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Thread: Same butt wound for over a year, any advice???

  1. #1

    Same butt wound for over a year, any advice???

    In the hospital over a year ago (during the rehab for his injury), my husband (para t7-8 complete) got a tear right above his butthole. It's in the crack and will not heal. It'll get better, then he'll rip it back open. We've seen home health but they've discharged him due to no progress. I'm using silver foam everyday. I have to change the wound dressing usually twice a day because it's in such a bad spot. He's too active to stay off of it. He can't feel it at all (or he wouldn't be able to sit). I am at a loss. We do not have a wound care specialist in my town. Any advice (besides the obvious stay off of it... you try to tell him)?

  2. #2
    drink alot of protein. go 1 gram per pd of his body weight.
    Bike-on.com rep
    John@bike-on.com
    c4/5 inc funtioning c6. 28 yrs post.
    sponsored handcycle racer

  3. #3
    I've actually been checking out protein shakes... he's diabetic too though. thanks, we'll up the protein. We have done that in the past andit does seem to help.

  4. #4
    Senior Member lynnifer's Avatar
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    The coccyx area is the most difficult to heal because of the natural 'top 'o da crack' .. lol. I had success with surgical intervention and that was twenty years ago - still holding strong.

    Have you seen a plastic surgeon who's done a flap?

    Diet is so important. Do you have access to electrical stimulation?
    I think over again my small adventures,
    My fears,
    Those small ones that seemed so big,
    For all the vital things
    I had to get and to reach;
    And yet there is only one great thing,
    The only thing,
    To live to see the great day that dawns
    And the light that fills the world.

    Anonymous (Inuit, 19th century)


    T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

  5. #5
    Quote Originally Posted by ging1218
    I've actually been checking out protein shakes... he's diabetic too though. thanks, we'll up the protein. We have done that in the past andit does seem to help.
    try bsn syntha 6
    Bike-on.com rep
    John@bike-on.com
    c4/5 inc funtioning c6. 28 yrs post.
    sponsored handcycle racer

  6. #6
    Hi,

    A consultation with a plastic surgeon may be beneficial.
    I have seen silver help healing but foam is designed for draining wounds and if it is not draining alot, it should not require changing twice daily. Once every 1-2 days unless the dressing is heavily draining. (refer to product recommendations).

    AAD

  7. #7
    Senior Member lynnifer's Avatar
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    Another thing I thought of: Check his transfers. Just my opinion, but wounds like that in that area might be caused by a 'slack' transfer where he's scrapping the bummeroonie on the wheel or brake.
    I think over again my small adventures,
    My fears,
    Those small ones that seemed so big,
    For all the vital things
    I had to get and to reach;
    And yet there is only one great thing,
    The only thing,
    To live to see the great day that dawns
    And the light that fills the world.

    Anonymous (Inuit, 19th century)


    T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

  8. #8
    Thanks as always. We are upping the protein. He is certainly not careful enough when he transfers and he's not boosting as often as he should. but an AMAZING thing happened today... there is a wound care nurse in this town and I found her. there's just not a clinic and none of our dr. knew about her. She's at the hospital and we see her on Monday... I can't wait, I hope she's magic.

  9. #9

    Interesting ...

    Let me get this in perspective. What is more important to him: Being active? A pressure sore for over a year? Or his health over all?

    Being active with an open pressure sore? Is that a smart thing to do?

    Hmmm ...? Makes me think?

    Didn't Christpher Reeve die from a pressure sore that got infected that lead to his death? He was active too.

    What would a wound care specialist tell him? Stay off his butt till it heals?

    How much do you love your husband? Take his 'chair away from until it gets healed.

    That's only my opinion.


    titanium4motion

  10. #10
    Senior Member
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    connecticut
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    8,273
    Quote Originally Posted by ging1218
    Thanks as always. We are upping the protein. He is certainly not careful enough when he transfers and he's not boosting as often as he should. but an AMAZING thing happened today... there is a wound care nurse in this town and I found her. there's just not a clinic and none of our dr. knew about her. She's at the hospital and we see her on Monday... I can't wait, I hope she's magic.
    I really can't tell him to stay out of his chair until it heals, because I didn;t for the longest time. But if he isn"t staying off it he absolutely MUST be doing pressure reliefs very very frequently! He is really in denial here about what it will take to heal this. And be sure he is on a good cushion, Get it pressure mapped if you haven;t and if it is at all possible.

    I;m afraid that you will find that the wound care nurse IS magic, and her magic will be bedrest.

    (Mine finally did heal, when the plastic syrgeon I was sent to put his foot down. 2 months of bed rest, getting up only for the bathroom and doctors appointments. And I was lucky it was that quick.)

    Sorry to sound mean about it.
    T7-8 since Feb 2005

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