instruction: hi doctor I have dealt with leg swelling fairly constant for the last 10 years the bottom of my legs including my ankles and feet are swollen every day they have turned very dark the discoloration was happening for about the last five years and has gotten worse over time basically it will not respond to any type of moisture so that the area is always dry I am overweight but not diabetic the only medication that I am taking currently is coumadin because I recently had a blood clot in my right leg however it is my left lower leg that has the most swelling and discoloration how can I heal the skin that is damaged due to poor circulation
output: hi I have read your concern overweight prolonged standing color doppler for venous insufficiency stasis dermatitis lichen simplex chronicus stasis dermatitis keep the area clean with soaking in solution of potassium permanganate in 10 dilution apply good quality moisturizer twice daily and apply propysalic of combination of clobetasol propionate and salicylic acid lotion once daily for two weeks consult your doctor discuss with him or her and take the medicine with consent put a pillow underneath your feet while sleeping avoid prolonged standing and try to reduce your weight revert back after a month to a dermatologist online