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Thread: Advice on my pressure sore Please!

  1. #1

    Advice on my pressure sore Please!

    I'm 2.5 years post and now that I've broken my leg, I have my second pressure sore. I have a little one, about the size of a dime, Stage 2 on my ankle from propping up my foot. It is healing nicely and I've figured out how to pad it properly so that it won't give me problems in the future.

    Now, because of my pelvic obliquity and my leg stuck out in front of me, I found a HUGE stage 2 sore along my thigh and hip. I think the swoop in my spine had me pressed up against the clothing guard. I am religious about pressure relief so I don't know how I still got this.

    Nonetheless, I have a line all the way up from my mid-thigh onto my butt (about 18" long). It's about an inch, inch and a half wide and it has tons of blisters on it.

    Other than staying off if it, what should I do? Should I see my PCP tomorrow? Is all the damage done or will it get worse over the next couple days as necrosis becomes evident.

    I'm scared. I've never had pressure sores before these 2.
    My blog: Living Life at Butt Level

    Ignite Phoenix #9 - Wheelchairs and Wisdom: Living Life at Butt Level

    "I will not die an unlived life. I will not live in fear of falling or catching fire. I choose to inhabit my days, to allow my living to open me, to make me less afraid, more accessible, to loosen my heart until it becomes a wing, a torch, a promise. I choose to risk my significance; to live so that which comes to me as seed goes to the next as blossom and that which comes to me as blossom, goes on as fruit."

    Dawna Markova Author of Open Mind.

  2. #2
    Senior Member lynnifer's Avatar
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    Jesus H Christ .. I'm so sorry to hear.

    What do you have in your bed ... any pressure relieving mattress like an overlay or anything? Your mobility is going to be impaired while you heal the other side and you don't want problems there to 'pop' up. Search for an Ehob on Ebay .. you'll find one cheap hopefully.

    Get in bed. Get off it, but don't cover with heavy sheets - in fact try to go sheetless and pantless, not kidding! ... don't touch the blisters. Perhaps they'll go down, harden and flake off, with luck. Get to the doctor as soon as you can, please. See someone about a better setup with a temp different chair. Ankle sores are also the hardest to heal, in my limited experience. Same leg ... Jesus ... be really careful please. Didn't you just get over a septic-like infection from a bladder infection? I'm worried for you! Even the guy I live with is after I told him about you!

    Take care Jen, really. I'll be thinking/worried about you in the meantime.

    *sigh* FTW: Almost 22yrs and still no better ways to manage bladder/bowels/sores ... thanks for nothing all previous donations!!!! Sorry, just sounding off my frustrations.

    ETA: I forgot to mention, when you're in bed .. prop that leg up on pillows higher than your heart and support the knee too .. can you do that with your leg broken?

    ETA Again: Necrosis only occurs in infection infested tissue. The blisters are protecting you from infection ... that's why you don't disturb them ... hopefully a nurse gets back to you pronto and corrects anything I might have wrong.
    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

  3. #3
    Senior Member reedyd's Avatar
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    Quote Originally Posted by JenJen
    I'm 2.5 years post and now that I've broken my leg, I have my second pressure sore. I have a little one, about the size of a dime, Stage 2 on my ankle from propping up my foot. It is healing nicely and I've figured out how to pad it properly so that it won't give me problems in the future.

    Now, because of my pelvic obliquity and my leg stuck out in front of me, I found a HUGE stage 2 sore along my thigh and hip. I think the swoop in my spine had me pressed up against the clothing guard. I am religious about pressure relief so I don't know how I still got this.

    Nonetheless, I have a line all the way up from my mid-thigh onto my butt (about 18" long). It's about an inch, inch and a half wide and it has tons of blisters on it.

    Other than staying off if it, what should I do? Should I see my PCP tomorrow? Is all the damage done or will it get worse over the next couple days as necrosis becomes evident.

    I'm scared. I've never had pressure sores before these 2.
    Hello Jen
    Do you have home health? I hope so. Maybe they can come and see you to check it. keep the pressure off.

    Take care of yourself

  4. #4
    So far Jen- you have gotten good advice from everyone. Number one on the blisters - DO NOT pop them!!! If you are lucky, they will absorb and go away. Stay off the area and make sure that you turn every two hours or whatever your turning tolerance is. An overlay would also help. As would home health to keep an eye on the areas. You should also see your PCP AS SOON AS POSSIBLE!! Last but not least, try to keep everything off of it. If a blister pops and it can happen, cover it with a blister bandaid. You can get them at your local drugstore. Make sure that you drink plenty of fluids and eat a higher protein diet. And before you get back in your chair, make an appointment to have a wheelchair eval. There are things that can be done to help your positioning.

    Keep your foot elevated and all pressure off the area. Make sure your doc checks that out, too. You didn't describe what it looks like other than it is a Stage 2. I am hesitant to give advice on what to do since I don't have a dexcription. In the meantime, use duoderm or tegaderm and that should help protect it and if there isnn't any necrotic tissue or slough, should help it to heal.

