Vein condition · Houston, TX

Venous Leg Ulcers Treatment in Houston, TX

A leg sore that will not heal is often caused by weak veins. Treating the vein problem, not only the wound, helps it heal and stay healed.1

  • Same-week appointmentsGet seen this week
  • No referral neededBook directly with Dr. Malik
  • On-site duplex ultrasoundAnswers at your first visit
  • 3 Houston-area clinicsSugar Land, Houston, Tomball
Lower legs with skin changes from vein disease
60%+Venous ulcers are the most common leg ulcer, over 60% of cases.1
Most commonType of leg ulcer1
CompressionThe core treatment1
Up to 6 monthsMost ulcers heal within about 6 months with professional care1
High recurrenceIf the underlying cause is not treated1
The basics

What is a venous leg ulcer?

A venous leg ulcer is an open sore on the lower leg caused by poor blood flow back up the veins. It is the most common type of leg ulcer, making up more than 60% of cases.1

Other types, such as arterial ulcers, come from poor circulation in the arteries. That is why the arteries are checked as well.1

Signs and symptoms

  • Pain, itching and swelling in the leg1
  • Discoloured or hardened skin around the sore1
  • A foul-smelling discharge, which can mean infection1
  • A sore that is not closing after a few weeks

Not sure if this is right for you? A visit with Dr. Malik, with an on-site ultrasound, gives you a clear answer.

Your visit

How a venous leg ulcer is checked and treated

  1. ConsultationYou describe the sore, how long it has been there and your health history.
  2. ExamThe leg is examined and the skin and wound are assessed. Other conditions are ruled out.1
  3. Duplex ultrasoundUltrasound shows whether leaking veins are the cause, and your artery blood flow is checked too.
  4. Cleaning and dressingsThe wound is cleaned and dressed.1
  5. Compression and vein treatmentCompression bandages or stockings improve blood flow. Leaking veins are treated where appropriate.1
Healing and outlook

What to expect

Healing takes time and works best with compression and wound care. Dr. Malik checks your veins and your arteries.

  1. Weeks to monthsHealingWith treatment from a professional trained in compression, most venous ulcers heal within 6 months.1
  2. Some casesSlowerSome ulcers take longer, and a very small number never heal.1
  3. If infectedAntibioticsAntibiotics treat infection, but they do not help the ulcer heal.1
  4. Long termPrevent a repeatWear compression stockings, exercise, raise the leg when you can, keep a healthy weight and stop smoking.1

When to get help

  • A leg sore that is not healing: book an evaluation1
  • Signs of infection, such as discharge with a foul smell1
  • Bleeding from a vein: call 9111
  • Pain or a sore on the foot or toes, especially with cold feet: this can be an artery problem1

Possible complications

  • Infection1
  • The ulcer coming back, which is high risk if the underlying cause is not treated1
  • Slow healing in people with other health problems1
Treatment options

Treatments linked to venous ulcers

Dr. Malik recommends the option that fits your condition after an exam and ultrasound.1

TreatmentWhat it doesHow it works
Compression therapyImproves blood flow and healing, and helps prevent recurrenceBandages while healing, stockings afterward
Wound care and limb preservationCleans and dresses the wound and checks circulationOngoing wound care and follow-up
Radiofrequency ablation (RFA)Seals a leaking main veinCatheter heat
Laser ablation (EVLT)Seals a leaking main veinLaser heat through a catheter
Varithena foamCloses leaking veinsInjected foam under ultrasound

What patients say about Dr. Malik

102
five-star Google reviews, out of 110 (as of Oct 27, 2026)

I have been seeing Dr Rema Malik for about 2 years now. She is amazing and all of her staff is amazing. I wish that all my doctors and there staff could be at least half of what this team is just so incredible and can’t thank her and her staff enough for always making my legs good again.

Gary BennettGoogle review
Google review

Dr. Malik was very kind and thorough. She looks out for your best interest and explained the process of the diagnostic and treatment plan. Her staff was very kind and made me feel comfortable with their evaluation.

Richard Lopez
Google review

I love love love Dr. Malik. She has taken very good care of me. She listens and answers all my questions and concerns. She is compassionate and caring.

Juana Reeves
Google review

Dr. Malik and her team are wonderful! Very friendly, easy to understand my questions and the process with my procedure. I never have to wait for the team to get back to me when I have called.

John Hawley
Your surgeon

Treated by Dr. Rema Malik

Dr. Rema Malik, MD, FACS, RPVI, is board certified in Vascular Surgery, General Surgery and Surgical Critical Care. She sees patients in English and Urdu. No referral is needed.

Treatment is often covered by insurance when it is medically necessary. Our team checks your plan before your visit.

Dr. Rema Malik, vascular surgeon in Houston
  • Sugarland ClinicMon to Fri, 8 AM to 5 PM
  • Houston ClinicThursday, 8 AM to 12 PM
  • Tomball ClinicWednesday, 8 AM to 5 PM
FAQ

Common questions

Short answers. For your own situation, talk to Dr. Malik.

What is a venous leg ulcer?

An open sore on the lower leg caused by poor blood flow in the leg veins. It is the most common type of leg ulcer.

How long does a venous leg ulcer take to heal?

Most heal within 6 months with treatment from a professional trained in compression therapy. Some take longer.

Why does it keep coming back?

Without treating the underlying cause, there is a high risk of a venous leg ulcer coming back after treatment.

Do antibiotics heal the ulcer?

No. Antibiotics treat infection, but they do not help the ulcer heal.

How can I stop it coming back?

Wear compression stockings, exercise regularly, raise the leg when you can, keep a healthy weight and stop smoking.

Do I need a referral?

No. You can book directly with Dr. Malik.

Sources

References

  1. National Health Service (UK). Venous leg ulcer. www.nhs.uk/conditions/leg-ulcer/
  2. National Heart, Lung, and Blood Institute (NIH). Varicose Veins. www.nhlbi.nih.gov/health/varicose-veins

This page is general education, not medical advice or a diagnosis. Unnumbered statements describe Dr. Malik’s usual practice. In an emergency, call 911. Last updated October 30, 2026.

Find out if your veins need treatment

Same-week appointments, no referral needed, three Houston-area clinics.

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