Possible treatment options for stasis dermatitis include the use of compression stockings, varicose vein stripping, topical steroid medications, oral antibiotics and wet dressings, according to the MedlinePlus website. Patients can also raise the feet while sitting and avoid long periods of standing or sitting.
Pressure wraps and stockings help to push fluid from the soft tissue and are especially useful if surgery cannot be performed to solve the underlying venous issue, as stated by the NationalEczema.org. A doctor may prescribe topical corticosteroids to relieve itching and swelling. Noncorticosteroid topical medications such as topical calcineurin inhibitor may be useful when corticosteroids have already been used for an extended period, and they tend to have fewer side effects. Patients should consult a doctor before using any topical treatment for stasis dermatitis as certain products aggravate the condition. Medications to avoid include lanolin, drying lotions, topical antibiotics and numbing products such as benzocaine.
Varicose vein stripping is a surgical procedure in which the superficial saphenous vein is tied off or removed, and it is generally safe, as stated by the MedlinePlus website. It may be performed under general or spinal anaesthesia. Most patients experience reduced pain and an improved appearance of the affected areas, and wrapping bandages may be removed within several days to several weeks of the procedure.