    You are smart to ask for advice and to try to prevent the areas from getting worse. Good luck- let us know how you are doing.
    CKF

  5. #5

    Pressure sore help

    Hi, first time post for me.
    I am healing a broken femur (15 weeks in a bent position) as a result I ended up with a large pressure sore along my tailbone.
    I bought a Geo-MattressĀ® HC from JC Penney for $62. on sale and free ship. http://www5.jcpenney.com/jcp/ProductsHOM.aspx?
    This same mattress overlay was $106 at local health care store. Here is the Geo-mattress web page to read about...worked great for me. Really helped take the pressure off my boney areas.
    http://www.span-america.com/geomattress_hc.php

    Then I ordered Miracle Mist Plus from www.healthylifeandtimes.com
    I read about this in an article from New Mobility Magazine and figured it was worth the try..cost about $12 and well worth the price for me. After a few days I could really see an improvement it took a month to heal completely. I used it 3-4 times a day and followed the direction NOT to combine with any other topical products esp. saline solution. Covered with a non stick pad while up, so it did not stick to my clothes. For me it was a great help. And like everyone says "stay off it as much as possible."
    Hope this helps....it worked for me.
    Last edited by Helga; 03-26-2007 at 01:41 AM.
    Helga

  6. #6
    Hi,

    Some people have found improvement iwth the herbal Miracle Mist Plus, but I would first discuss this with your wound care specialist or PCP.
    As stated above, no sitting up for now, keeping pressure off while in bed, good nutrition with protein are the best measures.

    AAD

  7. #7
    Senior Member lynnifer's Avatar
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    Ehob Mattress overlay for $25 (an excellent investment):

    http://cgi.ebay.com/EHOB-Waffle-Matt...QQcmdZViewItem

    Makes transfers in/out of bed a bit difficult ... but better than potential for pressure sores. Hope things look better 24hrs later ...
    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
    Thanks for all your comments. I went to my PCP today. He told me it's not a pressure ulcer but a burn. I have had no contact with any heat source to burn me. His DX is based on the blisters He says pressure ulcers don't blister. He prescribed silvadine creme and light covering.

    So, I need to better educate my doc.

    Parts of the sore are healing nicely but there is the main part about 9" X1.5" that's covered in blisters and now the edges are starting to raise up and crust.

    I am staying off of it. Laying in bed on my other flank is painful because of the torque my leg creates and my swoop in my chair is awful. my left hip pracitically rubs the tire and my right shoulder is rubbing the clip on my seat back. Ugh! I'm getting a seating eval hopefully this week.


    I'm eating a high-protein, low-fat diet. No caffeine or alcohol and I'm staying hydrated.

    Any other suggestions?
    My blog: Living Life at Butt Level

    Ignite Phoenix #9 - Wheelchairs and Wisdom: Living Life at Butt Level

    "I will not die an unlived life. I will not live in fear of falling or catching fire. I choose to inhabit my days, to allow my living to open me, to make me less afraid, more accessible, to loosen my heart until it becomes a wing, a torch, a promise. I choose to risk my significance; to live so that which comes to me as seed goes to the next as blossom and that which comes to me as blossom, goes on as fruit."

    Dawna Markova Author of Open Mind.

  9. #9
    Senior Member ChesBay's Avatar
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    From this months issue of "New Mobility" an article w /some interesting approaches to skin care and overall SCI health :

    "Skin: First Line of Defense
    Those of us prone to pressure sores usually attack the problem too late, after skin has broken down. Our experts -- primary care physicians, wound care specialists, surgeons -- stand ready with their arsenals of gels, treated dressings, antibacterials, debriding tools and surgical techniques. We forget that our bodies are made to heal on their own. But only if adequate blood supply bathes the wound site with healing elements and carries waste products away. Adequate circulation and micronutrients are absolutely critical to skin health and wound healing."

    http://newmobility.com/review_articl...&action=browse

  10. #10
    Senior Member reedyd's Avatar
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    Quote Originally Posted by Helga
    Hi, first time post for me.
    I am healing a broken femur (15 weeks in a bent position) as a result I ended up with a large pressure sore along my tailbone.
    I bought a Geo-MattressĀ® HC from JC Penney for $62. on sale and free ship. http://www5.jcpenney.com/jcp/ProductsHOM.aspx?
    This same mattress overlay was $106 at local health care store. Here is the Geo-mattress web page to read about...worked great for me. Really helped take the pressure off my boney areas.
    http://www.span-america.com/geomattress_hc.php

    Then I ordered Miracle Mist Plus from www.healthylifeandtimes.com
    I read about this in an article from New Mobility Magazine and figured it was worth the try..cost about $12 and well worth the price for me. After a few days I could really see an improvement it took a month to heal completely. I used it 3-4 times a day and followed the direction NOT to combine with any other topical products esp. saline solution. Covered with a non stick pad while up, so it did not stick to my clothes. For me it was a great help. And like everyone says "stay off it as much as possible."
    Hope this helps....it worked for me.
    i have been using the Miracle Mist and i'm impressed i've also been using Goldenseal and Comfrey Root Salve. I Also take Collagen supplements and vitamins Looking good.

    God Bless you heal well and heal strong

    David

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