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Ironworks

Arterial Ulcer Treatment

Expert arterial ulcer treatment in Rolesville, NC. Advanced wound care with circulation testing, debridement, and comprehensive treatment focused on promoting healing, improving blood flow, and preserving limb health.

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Do You Have Any of These Symptoms?

If any of this sounds familiar, you’re in the right place. Call us or request an appointment online.

A painful wound on the toes, heel, or outer ankle

Cold or pale feet, especially compared to the other foot

Pain in your legs when you walk that eases with rest

Pain that worsens at night when you lie down

A wound that's gotten worse rather than better over time

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You’re Not Alone, and You Have Options

Arterial ulcers are serious, but treatable.

Arterial ulcers, also called ischemic ulcers, develop when arteries can’t deliver enough oxygen-rich blood to the lower legs and feet. The wounds are typically found on the toes, heels, or outer ankles, are deep and painful, and heal slowly or not at all without restoring circulation.

Treating an arterial ulcer starts with diagnosing the circulation problem. At Ironworks we work closely with vascular surgeons to restore blood flow when possible, then focus on oxygen delivery, debridement, and infection control.

Our approach

Non-invasive vascular testing (ABIs, pulse exam)

Referral to vascular surgery when revascularization is needed

Careful debridement (arterial wounds require a lighter touch than diabetic ulcers)

Pain management, arterial ulcers can be extremely painful, and we take that seriously

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What to Expect at Your First Visit

An arterial ulcer visit is primarily about diagnosis: confirming the circulation problem and deciding whether vascular intervention is needed before wound treatment.

Bring a complete medication list and any recent cardiovascular test results.

Detailed history including smoking, cardiovascular disease, and leg pain with activity

Physical exam of pulses, skin, and temperature in both legs

Non-invasive vascular testing (ABIs) to measure blood flow

Assessment of whether you need referral to a vascular surgeon for circulation testing

Gentle debridement if appropriate (not as aggressive as for venous or diabetic ulcers)

Initial dressing plan and pain management strategy

Coordination with vascular specialists if revascularization may help

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Frequently Asked Questions

Location, appearance, and pain pattern usually give us strong clues, but the definitive answer comes from simple non-invasive vascular testing. The distinction matters enormously, venous ulcers need compression, while arterial ulcers need restored blood flow first.

Not always. Mild to moderate arterial disease can sometimes be managed with medication, exercise therapy, and risk-factor control.

Arterial ulcers hurt because the tissue around them isn’t getting enough oxygen, the same reason they don’t heal. Pain often worsens at night when the legs are elevated.

Generally yes, and appropriate walking actually helps develop collateral blood vessels. We’ll give you activity guidance based on your specific situation, complete rest is usually not the answer and can worsen circulation over time.

Yes, smoking is one of the strongest predictors of poor healing in arterial ulcers. Quitting dramatically improves your chances of healing and preventing future ulcers.

Ready to get started?

New patients are welcome, and most major insurance is accepted. Call us, request an appointment online, or stop by our Rolesville office. We’ll take care of the rest.

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