LEG WOUND CARE

Leg wounds showing no signs of wound healing after a week of medicines and dressing needs scientific evaluation. Here we enumerate the causes of Non Healing Ulcer
1.BACTERIAL INFECTION 
Bacterial Infection in wound can be diagnosed with a proper pus culture. This provides the name of the bacteria and the Antibiotic which is most sensitive.Some bacteria like Pseudomonas needs washing with diluted vinegar.Sometimes we get Multidrug resistant bacteria (MDR) which does not respond to Antibiotics. In such cases we need to do Gut balancing along with Ozone therapy,  High dose Vitamin C , Nutritional supplementation and Chlorine dioxide solution .Occasionally there is underlying bone Infection (Osteomyelitis) which needs prolonged IV Antibiotics along with ozone therapy and wound debridement.
2.PERIPHERAL ARTERIAL DISEASE (PAD)
Peripheral arterial disease leads to decreased blood supply to legs leading to leg pain, nonhealing ulcer, gangrene and amputation. Acute and chronic Heavy metal toxicity with Cadmium,  Lead and Arsenic causes atherogenesis.Smokers have Cadmium toxicity  and devolope PAD at earlier age(3rd or 4th decade).Non smokers devolope heavy metal toxicity after 6th decade due to low level intake through food water and air.Heavy metal detoxification with Chelation Therapy along with Nutritional supplements are useful in PAD.
3.VARICOSE VEIN
Varicose Vein causes chronic venous stasis in legs leading to Varicose Ulcer.Patient may have superadded bacterial Infection. Correction of Varicose veins with compression stockings,  bandages,Surgery and Schlerotherapy helps in wound healing.
4.NUTRITIONAL DEFICIENCY 
Protein deficiency due poor intake and imbalanced diet should be corrected with diet counseling and protein supplementation. Adequate Vitamin C, Zinc, Vitamin E, Vitamin A, Selenium, antioxidants,  phytonutrients from food and supplements helps in faster wound healing. 
5. GUT DYSBIOSIS
Gut is the basis of our immunity.There are millions of bacteria in our intestine, both good and bad.Good bacteria( Probiotics) produce immune booster biomolecules,  B vitamins, serotonin,  neuropeptides etc.Prebiotics mainly soluble fiber is metabolised by bacteria to produce short chain fatty acid(SCFA) which is the source of energy for the endothelial cells of the intestine. Hence Probiotics and prebiotics are essential for gut health and wound healing.