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Thread: pressure sore

  1. #1

    pressure sore

    I am a paraplegic for one year and i just developed this nasty pressure sore and they have me at home on a wound v.a.c. I could use any advise on how to get this healed quicker. Plus I think it has a staph infection and they had me on antibiotics for 13 days and they have now taked me off them but i believe the infection is still there.. What do i do?

  2. #2
    Where is the pressure ulcer?

    Have you had tests for osteomyelitis (infection of the bone)? If you have that, then 13 days of antibiotics would not be enough.

    Where do you get your SCI care? Is your SCI physiatrist involved in this care? Are you getting care from a wound care expert who knows something about SCI? Who is changing the VAC?

    A deep pressure ulcer will take months to heal with the VAC, and during that time you will have to be on total bedrest. Do you have enough family support that you can stay on bedrest that long? Have you seen a plastic surgeon to discuss if a flap might be a possible treatment for you?

    (KLD)

  3. #3
    Chance, the full answer is always complicated and based on your exact situation, but one piece of advice that always holds: STAY OFF THE SORE! no matter how much it sucks - it just won't heal if you're on it.

  4. #4
    i've had a pressure sore since feb. mine came from rubbing my tailbone when i transfer. it started out as a little blister, and just kept getting worse. not real deep, just wider. i saw several wound care specialists about it, but nothing really helped. i went to see a specialist and he put the wound vac on me. it seems to be helping. what really helped was my hospital stay. i was in the hospital for about 1 week with blood clots in my legs. i was on total bed rest. the wound shrunk to about a quarter of its size in just those 7 days. i'm still trying to get it cleared up. i just can't be on bed rest now that i'm home. i just try to stay off of it as much as possible.
    ___________
    T12-L1 since 11-27-06

  5. #5
    Senior Member lynnifer's Avatar
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    Some advice you don't hear often that I didn't follow: Work out your arms while on bedrest so you don't lose strength ... because it takes a helluva long time to get back what you've lost.
    Make America Sane Again. lol

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

  6. #6
    Hi,
    I'm new to this, but I thought I'd give you my two-cents worth, since my son has two severe bedsores right now.
    Eat healthy, take some very good vitamins and absolutely stay off the bedsore until it is healed. And, of course make sure you are on the antibiotics needed to help you heal for as long as you need to. His infection, even tho he is in the hospital, spread to his tailbone and now they're wanting to remove it, so this part of your care is vitally important.
    Will keep you in our prayers.
    Debby

  7. #7
    That wound vac almost killed me. I'll never use one of those things again. I got a severe infection which cause me to have a girdlestone surgery. I'd stay in bed for a year rather than go through that hell again.

    James
    Injury date 6/10/87
    Gunshot
    C4/5 Quad

  8. #8

    Pressure Sores

    Hi,

    I addition to all the other recommendations, you might want to look at what type of cushion you are sitting on during the day. The best solution would be to avoid any pressure on that area. You might also want to look at pressure relieving surfaces for your bed. There are a variety of bed overlays, speciality beds, and therapeutic surfaces that could help speed up the healing process of your wound. Seeing your physician and again having a wound care specialist is also great ideas. If you have to be up, check on a good pressure relieving cushion, try to self position yourself frequently throughout the day, vary the surfaces you are on so that you are not on one surface all day, and try eating a lot of protein, which will help in the healing process. Pressure sore in most cases just take a lot of time but I can see how you are frustrated. Give it some more time but monitor the wound and make sure it's not getting worse or tunneling. You might want to be pressure mapped by a therapist with the surfaces you are sitting on. If you do not map out good, they are provide you with excellent suggestions on therapeutic pressure relieving surfaces.


    Sincerely,


    Brian

  9. #9
    I had a bedsore that was at the top part of the butt crack (sorry for putting it that way).

    This seems to be the most common. My bed sore lasted for almost two years until, finally, plastic surgery was done.

    My skin care nurse had told me it was ok to go wheeling around in my wheelchair so long as I did pressure relief every 15 minutes. I did that and she was right.

    There were times I fell asleep on my bed for four hours and it didn't make a difference as to any further damage to the bedsore.

    If your bedsore in right on your butt cheek, it may be a different story since you would be applying direct pressure on the affected area.

    All I know is that keeping it clean and free from fecal matter is extremely important. My wife was my saviour when it came to this. I never suffered any infections due to her.

    She was actually much better at making sure the wound vac machine and the dressing were always intact.

    If your pressure sore is located at the top of your butt crack area, then you should be able to exercise. Just check with your skin care nurse and see what he or she says.

    All I know is that I did alot of exercise and it still took a long time to heal and even then it still took plastic surgery.

    Just to let you know, what I use for a seat cushion is a tempur-pedic cushion. Cost me $85.00 bucks and it's seem to be just as effective as any other seat cushion out there. Use your own judgement when it comes to what you want for a seat cushion. Your doctor may say you need one of those $500.00 dollar seat cushions. All I know is that I have been using mine for a couple years now and I have had no problems whatsoever.

    Steve

  10. #10
    I've had a lot of experience with sores. The ones you want to stay out of your chair for are on your ischium's, or your butt cheeks. When you're sitting up, as long as you chair doesn't have too much to dump or dip in the rear of the seat, all the pressure from sitting goes on those two bony prominences as compared to when you're laying down. If you have a sore on your tailbone, there is a lot less pressure when you're sitting up, as long as there isn't too much dump in your wheelchair. I've had experience with both. I had a sacral sore, which is the tailbone one, for over a year before I finally got it closed up, with a vac on it for basically the whole time. There was a noticeable difference between laying down and sitting up for that one. I also had an ischium sore that I had to have a flap on which obviously got worse when I was sitting on, but got much better when I was laying down. The most important thing to do is consult your physician. And when it comes to seat cushions, it's very important that you have the right one underneath you. I'm now on the Roho high profile cushion and I took a lot of the dump out of my chair as compared to the Roho low-profile I had before with a lot of dump to help with my balance. Choosing a seat cushion needs to be done by someone who can pressure map you on various surfaces to determine which one will provide you with the most equal pressure along your bottom. Pressure mapping is when they take a thin pad with sensors in it and put it between you and the cushion to get a computer readout of any high-pressure spots. If they find any, they'll either show you how to inflate your cushion properly or try another one until you can find one that doesn't have it. Good luck taking care of it.
    C-5/6, 7-9-2000
    Scottsdale, AZ

    Make the best out of today because yesterday is gone and tomorrow may never come. Nobody knows that better than those of us that have almost died from spinal cord injury.

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