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First pressure sore.

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    #16
    Just a quick look through my pantry.

    Protein:
    One egg= 6 grams
    Tuna= 11 grams per serving
    Ensure High Protein= 12 grams
    Beef jerky= 12 grams per serving
    Peanut butter= 7 grams per serving
    Aerodynamically, the bumble bee shouldn't be able to fly, but the bumble bee doesn't know that, so it goes on flying anyways--Mary Kay Ash

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      #17
      I am once again fighting one on my ankle too.

      Silvadene creme is a prescription that your doctor should have given you. Does he have experience with SCI?

      As for the shoes, bandaid makes a blister pad that I have used off and on over the years. If the blister pad doesn't stay intact, it is a friction sore. I usually just get rid of the shoes if I can't pad them enough to keep red spots from developing.

      There are also numerous gel foam stuff that you can use to take the pressure off the spot too.

      You need to try to figure out where the pressure is coming from and pad that area.

      My sore is from friction and a brace that is fit too tightly. The doctor has debrided it a couple of times and callous keeps forming over it because of the friction. Alas, it is not going to close until I get new braces and that takes more time. I just got these darn things six months ago too and they can't be modified
      T12-L2; Burst fracture L1: Incomplete walking with AFO's and cane since 1989

      My goal in life is to be as good of a person my dog already thinks I am. ~Author Unknown

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        #18
        What is the proper amount of protein someone should take in if they are trying to promote healing of a skin or tissue sore? And also, isn't Aquacel AG and Duoderm a good combo to place over a superficial sore?

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          #19
          Originally posted by thehipcrip View Post
          I almost never disagree with Eileen, but...

          Putting on your shoes before this sore is healed is not a good idea, nor is using any type of "donut" to keep pressure off of a sore. The latter actually ends up restricting blood flow to the wound, which slows healing.

          I'm afraid that until the sore closes, you're Shoeless Joe.

          To keep it off of your foot rest, I'm wondering if an air-filled heel protector would allow you to keep your heel down while elevating your toes?
          Actually, I agree with you HipCrip, but also need to confess I get a lot worried about shoeless feet sticking off a footpedal. I don't even wear sandals because I end up banging the front of my feet going through doors and such, or even just turning in tight spaces, so I err for the relative safety of shoes even if the healing itself might be faster without them, assuming the person can somehow avoid the toe crunching barefoot.

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            #20
            my sore was on top of the toe, I was concerned because it was near bone but thankfully it wasn't too deep or very big (smaller than an eraserhead). My doctor gave me the silvadene cream, it took about 3 weeks for it to heal. I haven't had a problem since, I'm also wearing open toe shoes year-round so I can straighten out my toes - 2 of my toes curled under which seem to have been the reason for developing a sore.
            A dolla makes me holla, honey boo boo! - borrowed from Honey boo boo child

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              #21
              Originally posted by Eileen View Post
              Actually, I agree with you HipCrip, but also need to confess I get a lot worried about shoeless feet sticking off a footpedal. I don't even wear sandals because I end up banging the front of my feet going through doors and such, or even just turning in tight spaces, so I err for the relative safety of shoes even if the healing itself might be faster without them, assuming the person can somehow avoid the toe crunching barefoot.
              So very true that you can end up doing greater damage to yourself with one shoeless smash against a doorjam while trying to follow the "rules" about healing pressure sores on your feet.

              You said the magic phrase: it's all about evaluating the relative risks and then deciding what's best for you.

              Ah, and now all is right in my world again -- I'm back in agreement with Eileen!
              It is easier to find men who will volunteer to die, than to find those who are willing to endure pain with patience.

              ~Julius Caesar

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                #22
                Darkeyed Daisy the doctor didn't even mention silvadene cream. As for having experince with an SCI no he is not a specialist with it but he is my gp that I have gone to for over 30 years. I am not sure how many other SCI patients he might have. When I have something he can't deal with he refers me to another doctor. I am not even sure if there are any doctors in this town that has experience with an SCI and not sure how to find one.

                I would love to pad a shoe and put it on but I am afraid to I just want this to heal and quickly. I have foot drop so it really dangles off the pedal and almost drags the ground I have to watch carefully when I go out the door so it doesn't drag on the door jam.

                Last I look my sore is a bit bigger than an eraser head and hope its not any bigger when I change the bandage later tonight. Have to confess I am looking at it too often think I am obsessed with it lol. If it changes in any way I am calling the doctor and see if I can go to hmmm well who do you go to Podiatrist, wound care, or plastic surgern? I just don't have experience with sores so it is a learning experience one I could have done with out. Hope this isn't the begining of the end of having good skin or never having problems with my skin.
                A fanatic is one who can't change his mind and won't change the subject. ~Winston Churchill

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                  #23
                  Right now I am going to a foot and ankle specialist. He is a surgeon but he also has lots of spinal cord injury experience and wound care. He has debrided mine twice.

