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Thread: Sleep Positions to Fix Sore?

  1. #1

    Sleep Positions to Fix Sore?

    I've been sleeping on my back all night long for almost 8 years now and had no trouble whatsoever. Recently my skin broke down in the fold right where my butt cheek meets my thigh. Not really a pressure sore but an open wound nonetheless. I've always kept my legs elevated on pillows at night anyway but I started raising them extra high and even using a wedge to try and give the skin a break by eliminating that fold of skin. Just couldn't get it to go away.Then I tried sleeping on my side for a while. Unfortunately staying all night on one side started to give me a sore on my hip. Now I know I cannot sleep on my side for eight hours anymore. That leaves me with my right side to work with and my back. At least until the underlying sore on my left side goes away. So I can do half the night on my right side and half the night on my back. Question is, what can I do while on my back to eliminate that fold? I raised the foot of my bed all the way along with a wedge. This is actually what I did for the first couple of weeks that I had this sore. Made no progress. As soon as I switch to my side I started to make gains. I'm not fat but I think the meat of my thigh still sags down to my butt cheek even though my legs are lifted. Any ideas?

  2. #2
    I'm surprised that a leg wedge doesn't help take the pressure off that area when you are in bed. Here are a bunch of images of leg wedges, maybe one would work better for you than others.
    http://www.google.com/search?q=leg+b...w=1366&bih=722

    I'm wondering how you keep pressure off that area when you are up in your chair during the day. If you have pressure there from sitting during the day, healing is going to be slow going too.

    All the best,
    GJ

  3. #3
    Vetericyn vf ;] search for it on cc
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  4. #4
    Are you certain the sore at the fold is a pressure sore and not a fungal infection?
    You will find a guide to preserving shoulder function @
    http://www.rstce.pitt.edu/RSTCE_Reso...imb_Injury.pdf

    See my personal webpage @
    http://cccforum55.freehostia.com/

  5. #5
    Senior Member lynnifer's Avatar
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    Time to change up your mattress. I find an alternating air overlay to be extremely comfortable .. but I know the nurses here don't advocate the overlays.
    Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

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

  6. #6
    Quote Originally Posted by lynnifer View Post
    Time to change up your mattress. I find an alternating air overlay to be extremely comfortable .. but I know the nurses here don't advocate the overlays.
    I second this except for the extremely comfortable.

    I have been using an alternating overlay and lying on my back for almost 10 years without problems, using an electric bed with head and legs elevated. I hope to continue like this for a long time. Don't know if you can hire one out or trial for a while to see if it helps with your sore.

  7. #7
    Senior Member lynnifer's Avatar
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    If not, they are very cheap on ebay .. often I see an overlay with the pump for less than $100. I put the pump on a scarf and shoved it underneath my bed - I don't hear a thing (the scarf because my floor is laminate wood and it would have vibrated a sound). It's a difficult transfer at first, but one you'll get used to. The benefits outweigh the risks here (and I only fell once while transferring earlier this year for the first time).

    Needs change as we age with paralysis. Something they probably still don't teach in rehab!
    Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

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

  8. #8
    im thinking, raising your legs higher is actually putting more pressure on that spot. or if not more, its not taking away pressure..your still lying on that spot, your not getting that spot off the mattress....and if you got one on your side now, yea id look at a new mattress...
    - Rolling Thru Life -

  9. #9
    GJ is right in that sitting will not help that area heal. Also, have you had it checked out by a doctor or wound care specialist? They may be able to give you better advice since they can see it.
    You have the general tenets of wound healing down, but it seems as though you aren't making a lot of progress. It might be time to have it checked out.
    CKF

  10. #10
    can you sleep on your stomach?

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