Radiologist

• Ultrasound
  A vascular technologist (also known as an ultrasound technologist) will use an ultrasound machine to document the anatomy and flow characteristics of the veins in the leg. The duplex scan can determine if there are flow abnormalities such as those caused by valve dysfunction or vein thrombus.

Surgeons

• Wound Care
  In cases of venous ulcer formation, wound care consists primarily of cleaning the skin surface of any dead cells and applying pressure to the foot, ankle, and leg. This serves to redirect the excess fluid and blood away from the skin to decrease inflammation of the underlying tissue and thereby promote wound healing. It must be performed precisely to avoid trauma to the tissue and exacerbation of tissue swelling.

Dermatologists

• Ulcer
  Protein deposition in the soft tissue is a stimulus for inflammation which recruits cells that further escalate the inflammatory process. The result is fibrosis of the skin and ulcer formation. The cycle of ulcer formation and healing followed by recurrent ulceration results in further thickening of the skin and areas of scarring, known as atrophie blanche.