Leg Wounds That Won’t Heal? It Could Be Vein Disease — Not Just Old Age

If you or someone you care for has a sore or wound on the lower leg that just won’t go away — especially around the ankle — don’t ignore it. What might look like a simple scrape or irritation could be something much more serious: a venous leg ulcer.

At South Bay Vascular Center and Vein Institute, Dr. Polly Kokinos sees this every day. What starts as a dry patch or scab ends up becoming an open sore that refuses to heal. Often misdiagnosed or ignored, these ulcers are a key warning sign of vein disease — a condition that requires expert care to avoid worsening problems, including infection and even amputation.

What Is a Venous Leg Ulcer?

A venous leg ulcer is an open wound that develops because of poor blood flow through the veins in your legs. When the valves inside your veins stop working properly, blood pools near the ankles. This increased pressure causes skin to weaken and break down.

These ulcers typically appear:
– Around the inner ankle
– After a minor injury or bump
– With symptoms like swelling, aching, or skin discoloration

Why These Wounds Don’t Heal On Their Own

Unlike a cut or scrape that closes up in a few days, venous ulcers don’t heal because blood isn’t flowing correctly. The skin stays inflamed and weak. Over-the-counter creams won’t fix the problem — and in fact, waiting too long can make things worse.

Common signs it’s a venous ulcer:
– The wound’s been there more than 2 weeks
– It gets red, weepy, or has a yellow film
– The area around the wound smells or is warm to the touch
– The sore starts small and slowly gets bigger

Dr. Polly Kokinos: Fighting to Save Limbs in Santa Clara County

At South Bay Vascular, Dr. Kokinos leads the fight to save legs from unnecessary amputations caused by undiagnosed vein disease. She’s a board-certified vascular surgeon who works with diabetic patients, seniors, and those told there’s “nothing more to do.”

What sets her apart?
✔️ On-site vein ultrasound diagnostics
✔️ In-office procedures that don’t require a hospital stay
✔️ Immediate access to wound care and vascular services
✔️ Compassionate, clear explanations every step of the way

Real Patients. Real Results.

“My dad’s sore was getting worse every day. We had no idea it was vein-related until Dr. Kokinos stepped in. She saved his leg.”
— Grace Y., San Jose

“I kept wrapping it up with bandages, but it wouldn’t heal. I wish I’d gone to her sooner.”
— Oscar V., Gilroy

Don’t Wait Until It’s Too Late

If you or a loved one has a wound near the ankle that won’t heal, don’t chalk it up to age or diabetes. These are warning signs of a deeper issue — one that can lead to hospitalization or even limb loss if left untreated.

📞 Call South Bay Vascular at (408) 376-3626 today to schedule an appointment with

Dr. Polly Kokinos.

 Confident Legs, Confident Life. There’s help. And there’s hope.

VENOUS DISEASE AND WOUND HEALING

One of the most common contributors to the development of leg wounds is venous disease. This can occur either because of venous insufficiency—leaky valves in the leg veins or because of issues stemming from a DVT (deep venous thrombosis). Both of these problems contribute by causing high pressure at the ankles that impair the healing of the wounds. Silicon Valley’s South Bay Vascular Center and Vein Institute doctors are recognized as the leading wound care physicians in the greater San Francisco Bay Area and Dr. Kokinos is the medical director at both the Verity/O’Connor Wound Care Center in San Jose and St Louise Hospital Wound Care Center in Morgan Hill, CA.

Venous wounds have a classic appearance. The wound is generally around the inner or outer ankle bone and the skin around the wound is often very dark (hyperpigmented). The skin can also be quite leathery. Not everyone with a venous wound has varicose (bulgy) veins, but many do. These can often be painful, and even with excellent care, can take many months to heal. Although the diagnosis can be made by simple examination, it is important to do an ultrasound to get a roadmap of the venous system so that any problems that can be fixed are addressed.

The specialists who deal with the venous system best are called vascular surgeons. These doctors can deal with both leaky valves as well as blockages in the system. It is felt to be very important not only in helping these wounds heal, but in preventing them from coming back, to treat the underlying venous issues. For the leaky valves, this is done by sealing the veins closed, often using the VNUS closure catheter or a laser fiber. For blocked veins, they can often be treated with stents that will hold them open. These procedures are all minimally invasive and can be done in the office setting. With all venous ulcers, compression using medical grade stockings is vitally important. In addition, there is evidence that using an old drug called Trental or a newer one called Vasculera can help heal these wounds faster.