Arterial (Ischemic) Ulcers
Arterial ulcers form when narrowed or blocked arteries starve the lower leg and foot of blood. They are painful, slow to heal, and a warning sign of peripheral artery disease.
warningSymptoms & Signs
- check_circleA deep, painful wound, often on the toes, heel or foot edge
- check_circlePain that worsens when the leg is raised or at night
- check_circleCold, pale or bluish foot with weak or absent pulses
- check_circleShiny, hairless skin on the lower leg
helpCauses & Risk Factors
- check_circlePeripheral artery disease (PAD)
- check_circleSmoking, diabetes and high cholesterol
- check_circleBuerger's disease
- check_circleHigh blood pressure and ageing arteries
emergencyWhen to See a Doctor
- check_circleA painful foot or toe wound that is not healing
- check_circleFoot that is cold, pale, blue or numb
- check_circleRest pain in the foot, especially at night
medical_servicesHow Dr. Shah Treats It
The priority is restoring blood flow. Dr. Shah assesses circulation and, where needed, arranges revascularization (angioplasty, stenting or bypass) before or alongside wound care. Compression is avoided until arterial supply is confirmed adequate.
quiz Frequently Asked Questions
Because the tissue is starved of oxygen. Pain that worsens at night or when the leg is raised is a classic sign and should be assessed urgently.
Often yes, if blood flow is restored early. The earlier circulation is treated, the better the chance of saving the foot.