Stop the Swell: Preventing Leg Ulcers During Holiday Travels

Each year, more than 119 million Americans travel over Christmas and New Year’s to celebrate with family and enjoy the festivities. Very often, this involves long hours on the road or in the air, which can increase the risk of painful leg swelling and skin breakdown for people with vein disease, circulation problems, or a history of leg ulcers.

Sitting for extended periods reduces blood flow in the legs, leading to discomfort, heaviness, and even open wounds. At Vascular Surgery Associates, LLC, we help patients understand and manage these risks so they can travel safely and enjoy the season.

Why travel increases leg ulcer risk

Leg ulcers typically develop due to poor blood circulation, which occurs in individuals with chronic venous insufficiency (CVI), affecting around 25 million people in the United States.

This condition occurs when vein valves weaken, allowing blood to pool in the legs. The consequent pressure buildup damages skin and underlying tissues, leading to wounds that heal slowly or recur frequently.

During travel, sitting still for long stretches on a plane, train, or in a car worsens this problem. Gravity causes blood and fluid to pool in the lower legs, which develops swelling and discomfort. Combine that with dehydration, salty snacks, and tight clothing, and the result can be the perfect storm for leg swelling and ulcer formation.

Know your risk factors

You’re more likely to develop leg ulcers or swelling during travel if you have:

• A history of varicose veins and/or venous insufficiency
• Previous leg ulcers
• Skin discoloration near the ankles
• Blood clots (deep vein thrombosis or DVT) in the past
• Heart failure or other circulation problems
• Diabetes
• Peripheral arterial disease (PAD)
• A sedentary lifestyle
• Work long hours sitting or standing

Recognizing these risks early allows you to plan and protect your veins before problems arise.

Simple steps to prevent leg swelling and ulcers

Even if you have vein issues, you can still enjoy holiday travel with the proper precautions.The following evidence-based ways can protect your circulation and prevent complications:

1. Get moving frequently

Movement is the best way to keep blood flowing. On long flights or car rides, try to stand, stretch, or walk for a couple of minutes every hour of your travels. Flex your ankles, roll your feet, and move your calves while seated. These small motions act like natural pumps for your veins.

2. Wear compression stockings

Compression stockings gently squeeze your legs, improving circulation and reducing swelling. They’re beneficial for varicose veins, previous ulcers, or the risk of clots. Choose medical-grade stockings fitted by a specialist for maximum comfort and effectiveness.

3. Stay hydrated and limit salt

Dehydration thickens your blood, creating sluggish circulation. Drink plenty of water before and during your trip. Avoid consuming salt and alcohol, which can cause fluid retention and swelling.

4. Elevate your legs when possible

If you’re resting at your destination, elevate your legs above heart level for 15–20 minutes at a time. This step helps fluid drain back toward the heart, relieving pressure in your veins.

5. Choose comfortable clothing

Tight waistbands or restrictive pants can compress blood vessels and worsen circulation. Opt for loose, breathable clothing during travel.

6. Moisturize your skin daily

Dry, fragile skin can crack or develop ulcers. Apply a gentle moisturizer on legs and feet daily, especially in winter when indoor heat dries the air.

7. Do not ignore warning signs

Pain, warmth, redness, or sudden swelling could indicate a blood clot or infection. Seek medical help immediately if you notice these symptoms.

When to see a vascular specialist

If you already have chronic swelling, skin discoloration, or a history of leg ulcers, it’s best to consult a vascular specialist before your trip.

At Vascular Surgery Associates, LLC, we can evaluate your circulation using advanced diagnostic tools such as a venous Doppler scan. We may recommend preventive strategies, prescribe compression therapy, or perform minimally invasive procedures to improve blood flow before you travel. Options include:

• Varithena®  Microfoam vein treatment
• VenaSeal™ Closure System
• Sclerotherapy to treat smaller varicose veins
• ClosureFast™ radiofrequency ablation

These treatments reduce pressure in the veins and help prevent recurring ulcers or swelling.

We’re dedicated to helping you protect your circulation and maintain strong, healthy legs through every season. Visit us if you experience ongoing swelling, skin changes, or signs of ulcer formation before your next trip.

Call Vascular Surgery Associates, LLC, or complete the online form to schedule a consultation today. Healthy legs make for happy travels, and with some planning, you can stop the swell before it starts.