Chronic wounds on the lower legs and feet develop when skin and underlying tissues do not heal as expected, usually taking longer than four weeks to show improvement. Poor circulation is one of the most common causes. Venous disease can create swelling and pressure that break down skin, while arterial disease limits the blood flow needed for repair. Diabetes also plays a major role, as elevated blood sugar can damage nerves and vessels, leading to wounds that start small but linger. Pressure, friction from footwear, infection, and underlying swelling can all make healing even more difficult. Chronic wounds may appear dry, draining, or painful, and they often recur without targeted care. Identifying the root cause is essential for effective treatment, which may include compression, offloading, advanced dressings, or medical management. If a wound on your lower legs or feet is not healing as expected, it is suggested that you see a wound care specialist for proper evaluation and appropriate care.

Chronic Wounds and Complications That Slow Recovery
Most wounds follow a predictable healing pattern, but some linger far longer than expected. Chronic wounds are those that fail to progress through normal healing, often remaining open, painful, and vulnerable to infection. On the feet, ankles, and legs, these stubborn wounds can significantly limit mobility and quality of life.
Post-surgical wounds are a common source of concern. While surgery is intended to improve health, the incision site does not always close as planned. Compromised circulation, infection, or pressure can delay healing and leave patients dealing with ongoing discomfort. Professional monitoring and care are essential to ensure the wound is cleaned, dressed, and supported until closure is achieved.
Chronic pain conditions may also complicate recovery. Neuromas, for example, are thickened nerve tissues that can cause persistent pain in the foot. Although not open wounds themselves, they often interfere with normal gait and create pressure points that make the skin more prone to breakdown. Left unaddressed, this discomfort can contribute to recurring sores or prevent existing wounds from closing.
Chronic wounds require specialized attention because traditional home remedies are rarely enough. Advanced wound care techniques may involve debridement, specialized dressings, pressure offloading, or therapies designed to improve blood flow and tissue repair.
If you have a wound on your foot, ankle, or leg that is not healing or continues to reopen, call us today for expert care from our wound specialist.
 

Pressure injuries on the lower legs and feet form when skin and tissue are damaged by continuous pressure, friction, or shear. These injuries are frequently seen on heels, ankles, and the sides of the feet where bones lie close to the surface. People who are less mobile, have diabetes, or suffer from vascular disease face higher risks, as their skin is often more fragile and slower to heal. These wounds can begin as mild discoloration or swelling, but may progress to deep open ulcers if not treated promptly. Management often includes specialized dressings, relief of pressure with cushions or footwear modifications, and improved circulation through medical care. Preventive strategies involve daily skin inspections, proper support surfaces, and attention to nutrition. If you suspect a pressure injury on your lower extremities, it is suggested that you see a wound care specialist.

Pressure Sores, Pressure Ulcers, and Arterial Ulcers Can Lead to Skin Breakdown

Not all wounds on the feet, ankles, and legs are the same. Pressure sores, pressure ulcers, and arterial ulcers may look similar at first, but develop for different reasons and require specialized care. Understanding these differences is key to proper treatment.

Pressure sores are often caused by friction at common rubbing points. Toes rubbing against each other can create small raw areas, while wearing ill-fitting shoes may lead to sores on the heel, ankle, or sides of the foot. These injuries usually begin at the surface but can quickly deepen if ignored.

Pressure ulcers, sometimes called bedsores, occur when the skin and tissue are compressed between bone and an external surface for long periods of time. On the lower extremities, they frequently appear on the heels, ankles, calves, or shins. Limited mobility, tight footwear, or prolonged bed rest can all contribute to these ulcers, which may progress through multiple stages from redness to open, infected wounds.

Arterial ulcers are different in that they result from poor circulation. When blood flow to the feet and legs is reduced, oxygen and nutrients cannot reach the tissue. Even small sores on the toes, heels, or shins may become painful, deep ulcers that heal very slowly. Unlike friction-related sores, arterial ulcers are directly tied to vascular health and often signal an underlying circulation problem.

All three types of wounds demand professional attention. A wound care specialist can determine the cause, relieve pressure, improve circulation when possible, and use advanced techniques to promote healing.

If you notice a sore on your foot, ankle, or leg that is slow to close or worsening, call us for timely care to help prevent serious complications and preserve long-term mobility.

Blisters on the legs or feet may seem minor, but when caused by friction, wearing poor footwear, or circulation issues, they can quickly become painful and difficult to heal. People who walk long distances, wear tight shoes, or have medical conditions such as diabetes or vein disease are more likely to experience these fluid-filled bumps. A wound care specialist evaluates the cause and condition of the blister to determine the best treatment. This may include gentle drainage under sterile conditions, application of advanced dressings, and steps to reduce pressure or friction. If an infection develops, topical or oral medications may be needed. Preventive care includes keeping skin dry, wearing well-fitting shoes, and inspecting the legs and feet regularly. If a blister does not heal or becomes red and sore, it is suggested that you schedule an appointment to see a wound care specialist.

Why Blisters Can Be Risky for Leg and Foot Health
Blisters are small pockets of fluid that form beneath the skin, often as a result of friction, pressure, or burns. On the feet, ankles, and legs, they are particularly common because these areas endure daily stress from walking, running, and wearing shoes. While many blisters are minor, they can become serious if not treated correctly, especially in individuals with diabetes or poor circulation.
Friction is the most common cause of blisters. Shoes that are too tight, too loose, or not properly cushioned may rub against the heel, toes, or sides of the foot, leading to painful fluid-filled bubbles. Activities such as hiking, sports, or even long periods of standing can also trigger blisters, especially when combined with moisture from sweat.
Other blisters may form from burns, allergic reactions, or underlying medical conditions. On the lower extremities, blisters that break open expose the skin to bacteria, increasing the risk of infection and complicating the healing process. If a blister appears on the ankle, heel, or shin, it may interfere with walking and daily mobility.
Proper care begins with protecting the blister. Keeping the area clean, covered, and free from further friction supports healing. However, large, painful, or recurrent blisters often require professional evaluation. For patients with compromised circulation or nerve damage, even a small blister can turn into a much larger problem if ignored.
A wound care specialist can determine the cause, provide safe drainage if needed, and apply advanced dressings to promote recovery. They can also recommend changes in footwear, activity, or skin protection strategies to prevent future blisters.
If you have developed a blister on your foot, ankle, or leg that is not healing or is becoming more painful, make an appointment with us as soon as possible.