                  You might need to go to a podiatrist or a foot/ankle doctor. I let my GP treat me for my first ulcer and I almost lost my foot in 1993.

                  Just keep the pressure off and watch for changes. I would hope he would have given you silvadene if he thought you needed it. Maybe you should ask next time and see what he says. It does speed healing.
                  T12-L2; Burst fracture L1: Incomplete walking with AFO's and cane since 1989

                  My goal in life is to be as good of a person my dog already thinks I am. ~Author Unknown

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                    #24
                    Originally posted by thehipcrip View Post
                    Bulk up on lean protein like chicken and turkey as part of your meals.

                    There are tons of protein supplement products out on the market -- if you don't want to do the protein powders from health food stores (which can be gross, even when mixed with flavored stuff), look for Atkins Diet products. They make snack bars and shakes that are all very high in protein and don't taste bad at all, but can be a little pricey. Watch your calories with the Atkins stuff too -- you can pack in a lot of calories from them without realizing it.

                    Ensure also makes a high protein shake, but they seem to average about 12 g per while the Atkins average 15 g per.
                    Whey is 50 g per... taste awful.

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                      #25
                      Is it swelling at all?
                      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

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                        #26
                        I do have some swelling but think it has decreased over night. The swelling was there when I first found the sore meaning it would have been there when my doctor saw the sore.

                        I need to find a way to protect my foot last night I crammed my toes into the bathroom cabinet.

                        Lynnifer what is the roho type material you have on your footrest? I wish I had a plate footrest I hate the bar type I have.
                        A fanatic is one who can't change his mind and won't change the subject. ~Winston Churchill

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                          #27
                          I was curious and googled silvadene cream and found this:
                          Silvadene is a sulfa derivative.

                          I am allergic to sulfa drugs so maybe that is why the doctor didn't suggest silvadene.
                          A fanatic is one who can't change his mind and won't change the subject. ~Winston Churchill

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                            #28
                            Hi Aliya,

                            I've been a para for 40 years now! I had the same sore on the side of my foot that began right after I got a new wheelchair with a 2 inch inset footrest. (An Invacare A-4). I tried everything and it would heal and then come back. My doctor told me to buy new shoes and go to a wound care specialist. After 2 years of healing and reopening I finally went to a wound care specialist and was "dismissed" for being healed when I got celulitis in my leg (I think was caused from the open sore) and it literally cost me 1000 of dollars. So after all that, this is what I learned about my positioning in my wheelchair.

                            1. The 2 inch footrest inset put pressure on the side of my foot.
                            2. Different cushions will cause my foot to sit differently and some to obviously rotate my foot and others will cause my feet flat on my footrest.
                            3. I bought 2 pair of expensive shoes and my feet love them.
                            4. I had to put athlete's foot cream on my sore because it just wasn't healing and the nature of having my foot inside a shoe with a bandage seemed to breed fungus (yuck) and none of the doctors noticed that.
                            5. I went from the roll bar type footrest to the flat platform adjustable footrest.
                            6. I bought a custom cushion which was formed from taking a "molding" of my butt and my butt loves it but my problem foot will sit crooked so I rotate my cushions.

                            Good luck to you.
                            I have a hard time deciphering the fine line between boredom and
                            hunger.

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                              #29
                              Originally posted by Aliya View Post
                              I was curious and googled silvadene cream and found this:
                              Silvadene is a sulfa derivative.

                              I am allergic to sulfa drugs so maybe that is why the doctor didn't suggest silvadene.
                              If you're allergic to drugs like Bactrim and Septra, what you're really allergic to are sulphonomides. We here in the US have a tendency to shorten it to sulpha, which isn't totally accurate.

                              An allergy to sulphonomides typically does not mean you're also allergic to all sulpha-based products.

                              I've been fine using topical creams that contain sulpha even though I've been allergic to sulphonomides for 20 years.

                              We really need to follow the lead of our friends over in the UK and stop saying sulpha when what we mean is sulphonomides. It will be a tough change to make, though -- that shorthand is really ingrained in our health care system
                              It is easier to find men who will volunteer to die, than to find those who are willing to endure pain with patience.

                              ~Julius Caesar

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                                #30
                                I'm sorry, Aliya. Idk how I've overlooked this. I got toe, heal, foot in general sores alot in the beginning. I'm now just stuck in wide birkenstock-like shoes, have to keep them propped with a wedge at night & velcro my shoes to my footplate so my feet don't turn/roll..don't laugh, it works. I don't use one ,but they make foot canopies that your blanket lays over so it doesn't put uneccessary pressure on your feet at night. Good luck. All sores are scary.

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