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    pressure sore?

    i'm not sure if its a pressure sore or not, but i got this pea-sized opening on the outside bone of my right ankle. its been bleeding on and off for a couple days now. last night i went to sleep and it looked alright, then i slept on my left side, so i had no pressure on my right ankle and i wake up today and its bleeding again this time a little bigger opening. does anyone know what this is, and what i should do to take care of it (ointment,cream,bandaid,etc)? thanks

    #2
    Sounds like a classic ankle pressure ulcer. This is not something to treat yourself as the bone is so close to the surface here and can quickly develop into osteomyelitis. See your SCI physician or wound care specialist ASAP.

    Until then, keep all pressure off this area, clean it with normal saline (irrigate inside the hole with a syringe if you have one), and cover with a dressing. Avoid taping right over the area around the wound. Role gauze or Kerlix can be wrapped around the ankle to hold the dressing in place in a figure 8 (above and below the heel) loosely, then taped to itself.

    (KLD)
    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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      #3
      wound

      http://woundcareshop.safeshopper.com/59/cat59.htm KLD you gave me a great solution for mine, do you remember? I healed my toes with duroderm.

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        #4
        Totally different situation here, Hunker. A pressure ulcer over the ankle often has a tiny hole on the outside and a big space and wound inside. You cannot safely just apply a hydrocolloid over a small wound like this without making things significantly worse.

        (KLD)
        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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          #5
          Thank you KLD so is wound ostomey? I did that with my hammer toe plus no shoes and stuff, but your the best

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            #6
            Plus if it's bleeding or draining a lot, duoderm will macerate the skin around the wound ---> not good. Will just encourage the wound to get bigger.

            If your foot swells 12many, you're going to have to keep it up. A swollen foot will drain through the wound (hole) and will never heal.
            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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              #7
              Originally posted by lynnifer
              Plus if it's bleeding or draining a lot, duoderm will macerate the skin around the wound ---> not good. Will just encourage the wound to get bigger.

              If your foot swells 12many, you're going to have to keep it up. A swollen foot will drain through the wound (hole) and will never heal.

              My toe went to the bone I could see it.I wore a brace and used warm clean water. It did get bigger but I kept it open by removing the outside scab. I did it at home because I have no insurance but if you have insurance the yes let the wound ostomey dept take care of it. My wound looked worse before it got better. Inside out healing and keeping your fooup is good right?

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                #8
                thanks for the responses.
                its sooooooo hard to see a wound care specialist or any doctor for that matter. i figured i'd be able to see someone but no luck. i dunno if its because its a friday, but the earliest appointment i could get was late next week.
                my foot is starting to swell up, i was a little concerned about it then i read lynnifer's post...hopefully it doesnt get too bad. I cleaned it and put a dressing on it.
                i'll try to call around again tomorrow morning.

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                  #9
                  go to the er? especially if it's swelling.
                  Get involved in politics as if your life depended on it, because it does. -- Justin Dart

                  I shall not tolerate ignorance or hate speech on this site.

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                    #10
                    Swelling is not so bad (keep the foot elevated all the time) but if it is red or if you have a fever, I agree, you would need to go to the ER.

                    Talk to your doctor too. You need to be able to see someone about pressure ulcers quickly. If they cannot do this for you, you may want to look into getting a different doctor. Since you live in LA, can you get your care at Rancho? The nurse practitioners there are great at wound management...you would not need to see a physician.

                    (KLD)
                    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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                      #11
                      just an update on my foot. its not swelling, it looks pretty normal. the wound became a little scab. i couldnt get an appt till nov 30 but it doesnt look too bad so im not too concerned but i wanted to make sure its ok. is the small scab good or bad?

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                        #12
                        It's less of the scab (though its good its not draining, soft or mushy) and more about whats underneath. Keep the pressure off, monitor for drainage, fever and go to the ED if this occurs.

                        Still, keep that appointment so a wound care clinician can determine if thee is a larger sore underneath.

                        AAD
                        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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