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Thread: Coccygeal skin split

  1. #1
    Senior Member stephen212's Avatar
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    Coccygeal skin split

    Back when I was first hospitalized 25 years ago post SCI, I developed a skin sore in my coccygeal area, just above the gluteal split (top of my butt crack). It healed with a callus that in the following years I would sometimes attempt to peel off, sometimes successfully, sometimes not. Then it seemed for years that the callus miraculously disappeared and the skin became smooth again.

    Anyway, the callus has returned (doing no harm on its own) and in a fitful night's sleep recently, I tried to gently peel it off -- unsuccessfully. Now I have a split in the skin that's ~3/8" long and not healing well by itself. Yes, I could spend a day or 2 or more lying in bed waiting for it to close, but I've been hoping it would get better by drying out by applying iodine. So far that hasn't worked.

    It's been years since I used products like Duoderm, so long in fact that I can't even remember if it did the trick when I used it. Short of being confined to bed and off my butt, is there any product that I can apply to the area that will allow me to go about my day while healing this not-so-deep-or-so-horrible skin split?

    Thanks.

  2. #2
    Have you tried Miracle Mist?
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  3. #3
    I had one in the same place and it took a year to heal. It has returned as a superficial (sp) and I am being treated with duoderm. It gets changed every 3 days.

    Good luck!

    Mike

  4. #4
    Senior Member stephen212's Avatar
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    Quote Originally Posted by Liz321 View Post
    Have you tried Miracle Mist?
    Thanks, Liz. I'm not familiar with MM but will investigate.

    Back in the day, the nurse who treated my first occurrence of this applied Maalox and then positioned a blow dryer set to cool to dry it. Back then (before the introduction of Duoderm and similar products were available) the thinking was dry healing was preferable to moist healing. I don't know what the current school of thinking is. The sore closed in a matter of days.
    Last edited by stephen212; 01-26-2009 at 12:32 PM.

  5. #5
    i apply lantiseptic cream there to keep the skin moist and plyable.
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  6. #6
    Moderator jody's Avatar
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    I have the same prob, but not the split skin, it has happened since I lost a lot of weight. I am not in a chair, but have been much less mobile these last few months. is it where the seem of your jeans hit?

  7. #7
    Moderator jody's Avatar
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    miracle mist? nothing googles. what is it?

  8. #8
    Senior Member stephen212's Avatar
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    Quote Originally Posted by jody View Post
    miracle mist? nothing googles. what is it?
    It's called Miracle Mist Plus

    http://www.livewellmedical.com/index...oducts_id=1534

    http://www.healthylifeandtimes.com/M...PlusSpray.html

    Yeah, the split is "center seam."

  9. #9
    Quote Originally Posted by stephen212 View Post
    Back in the day, the nurse who treated my first occurrence of this applied Maalox and then positioned a blow dryer set to cool to dry it. Then, before the introduction of Duoderm and similar products were available, the thinking was dry healing was preferable to moist healing. I don't know what the current school of thinking is. The sore closed in a matter of days.
    Maalox, as in what you take for an upset stomach, Maalox? I've never heard of using it for wound care before.

    If the wound isn't draining, it sounds like you could benefit from using Duoderm on the split. I've had great success using it on several spots that opened up, and they all healed without me needing to stay off those area during the healing process. The key, though, is that it needs to be the Duoderm Extra Thins. Change the dressing no more frequently than every three days or you could end up taking healthy skin off with it.

    This works very well for me. Of course, YMMV.

    --THC

  10. #10
    Hi,

    I agree that Duoderm seems to be a good product for this. And yes the extrathin is usually preferred as it is reported to have "less bunching up" especially if you are sitting in your chair. RE sitting, It will heal faster if you do not sit up and keep pressure totally off the area. If it is superficial, it shouldnt take long.

    I have no direct experience with the mist but it sounds to be more of an antiseptic from the site.


    Current wound healing suggests better healing in a clean moist environment and not in a dry environment. Also, betadine is not recommended as it is noted to be toxic to good healthy tissue.

    It would be wise for you to read a current article on current wound care principles.
    HEre is one but if there are many on the internet by doing a search.
    http://www.nlm.nih.gov/medlineplus/pressuresores.html

    AAD

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