Butt is Pink Every Night

smokey · 08-02-2012, 09:16 PM

Every night when I go to bed my butt is pink on both ischiums. They blanch and in the morning everything is fine. I do more pressure reliefs now than ever....and I've been in a wheelchair for 35 years. My cushion is a ROHO, my wheelchair configuration hasn't changed, my nutrition is very good, my weight is unchanged. I did have surgery on my right ischium 10 months ago but both ischiums are pink. I should know the answer to this but I don't.....is it OK to have pink butt cheeks at night if everything is fine in the morning? I've been getting up at 8am and going to bed about 8-9pm. I seem to notice it more in the heat and high humidity too. Thanks.

SCI-Nurse · 08-02-2012, 10:14 PM

Can you check your skin sooner than the next AM?? if the pinkness has faded within 20-30 minutes, you should be OK.

Just keep in mind that as you age, your skin becomes less forgiving, and less tolerant of pressure, and slower to recover from excess pressure or open wounds. The cushion (or mattress or seating configuration) that was right for you 10 years ago may no longer be right for you.

(KLD)

wtf · 08-02-2012, 11:06 PM

Quote:

Originally Posted by SCI-Nurse

Just keep in mind that as you age, your skin becomes less forgiving, and less tolerant of pressure, and slower to recover from excess pressure or open wounds. The cushion (or mattress or seating configuration) that was right for you 10 years ago may no longer be right for you.

(KLD)

This bums me out, I'm 27 yrs post - so far no butt pressure sores (knock on wood) but lately my right side of my butt has been killing. I feel like I'm getting one and I'm praying that I don't, but its very possible since I've been in this chair a long time.

rybread · 08-03-2012, 05:11 PM

Maybe it's time to get a new seating evaluation done with the pressure mapping. Try to see a PT who specializes in a wheelchair seating.

Uncle Peter · 08-03-2012, 05:28 PM

A one-hour nap in the afternoon might relieve some pressure.

Aloe Vesta No. 3 lotion has worked well for my minor butt irritations from clothing or sweat.

hlh · 08-03-2012, 05:33 PM

How often and for how long do you do pressure reliefs? You may need to increase them, and do them for a longer period.

Our PT told us that studies showed that recovery of tissues that became ischemic while sitting (i.e. lacking oxygen/blood supply) really need as much as 2 minutes of pressure relief to recover. Doing a press up/lean for that long every 20-30 min clearly isn't something most people do, but it was enlightening to hear that...

Things change as we age.

smokey · 08-03-2012, 09:46 PM

Quote:

Originally Posted by rybread

Maybe it's time to get a new seating evaluation done with the pressure mapping. Try to see a PT who specializes in a wheelchair seating.

I already had pressure mapping done back around April.....everything was good. I did some pressure relief activity while sitting on my cushion, in my wheelchair on the mat hooked up to the thermal image display screen. I was amazed to see that just leaning to the side or forward relieves a lot of pressure. You don"t really have to do push ups with your hads on the rear wheels. It is just as effective to lean sideways for a minute or so.
Next time you get your ass pressure mapped, experiment a little bit by moving and squirming around to see how you can relieve pressure. It's pretty interesting.

stephen212 · 08-04-2012, 08:07 PM

Smo- Do you have a standing frame?

smokey · 08-04-2012, 08:44 PM

Quote:

Originally Posted by stephen212

Smo- Do you have a standing frame?

I do not. Do you?

stephen212 · 08-04-2012, 08:51 PM

Quote:

Originally Posted by smokey

I do not. Do you?

Presently I don't, but I would like to get one. If there aren't other mitigating physiological conditions (e.g., orthostatic hypotension), it's a healthy activity and, to the point of this thread, time off your butt.

08-02-2012, 09:16 PM	#1
smokey Senior Member Join Date: Jul 2001 Location: Massachusetts, USA Posts: 1,865	Butt is Pink Every Night Every night when I go to bed my butt is pink on both ischiums. They blanch and in the morning everything is fine. I do more pressure reliefs now than ever....and I've been in a wheelchair for 35 years. My cushion is a ROHO, my wheelchair configuration hasn't changed, my nutrition is very good, my weight is unchanged. I did have surgery on my right ischium 10 months ago but both ischiums are pink. I should know the answer to this but I don't.....is it OK to have pink butt cheeks at night if everything is fine in the morning? I've been getting up at 8am and going to bed about 8-9pm. I seem to notice it more in the heat and high humidity too. Thanks.

08-03-2012, 05:11 PM	#4
rybread Senior Member Join Date: Jul 2001 Location: Phoenix, Arizona Posts: 2,409	Maybe it's time to get a new seating evaluation done with the pressure mapping. Try to see a PT who specializes in a wheelchair seating. __________________ 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.

08-04-2012, 08:07 PM	#8
stephen212 Senior Member Join Date: Jul 2001 Location: New York City Posts: 5,291	Smo- Do you have a standing frame? __________________ stephen@bike-on.com

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08-02-2012, 10:14 PM	#2
SCI-Nurse Moderator Join Date: Jul 2001 Location: USA Posts: 41,334	Can you check your skin sooner than the next AM?? if the pinkness has faded within 20-30 minutes, you should be OK. Just keep in mind that as you age, your skin becomes less forgiving, and less tolerant of pressure, and slower to recover from excess pressure or open wounds. The cushion (or mattress or seating configuration) that was right for you 10 years ago may no longer be right for you. (KLD)

08-03-2012, 05:28 PM	#5
Uncle Peter Senior Member Join Date: Dec 2006 Location: Connecticut Posts: 1,103	A one-hour nap in the afternoon might relieve some pressure. Aloe Vesta No. 3 lotion has worked well for my minor butt irritations from clothing or sweat.

08-03-2012, 05:33 PM	#6
hlh Senior Member Join Date: Mar 2008 Location: US Posts: 1,041	How often and for how long do you do pressure reliefs? You may need to increase them, and do them for a longer period. Our PT told us that studies showed that recovery of tissues that became ischemic while sitting (i.e. lacking oxygen/blood supply) really need as much as 2 minutes of pressure relief to recover. Doing a press up/lean for that long every 20-30 min clearly isn't something most people do, but it was enlightening to hear that... Things change as we age.