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    Butt sore won't heal

    I have a sore on my left butt cheek that just won't heal. It goes down about 1 cm, then turns to 10:00 and goes another 3 cm. It starts to heal up, it's gotten to 1.5 cm, then just pops back to 4 cm. It looks like it's healing in the center, then breaks back open. A couple times puss came out. I'm waiting for a culture to come back for that, but I'm on two antibiotics for a bone infection. The sore is less than a pencil thick. The doctor has talked about maybe cutting it open. Not a flat surgery just cutting a slice to make the inside more accessible. So they can clean it out better and maybe debride anything bad in there. I just hate the idea of making the store that much bigger. If they cut it open that big I'm afraid I wouldn't be able to get in my chair for months. Right now, I'm up for a while but I recline a lot. I was fine, with no sores, until I spent months in the hospital. I had one doctor mentioned a wound vac, but said they would have to slice it open to fit the sponge in. The latest Doctor doesn't like wound vacs on the butt. What are you guys think?


    excuse any mistakes, voice typed, thanks
    Brought to you by: atrophied&twitch

    #2
    look for flowable matrix. if you can find someone that will do it. it will heal in weeks.

    Comment


    • SCI-Nurse
      SCI-Nurse commented
      Editing a comment
      Not for everyone, and not over an infected wound. A NPWT device can be used together with a matrix dressing. (KLD)

    #3
    I just got one healed. I stayed in the bed the entire time it took to heal except for a weekly wound care doctor appointment. It sucks to be in bed so long but it eventually heals correctly. Just a thought.

    Comment


      #4
      First, I know nothing! Back in 1999 I had red and a little swelled area on rear. Doc thought was a abscess and cleaned it out in a office visit. Looked like it healed. Naw, came back worse and she tried it couple more times before referral for Incision & Drainage by surgeon. Surgeon done that twice via surgery and second time left seton(sp?) in it to keep open and drain. Still kept looking like going heal then open/drain again. General surgeon then referred to colon/rectal surgeon. Basically he did another surgery to open all fistulas which got into rectum/anus. He said going open all up or "unroof" fistulas inside and outside. Said he need make cut 2 times wider than the depth. Every time look like getting healed he do really good debridement to keep it open. Done this for a year. It did heal but have a good bit scar tissue. Been on ROHO cushion ever since.
      Just for fun in 2004 had place on forefoot, red with knot under skin. My primary doc this time sent me to Foot & Ankle surgeon right off the bat this time. He done about same surgery, twice as wide as deep incision & drainage followed up with really great debridement. He had little instrument that looked like stainless steel ball on a stick. Any place that ball touch skin, it removed skin. Took close to a year for that to heal, too.

      Comment


        #5
        You need to address your seating.

        Comment


          #6
          Please better describe where your wound is located. Is it right over the ischium, or is it on the fleshy part of the buttocks? Was it tested for MRSA? You having two wound so far apart that are similar makes me think it might be community acquired MRSA, which can cause boil-like lesions. How was your osteomyelitis diagnosed? MRI? Bone biopsy? Have you seen an infectious disease physician?

          Regardless, be sure you are seeing a wound care specialist (usually a plastic surgeon) not just a general surgeon for treatment of these. I would also endorse getting a new seating evaluation, esp. if your wound is over or close to the ischium. A Roho is a good cushion, but not right for everyone.

          A NPWT device (VAC is a brand name) may work well for a buttocks wound, but not if you sit on it. Bedrest.

          (KLD)
          Last edited by SCI-Nurse; 3 Oct 2022, 11:01 AM.
          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.

          Comment


            #7
            Originally posted by SCI-Nurse View Post
            Not for everyone, and not over an infected wound. A NPWT device can be used together with a matrix dressing. (KLD)
            What’s NPWT?

            Comment


            • Broken Doll
              Broken Doll commented
              Editing a comment
              Never mind I figured it out - wound vac.

            • SCI-Nurse
              SCI-Nurse commented
              Editing a comment
              NPWT = negative pressure wound therapy. V.A.C. is a trademarked name for just one of many systems like this. (KLD).
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