What are the treatment options for stasis dermatitis?

Stasis dermatitis develops when fluid and blood collect in the lower legs because veins are not returning blood efficiently. Swelling can stretch the skin, while dryness and inflammation may cause itching, scaling, oozing, or colour changes. A plan therefore aims to support venous return as well as settle the skin reaction.

Regular emollient use helps protect the dry skin barrier. A clinician may prescribe topical corticosteroids for a limited period when inflammation is active; the strength and application schedule should match the affected area and skin condition. Compression may reduce swelling, but it needs assessment first if there are circulation problems or an open ulcer.

Keep the lower legs moisturised with a fragrance-free emollient, avoid scratching, and elevate the legs when resting if a clinician has advised this. Gentle walking and avoiding long periods of standing may support circulation. Do not place compression over an untreated wound or choose a garment without checking the correct fit and pressure.

If enlarged or leaking veins contribute to the problem, a vascular assessment can identify options such as sclerotherapy. This treatment is used to close selected veins so blood can be redirected through healthier vessels; it is not a substitute for daily skin care. [Sclerotherapy](/treatments/injectables/sclerotherapy/) and [Topical Corticosteroids](/treatments/medical-dermatology/topical-corticosteroids/) provide more detail about these approaches.

Arrange medical review if the rash is spreading, repeatedly weeping, painful, or not settling with the advised routine. Seek prompt care for rapidly increasing one-sided swelling, warmth, severe tenderness, fever, or a new ulcer, because infection or a clot needs assessment rather than self-treatment.

Ask whether compression is suitable for your circulation, which emollient and steroid schedule fits your skin, whether an ulcer needs a dressing plan, and whether a vein assessment could address recurring swelling.