Combination of Jalaukavacharana with 4-Layer Compression Bandaging: Boon for non-healing Venous Leg Ulcer-A Case Study

Abstract

Venous leg ulcers (VLUs) are late indicators of chronic venous insufficiency (CVI) and venous hypertension. They often require extended time to heal, and carry a high risk of recurrence. This case study describes our experiences with a patient of VLU, refractory to multiple treatment strategies who has been successfully treated by combination of Jalaukavacharana along with 4-Layer Compression Bandaging. A 52-year-old man developed 2 VLUs over medial aspect of his left leg. He experienced 2 years of unsuccessful treatments with insignificant progression towards wound healing. Imaging technology was used to confirm the diagnosis. Then started Jalaukavacharana, along with 4-layer compression bandaging and suggested the necessary lifestyle changes. After 28 days of treatment, Revised Venous clinical severity score (r- VCSS) has come down from 21 to 6. Patient reported clinically relevant improvement in wound-related pain in 7 days. Considerable relief of inflammation and swelling in 14 days. His 1 VLU was completely epithelialized within 21 days and second one in 28 days. There was no sign of recurrence in 6 months even after following the normal routine.