Exposed Tendon in Leg Ulcers: A Comprehensive Guide for Understanding and Treatment

leg ulcer exposed tendon

An Exposed Tendon Can Damage Your Health

An open wound on your leg that doesn’t heal, also known as a leg ulcer. These sores typically occur on the inside of the leg, just above the ankle. The wound can extend down to the tendon, which is a tough band of tissue that attaches muscle to bone. The tendon can become infected, which can have potentially life-threatening consequences if it isn’t treated promptly.
Leg ulcers can be a symptom of various health ailments such as diabetes or poor circulation. Without proper care, leg ulcers can become infected, leading to an exposed tendon. Early signs of an exposed tendon due to a leg ulcer involve swelling, pain, and abnormal wound discharge.
In addition to pain, an exposed tendon can cause difficulty walking. It can also lead to infection and other complications. Surgery may be necessary to treat an exposed tendon. Treatment may also include antibiotics to fight the infection and wound care to promote healing.

Leg ulcer exposed tendon is a serious condition that requires prompt medical attention.

Leg Ulcer Exposed Tendon: Causes, Symptoms, Diagnosis, and Treatment

A leg ulcer that exposes the tendon is a serious medical condition that can be both painful and disabling. It occurs when a break in the skin allows bacteria to enter and infect the underlying tissue, leading to severe inflammation and tissue damage. The exposed tendon is particularly vulnerable to infection and can become inflamed, swollen, and painful. Therefore, understanding the causes, symptoms, diagnosis, and treatment options for this condition is crucial for preventing further complications.

Causes of Leg Ulcers with Exposed Tendons

Leg ulcers that expose tendons can arise from various underlying factors, including:

Vein Conditions:

Vein Conditions

  • Chronic venous insufficiency (CVI): This condition occurs when the veins in the legs have difficulty returning blood to the heart. It results in swelling, pain, and ulcers in the lower legs.



  • Diabetes can damage the nerves and blood vessels in the legs, leading to poor circulation and increased risk of infection.

Peripheral Arterial Disease (PAD):

Peripheral Arterial Disease

  • PAD occurs when arteries in the legs become narrowed or blocked, reducing blood flow to the lower extremities.

Trauma or Injury:

Trauma or Injury

  • Leg ulcers can develop due to severe burns, lacerations, or other injuries to the lower legs.



  • Cancerous tumors can obstruct blood flow and cause ulceration in the surrounding tissue.

Symptoms of Leg Ulcers with Exposed Tendons

The symptoms of a leg ulcer with an exposed tendon may include:

  • A deep, open wound on the leg that exposes the tendon
  • Swelling, redness, and warmth around the ulcer
  • Pain and tenderness in the affected area
  • Pus or drainage from the ulcer
  • Bad odor
  • Fever
  • Chills
  • Limping
  • Difficulty walking

Diagnosis of Leg Ulcers with Exposed Tendons

To diagnose a leg ulcer with an exposed tendon, healthcare providers typically perform the following:

  • Physical Examination: The healthcare provider examines the ulcer, assesses the extent of tissue damage, and checks for signs of infection.
  • Medical History: The provider asks about the patient’s medical history, including any underlying conditions or risk factors.
  • Diagnostic Tests: They may order tests such as a blood test or imaging studies (e.g., X-rays, MRI) to determine the underlying cause and extent of the ulcer.

Treatment for Leg Ulcers with Exposed Tendons

Treatment for leg ulcers with exposed tendons aims to address the underlying cause, prevent infection, and promote healing. It may involve:

  • Wound Care: Wound cleansing, dressing changes, and antibiotics to prevent infection.
  • Compression Therapy: Applying compression bandages or stockings to improve blood flow and reduce swelling.
  • Elevation: Keeping the affected leg elevated to reduce swelling and pain.
  • Medications: Antibiotics or antifungal drugs to treat infection. Additionally, prescription medications may be necessary to manage underlying conditions.
  • Surgery: In severe cases, surgery may be necessary to remove damaged tissue, repair the tendon, or improve blood flow.

Prevention of Leg Ulcers with Exposed Tendons

To reduce the risk of developing a leg ulcer with an exposed tendon, individuals can take the following preventive measures:

  • Manage underlying conditions like diabetes, vein disorders, or peripheral arterial disease.
  • Maintain a healthy weight.
  • Avoid prolonged standing or sitting.
  • Wear comfortable, supportive shoes.
  • Practice good foot hygiene, including daily washing and moisturizing.
  • Seek prompt treatment for any leg injuries or wounds.


Leg ulcers with exposed tendons are serious wounds that require prompt medical attention. Understanding the causes, symptoms, diagnosis, and treatment options can aid in early detection, effective management, and prevention of complications. If you suspect you have a leg ulcer with an exposed tendon, it is imperative to consult a healthcare professional immediately.

Video WCW: Managing Wounds with Exposed Tendon

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