Page 1 of 2 12 LastLast
Results 1 to 10 of 13

Thread: Help

  1. #1
    Senior Member Riaan's Avatar
    Join Date
    Jul 2007
    Location
    Alberton South Africa
    Posts
    390

    Help

    Have this sore on my leg its just below my knee on right hand side where my leg is touching my chair.Have had a red mark there for months but this morning after showering the skin broke.Should i bandage it or put any cream on it and how will i be able to keep pressure off, as my legs flap open and lie against my chair frame. I have folded a towel in 4 and pushed it in between my leg and the chair to try and take off some pressure
    Last edited by SCI-Nurse; 10-23-2010 at 01:06 PM. Reason: Resize huge photo

  2. #2
    Senior Member TomRL's Avatar
    Join Date
    Mar 2007
    Location
    NE Ohio
    Posts
    1,094
    Blog Entries
    1
    For the short term, see where you can put some type of pad to prevent you leg from making contact at all. Over the longer term, contact your supplier to see what they might suggest for proper leg positioning. Your cushion doesn't happen to be over inflated does it? Meanwhile I'll scout around for threads on treating sores.
    Tom

    "Blessed are the pessimists, for they hath made backups." Exasperated 20:12

  3. #3
    Senior Member Riaan's Avatar
    Join Date
    Jul 2007
    Location
    Alberton South Africa
    Posts
    390
    No the cushion is a semi chel ,dont know if i should put cream on it

  4. #4
    Senior Member
    Join Date
    Nov 2008
    Location
    Minneapolis, MN
    Posts
    175
    My legs flop open when I sit. I use a bungee cord to keep them together.

  5. #5
    Senior Member TomRL's Avatar
    Join Date
    Mar 2007
    Location
    NE Ohio
    Posts
    1,094
    Blog Entries
    1
    I know they make devices that bolt onto a chair and hold a padded surface against the knee for leg positioning.

    Also, the PVA has a booklet dealing with sores. http://www.pva.org/site/News2?page=NewsArticle&id=8097
    Tom

    "Blessed are the pessimists, for they hath made backups." Exasperated 20:12

  6. #6
    We found out - the hard way - that a folded towel can cause a pressure sore. It's not near soft enough.

    My wife has a similar problem. I cut a length of foam pipe insulation and put it around the section of chair frame that her leg pushes against (it's held on with black duct tape, so it doesn't look too weird). It's still firmer than I would like, but it seems to be adequate. A balloon of some sort would probably be better, but I haven't yet figured out how to do that.

    If using a cord or something to hold the legs together, you must still beware of a sore developing where that continually pushes on the skin. A wide strap of cloth might do for that, but I'd worry about something as small in diameter as a cord.

    - Richard

  7. #7
    Can you have a nurse that is familiar with pressure and other types of sores take a look at it?
    I'd hate to let it get out of control.
    We were dealing with a rash and small crack all summer and finally were able to get someone to look at it.

  8. #8
    Senior Member Riaan's Avatar
    Join Date
    Jul 2007
    Location
    Alberton South Africa
    Posts
    390
    Yes maybe on monday,im just worried,dont know if will form like a bedsore on sacrum normaly forms? or will the skin repair when there is not so much pressure.Will have a look for foam on monday.Using a bungee to keep your legs together,does it not cut into your legs and also cause pressure on another place?

  9. #9
    First of all, you need to schedule a seating re-evaluation and get your chair and/or cushion modified to prevent the external rotation of your hips that is causing your leg to press against the down post.

    For now, get some 1" thick foam rubber and wrap the down post with this and tape in place. It should be a wide piece so that it does not focus pressure against your leg in just one spot (even padded). Be sure that the sore area is not touching anything...even the foam. This also needs to be done when you are in bed. Don't allow your leg to externally rotate and get pressure on the mattress. Check your shower/commode chairs as well. I have seen sores in that location go quickly to the bone, so you have to take action now.

    As far as wound treatment. If you can get some triple antibiotic ointment (not cream), apply this twice daily after gently cleaning with a gauze pad and normal saline solution. Cover with a non-adherent dressing such as petroleum gauze or Xeroform, then with a dry gauze. If it gets worse, you need to see a wound care specialist nurse or physician.

    Up your protein intake, and be sure you are taking a multivitamin.

    (KLD)

  10. #10
    Senior Member Riaan's Avatar
    Join Date
    Jul 2007
    Location
    Alberton South Africa
    Posts
    390
    Thank you for all the advise

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •