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Thread: Heel ulcer pressure wound ~ again! DermaWound?

  1. #1
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    Heel ulcer pressure wound ~ again! DermaWound?

    We are trying, once again, to get a pressure sore heeled. It is on Danny's right "rear" heel, where the back of his tennis shoe hits. We struggled with this same situation from 11/12 through mid-2013 and finally got it completely healed, with lots of podiatrist visits (the podiatrist we were seeing really needs to retire!) and trips to wound care (where 5 students would stand around with gloves on and one nurse did all of the work, with above podiatrist popping in to mumble a few words and then off we would go). So, when Danny was in the hospital over Thanksgiving he had a completely HEALED, just a dry, scab mark on this area which we were watching and keeping moist, etc. For some reason, someone in the hospital decided to debride this area and now we are back to a gaping, moist, not smelling (yet) wound about the size of a half-dollar! He saw another podiatrist last week who said to keep putting gauze with some type of ointment (didn't give him anything new) on it and he is to go back next week.

    Has anyone used DermaWound? We heard of this previously, but until now didn't need to research it. We must get something soon as we are almost out of what we got last year, AmeriGel Wound Dressing. If DermaWound is the best route, there is no retail store that we can find to buy this stuff!

    As always, any information is most appreciated! God Bless!

  2. #2
    Have not had any experience with it. It is difficult to say what may work without seeing the wound. Anyway you can post a picture? CKF

  3. #3
    Senior Member lynnifer's Avatar
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    Stay away from Dermawound - it's an old ancient thing they used to use. It's sugar with betadine in it.

    Get a second opinion .. podiatrists have no clue about paralysis and complications.

  4. #4
    Some podiatrists do have experience with paralysis. The main issue to me is that the sore was probably never healed to begin with. If the "scab" coming off opened it up, it was not healed.
    Is there a wound care specialist or wound clinic that you can see?
    CKF

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    He is going to the podiatrist again on 01/16/14. This time I will be able to go with him, so I will push for something. The last time we went to wound care it was a joke. Hopefully if that is what we need to do there is a different site we can go to. The picture ~ in my opinion ~ looks worse than it actually is. When he saw the podiatrist on 01/02/14 she said it wasn't deep or infected and was healing. It looks awful to me though.

  6. #6
    It certainly needs to be cleaned out. In the meantime, try to keep it clean, and covered. Also, keep the pressure off of it. Let us know what happens. CKF

  7. #7
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    Just got back from podiatrist. She is sending him to the wound care center again (sigh). We are now trying to find a "boot" that will KEEP the pressure off of the back of his heel. She said it looks deeper but not infected and that it is time for her to pass care to wound care center. I will at least give her that. Now I'm on a quest to find a boot that is better than this one we have which keeps the pressure off of the HEEL, but not the BACK of the heel. She gave us a plantar fasciitis boot to try and modify to work, so we will see. I am thinking about ordering those "egg-crate" ones, not sure yet. She took a culture just to make sure it is not infected and held off on prescribing Augmentin because the last time he took that (a month ago for UTI) we ended up with the condom catheter not staying on partially due to the skin issue caused by the antibiotic. I asked her about AmeriGel and she said that was fine, but offered no opinion on DermaWound or any other ointment type treatment. I am sure hoping 2014 turns around here pretty soon because I had really high hopes it would be a good year!

    As always, thanks for any advice!

  8. #8
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    Any opinion on the heelift boot? www.heelift.com

  9. #9
    It is a decent boot. We have used those as well as the Sage Prevalon boot for heel off-loading. (KLD)

  10. #10
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    Thanks for the info. I can't tell whether or not the Sage Prevalon boot has enough "hole" in the back heel area to work for this situation. I'm not even sure that the heelift boot will work without some modification. Then there is the price ~ any idea if private insurance will cover either of these?

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