Unknown Cause Chronic Ulcers

Why Do Some Ulcers Go Undiagnosed?

Chronic wounds are often treated symptomatically from day one: dressing after dressing, ointment after ointment, with no pause to ask why the wound exists. Studies estimate that when chronic ulcers are systematically investigated, a definite cause is found in the vast majority. The wound was never truly of unknown cause; it was simply never worked up.

Differential diagnosis: the systematic process of narrowing down the possible causes of a condition.

What Does a Proper Work-Up Include?

• Vascular testing of arteries and veins in the limb
• Blood panels for diabetes, anaemia, immunity and inflammation
• Deep wound swabs and, when needed, bone assessment
• A biopsy from the wound edge to examine the tissue itself
• Review of medicines, pressure sources and footwear

How Does EDFC Approach These Wounds?

We run the work-up as a structured protocol rather than scattered tests. Once the cause is named, treatment becomes specific: vascular correction, immune therapy, offloading, infection clearance or reconstruction. Meanwhile professional wound care keeps the ulcer stable and clean.

Cost and What to Bring in Surat

The complete evaluation typically costs a few consultations plus tests, far less than another year of dressings, and is quoted upfront. Bring your old reports and medicine list, and book a diagnostic consultation to give your wound its name.