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Small Skin Ulcers - Treatment.
13 Answers
I'm an amputee, and wear a heavy silicone liner on what remains of my leg. Usually very efficient, but it has drawbacks.
It means that I have a warm, and slightly damp environment for my stump. Thus, I often get small pimples behind my knee. These usually just run their course, (a bit painful sometimes, but otherwise no problem), and go away.
Occasionally, they hang about and burst a bit more than usual, and end up as small (5mm max) ulcers - by which I mean little craters. Not much (if any) exudate, but the unhealed skin is painful when inevitably pulled about.
GP not much use, as the standard remedy seems to be not to wear the liner for a month or two. Which would put me in a wheelchair, as no liner = no leg.
Prosthetic department similarly useful, as they recommend seeing your GP (they wouldn't if they'd met mine).
So what I'm asking here is this: any recommendations for conventional OR unconventional remedies for skin-healing, bearing in mind that any dressings must be very thin - otherwise they disrupt the operation of the prosthesis.
Any ideas welcomed!
BB
It means that I have a warm, and slightly damp environment for my stump. Thus, I often get small pimples behind my knee. These usually just run their course, (a bit painful sometimes, but otherwise no problem), and go away.
Occasionally, they hang about and burst a bit more than usual, and end up as small (5mm max) ulcers - by which I mean little craters. Not much (if any) exudate, but the unhealed skin is painful when inevitably pulled about.
GP not much use, as the standard remedy seems to be not to wear the liner for a month or two. Which would put me in a wheelchair, as no liner = no leg.
Prosthetic department similarly useful, as they recommend seeing your GP (they wouldn't if they'd met mine).
So what I'm asking here is this: any recommendations for conventional OR unconventional remedies for skin-healing, bearing in mind that any dressings must be very thin - otherwise they disrupt the operation of the prosthesis.
Any ideas welcomed!
BB
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BB you can get various damp skin protectors that are used by sportsmen and women. Some of them can be used on broken skin and some can't but they all have the same intended effect which is to insulate the skin from the damp environment and also reduce friction. Some can be used over broken skin and some cannot Given that you are getting pimples which says to me blocked skin glands, can I also suggest that you VERY gently exfoliate over your stump....a normal flannel or a muslin facial cleansing cloth should be sufficient. Here are some of the skin protection products I mean but a personal recommendation might be better....are you on any amputee forums?
anyway here's what I found on amazon https:/
anyway here's what I found on amazon https:/
The treatment really centres around the diagnosis and the diagnosis is suggested by the smell and as you are an amputee, you will realise that and have your pet treatments.
From your post it would seem that infection is not the problem, but more of a contact dermatitis or as Hopkirk suggests, a fungal infection, although you would recognise the "dank" smell of a fungus.
My suggestion is that you use, initially a rather bland cream called Sudocrem which can be obtained over the counter ( I think, certainly on the Continent)
I assume, that you are a diabetic......I don't know why?
From your post it would seem that infection is not the problem, but more of a contact dermatitis or as Hopkirk suggests, a fungal infection, although you would recognise the "dank" smell of a fungus.
My suggestion is that you use, initially a rather bland cream called Sudocrem which can be obtained over the counter ( I think, certainly on the Continent)
I assume, that you are a diabetic......I don't know why?
https:/
There you go, I don't usually give links but it would appear that I am going soft in my old age.
The skin rash would suggest (small vesicles) that you may well be allergic to the silicone line.
Is there an alternative?
There you go, I don't usually give links but it would appear that I am going soft in my old age.
The skin rash would suggest (small vesicles) that you may well be allergic to the silicone line.
Is there an alternative?
Thanks sqad, Woofgang; useful insights.
Dampness is caused by liner, rather than skin. No smell, liitle or no exudate.
Yes Type II, although amputation was drink-related rather than vascular. Been wearing the liner for 12 years, so probably not allergic although I suppose it can develop.
I’ll investigate your suggestions post haste.
BB
Dampness is caused by liner, rather than skin. No smell, liitle or no exudate.
Yes Type II, although amputation was drink-related rather than vascular. Been wearing the liner for 12 years, so probably not allergic although I suppose it can develop.
I’ll investigate your suggestions post haste.
BB
I don't know if this helpful at all....just a thought but would Opsite be beneficial at all? My father was an amputee from an accident and he had a sock type thing over his stump but didn't actually experience what you are going thru. My other half although not an amputee uses Opsite for problems on their legs. Sorry if not applicable.
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