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Thread: Need help with new cushion and new skin issue

  1. #11
    Senior Member forestranger52's Avatar
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    I use an anti-fungal spray also. You will notice a smell if you have skin breakdown.

    I had a terrible problem getting clean between my legs and genitals without finger function. I bought a soft bottle brush and tied a 2 foot loop of paracord through the handle. I wrap it around both wrists and spin the brush in the middle until tight. This gives me good control of the brush and I carefully wash between my legs. I rince with the brush also. No problems or smell since spray and bottle brush.
    C 5/6 Comp.
    No Tri's or hand function.

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  2. #12
    Quote Originally Posted by -scott- View Post
    No cotton. Cotton retains moisture.

    Use a polypropylene type material that'll wick moisture away... under armour, dri fit, etc.
    All the ladies in the tropics were told to wear cotton underwear to prevent fungus, so I always thought it was good for that.

    Cotton does not slide well though, so like you I wear the Under Armour, etc. The tight fit of the bicycle shorts keeps my buttocks from "flattening out" so much since I have no muscles to tighten.

  3. #13
    Quote Originally Posted by forestranger52 View Post
    I use an anti-fungal spray also. You will notice a smell if you have skin breakdown.

    I had a terrible problem getting clean between my legs and genitals without finger function. I bought a soft bottle brush and tied a 2 foot loop of paracord through the handle. I wrap it around both wrists and spin the brush in the middle until tight. This gives me good control of the brush and I carefully wash between my legs. I rince with the brush also. No problems or smell since spray and bottle brush.
    What great ideas one can get from this site.

  4. #14
    Senior Member
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    St. Louis, Missouri
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    Quote Originally Posted by AntyUp View Post
    Hello all,

    I'm having skin issues on and around my genitals and I cannot figure out why. I spoke with my doctor and he is clueless. They are not in an area where pressure wounds normally show up. I have a Roho Quotro cushion and a tilt/recline Pride power wheelchair. No matter how many weight shifts I preform throughout the day, my skin opens up on either side of my genitals. I'm a C5-C6 quad injured 12 years ago. This started around one year ago. I was using a regular Roho when they started and I noticed a dead spot in the cushion to wards the back. When I switched to the Quotro, it seemed to help for a little while, but they came back within a few weeks. I want to switch cushions, but I'm not sure if there is anything better than the Roho. There is one cushion I want, but it is $3000! I cannot afford that.

    Does anyone have any recommendation? I have a pressure mapping appointment scheduled in the next week and hopefully that will give me answers, but I'm doubtful.

    Any help would be greatly appreciated.

    Thanks,
    Cliff
    Cliff, I work for ROHO and I forwarded your "need help" message to the head of our Education Department, who is our lead clinical resource and lead educator. He is a physical therapist with many years of practice experience, and is also a certified wound specialist.

    Here is his reply upon reading your thread:

    [I]My initial thought is there is another extrinsic risk not being managed.

    I would also suspect increased moisture or a fungal/yeast infection. So many times individuals see redness and they automatically assume it is pressure when there may be a dermatological skin issue at cause in a weight bearing area.

    I think most of the posts are dead on in regards to a possible approach to a solution. In my mind, if the pressure imaging does NOT show increased pressure in the area, then looking elsewhere to find out why the redness is appearing is paramount. I would start with questions regarding any fecal or urinary incontinence. Then wonder about increased perspiration, and finally consider seeing a dermatologist for finding out the exact cause. The only thing I would recommend different is a lot of the self treatment recommendations . . . there are differences in treatment if it is fungal versus yeast and this can be easily determined with some testing by a trained healthcare practitioner.

    Another thought would be are they using a hoyer lift sling and keeping that under him after they transfer him - reducing the effectiveness of the cushion OR are they taking it out from under him after he is sitting and then causing some shear or friction forces? Or are they using the new type of hoyer slings that sometime cause a lot of SKIN tension around the buttock/ groin area even though there is no direct contact of the skin? If none of the hoyer lift or other potential causes seem to be relevant in his case, would look at the pressure image of him sitting.

    Good luck!

    Tom

  5. #15
    I agree with most comments... Heat and moisture can reek havoc on the skin. Using baby powder, gold bond, etc, can help but you are postured and in a position where there is no air allowed to circulate in that area. This could be for a variety of reasons... maybe you need to raise your footrest a bit and create a little lift under the thighs, or maybe lower it a bit, maybe you have too much air in the cushion, or not enough. These are things to go over during the mapping process.
    I am user and believer in RoHo products, but as we all know, certain products may not work for some people. Be sure to take notice of your 'junk'. Sometimes, Big Jim and the Twins can get caught up in the underwear / boxer brief. I am constantly re-adjusting, 'shifting gears', if I don't I will get light spasms, light sweat or the feeling that I need to let my legs free for some triggered spasms and completely reposition the situation.
    Good luck with it, pressure mapping will hopefully give you some insight.
    SCI Boot Camp

  6. #16
    I'd suggest a J2 cushion (gel). its great for releasing pressure and there is no maintenance like a roho air cushion. The only downside is that its kind of hard to sit completely upright on a gel cushion (at least in my experience)

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