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)?