Supporting skin regeneration in chronic lower leg wounds

Indications

One-year non-healing lower leg ulcer after injury, exudation, no wound edge approximation, resistance to topical antibiotic therapy, erythema, excessive granulation, and edema. History of varicose veins for over 30 years.

Case description

This case concerns a patient with a chronic, difficult-to-heal lower leg wound. Due to the patient's age, the long duration of the lesion, and coexisting vascular problems, the goal of the in-office therapy was to gently support skin regeneration processes, improve comfort, and reduce visible signs of inflammation in the skin around the wound.

Treatment protocol

1. A series of 8 treatments were performed at weekly intervals.
2. The Silk protocol was applied, including steps 4 and 5a + 5b.
3. Therapy was conducted conservatively, considering the delicacy of the tissues and the chronic nature of the wound.
4. Skin reactions were observed during subsequent visits, and the intensity of work was adjusted to the current condition of the treated area.

Home care

• No additional home care was recommended as part of this protocol.

Effect

After 3 months of therapy, the wound decreased by approximately 2 cm on each side. Edema resolution, reduced erythema, decreased excessive granulation, and improved comfort were observed – the patient reported pain relief.