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Thread: Pressure sore.

  1. #1

    Pressure sore.

    I?m a c6/7 quad.bout 34 using a roho for years..had a couple surgeries for sores on both issues in past,both surgeries healed well. For about 6 mos now I?ve been having an issue with a sore back under goes back and about .4 mm long w x .2mm wide x .7 mm deep..
    been cleaning with vashe followed by lil isodorb and covering with alleyven 4 x 4 pad..
    it doesn?t seem to get worse but not always been clean and no signs of infection.
    i have limited my time up, 7-8 hrs day,weekends in bed..before that bout 12 hrs a day.
    its frustrating not knowing what?s causing it,,from pressure or shearing. I?ve never had an issue in this area.
    i have had pressure mapping done,it shows very lil pressure in that area,,pressure mainly under both Ishials. My bottom slides over to the right during the day so I try and lift up some to get back in position,,so that could cause some shear. It appears like the pelvic bone may be pressing on this area...not sure.
    i do have wound care keep an eye on it..
    so,has anyone ever had an issue in this area,if so what did you do for it.

  2. #2
    Have your wound care specialists ruled out fungal infection? If not, you could try using an anti-fungal ointment or power.

  3. #3
    ^^what he said^^ and stay off of it completely until healed.
    From the time you were born till you ride in a hearse, there is nothing so bad that it couldn't be worse!

    All fringe benifits must be authorized by Helen Waite, if you want your SCI fixed go to Helen Waite!

    Why be politically correct when you can be right!

  4. #4
    Do you have significant buttocks muscle atrophy? Did you have removal of any ischial bone when you had your previous flaps? Skin breakdown in the perineum (the area between the scrotum and the anus) can be caused by insufficient muscle mass and/or removal of ischial bone (ischiectomy), a treatment formerly common during ischial pressure ulcer surgeries.

    Can you be scrapping this area during transfers? Shear can cause skin breakdown in addition to pressure.

    I agree that you need to stay off this area completely to allow it to heal. That means no sitting at bed, wheelchair, shower chair/commode, etc. The old adage "You can put anything on a pressure ulcer and it will heal, as long as what you put on it is not the patient" still rings true.

    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  5. #5
    Thanks to all for your input.
    to the RN, yes I did have a flap surgery,on both sides..last one on left side was a flap surgery about 5 yrs.ago..they did remove a very small amount of bone from left ishial,, so do you think that could cause the sore in perineal area? I haven’t had a problem in that area for 4 yrs. I do have very little muscle mass,esp.under ischials..very boneyards. on buttocks too.
    i use a ceiling transfer lift for transfers so no shear though.
    Although,I think I get some shearing from wheelchair bottom slides over to the right and I try to lift up and slide my butt back over,so I’m sure some shear though.
    I use a roho hi profile.
    i saw the Dr. yesterday,it is .2 mm x .2 mm x .7 mm not real’s very clean..she gave me some Blast x to try,it a gel.
    they have been using it for 6 mos with good results.
    Thanks again,
    dan C.

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