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Sleep Positions to Fix Sore?

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    Sleep Positions to Fix Sore?

    I've been sleeping on my back all night long for almost 8 years now and had no trouble whatsoever. Recently my skin broke down in the fold right where my butt cheek meets my thigh. Not really a pressure sore but an open wound nonetheless. I've always kept my legs elevated on pillows at night anyway but I started raising them extra high and even using a wedge to try and give the skin a break by eliminating that fold of skin. Just couldn't get it to go away.Then I tried sleeping on my side for a while. Unfortunately staying all night on one side started to give me a sore on my hip. Now I know I cannot sleep on my side for eight hours anymore. That leaves me with my right side to work with and my back. At least until the underlying sore on my left side goes away. So I can do half the night on my right side and half the night on my back. Question is, what can I do while on my back to eliminate that fold? I raised the foot of my bed all the way along with a wedge. This is actually what I did for the first couple of weeks that I had this sore. Made no progress. As soon as I switch to my side I started to make gains. I'm not fat but I think the meat of my thigh still sags down to my butt cheek even though my legs are lifted. Any ideas?

    #2
    I'm surprised that a leg wedge doesn't help take the pressure off that area when you are in bed. Here are a bunch of images of leg wedges, maybe one would work better for you than others.
    http://www.google.com/search?q=leg+b...w=1366&bih=722

    I'm wondering how you keep pressure off that area when you are up in your chair during the day. If you have pressure there from sitting during the day, healing is going to be slow going too.

    All the best,
    GJ

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      #3
      Vetericyn vf ;] search for it on cc
      C5/C6 Complete since 08/22/09

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        #4
        Are you certain the sore at the fold is a pressure sore and not a fungal infection?
        You will find a guide to preserving shoulder function @
        http://www.rstce.pitt.edu/RSTCE_Reso...imb_Injury.pdf

        See my personal webpage @
        http://cccforum55.freehostia.com/

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          #5
          Time to change up your mattress. I find an alternating air overlay to be extremely comfortable .. but I know the nurses here don't advocate the overlays.
          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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            #6
            Originally posted by lynnifer View Post
            Time to change up your mattress. I find an alternating air overlay to be extremely comfortable .. but I know the nurses here don't advocate the overlays.
            I second this except for the extremely comfortable.

            I have been using an alternating overlay and lying on my back for almost 10 years without problems, using an electric bed with head and legs elevated. I hope to continue like this for a long time. Don't know if you can hire one out or trial for a while to see if it helps with your sore.

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              #7
              If not, they are very cheap on ebay .. often I see an overlay with the pump for less than $100. I put the pump on a scarf and shoved it underneath my bed - I don't hear a thing (the scarf because my floor is laminate wood and it would have vibrated a sound). It's a difficult transfer at first, but one you'll get used to. The benefits outweigh the risks here (and I only fell once while transferring earlier this year for the first time).

              Needs change as we age with paralysis. Something they probably still don't teach in rehab!
              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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                #8
                im thinking, raising your legs higher is actually putting more pressure on that spot. or if not more, its not taking away pressure..your still lying on that spot, your not getting that spot off the mattress....and if you got one on your side now, yea id look at a new mattress...
                - Rolling Thru Life -

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                  #9
                  GJ is right in that sitting will not help that area heal. Also, have you had it checked out by a doctor or wound care specialist? They may be able to give you better advice since they can see it.
                  You have the general tenets of wound healing down, but it seems as though you aren't making a lot of progress. It might be time to have it checked out.
                  CKF
                  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.

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                    #10
                    can you sleep on your stomach?

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                      #11
                      Originally posted by hlh View Post
                      can you sleep on your stomach?
                      Yeah is this possible for you? I really think laying on your stomach is the way to go.
                      A dolla makes me holla, honey boo boo! - borrowed from Honey boo boo child

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                        #12
                        When you're sleeping on your side are you just positioned too far up on your hip? Can you position yourself so you're more on the fat portion of your butt and then just wedge a pillow behind your back to lean against?
                        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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                          #13
                          Sleeping or lying on your stomach is a great suggestion. Even going almost all of the way over would help.
                          CKF
                          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.

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                            #14
                            Thanks for the responses. Was away for the weekend and I'm sure not helping my butt at all.

                            I did try and get out an old overlay that I was given when I first got out of the hospital. It's a super heavy gel thing. Don't know what it's called. That ended up being worse than the mattress alone. Was thinking I could lay on my side better but just the opposite happened.

                            Alternating air overlay has been in the back of my mind for a while. Did not know I could find one for that price. It certainly cannot hurt to add into the mix.

                            I did think fungal infection as well. Actually my sister who is a nurse thought that. She gave me the appropriate powders before it opened up.

                            I am working on getting a doctors appointment now. Had an insurance issue at first. Should be good to go now.

                            I feel like laying on my stomach would not relieve enough. Pressure would be off from pushing my butt cheek to my thigh but the leg would still be straight and the fold would still be there. Besides being a super pain in my neck.

                            I think what you are saying November is really my best plan. Have been thinking that for some time and even tried a little. Getting these things right can be tough with inpatient help. This, along with a rotating air overlay is my plan for now.

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                              #15
                              Hey this is how I've always slept since my sci.

                              http://www.ncbi.nlm.nih.gov/books/NB.../figure/A9762/

                              It might seem like your back is a little twisted since your legs and knees are pretty flat to one side with your shoulders still being close to square on the bed. Sleeping this way I don't even turn at night. I know I've went over 8 or 9 hrs and don't even get a pink mark. The one thing I would try to do is switch sides when you can or when the sore heals up. After so many years of sleeping one way mainly on one side I do have a tighter side I have to stretch often. Sleeping this way you shouldn't have any weight on the bony prominences.
                              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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