds are slow to heal.

Wound Wizard is general education and can’t assess your wound or your situation. Your own clinician is the right person to ask about your wound.

What we look at

  • Examining and measuring the wound
  • Checking the blood flow in the area around the wound
  • Identifying the type of wound and what caused it
  • Building a treatment plan based on what they find

Sources

  1. Ischemic ulcers - self-care — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000742.htm
  2. Venous ulcers - self-care — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000744.htm
  3. How to care for pressure sores — MedlinePlus, U.S. National Library of Medicine https://www.medlineplus.gov/ency/patientinstructions/000740.htm