The best treatment for “hard to heal” venous leg ulcers is good quality nursing care – including the occasional laugh – rather than technologies such as low-dose ultrasound, according to a Health Technology Assessment by Leeds University.
The five-year study, involving 336 patients, found adding ultrasound to standard care – dressings and compression therapy – made no difference to the speed of healing or the chance of the ulcers returning.
One of the authors said: “The best way to [stimulate blood flow back up the legs to the heart] is with compression bandages and support stockings. Having a really hearty chuckle can help too.”
- VenUS III: a randomised controlled trial of therapeutic ultrasound in the management of venous leg ulcers. NICE. 2011
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