Doctor insights on:
Risk Pressure Sore
Ulcer fr. Immobility: When someone sits or lies in the same position for hours at a time a breakdown of skin can happen, particularly over boney prominences like sacrum, ankle or heel. This is most often seen in paralyzed patients who have no feeling in extremities and are unable to turn themselves. Frequent repositioning, at least every 2 hours and pressure relief mattresses will help prevent ulcers. ...Read more
A bed sore is an injury to the skin, and tissues beneath the skin, caused by pressure. They can range from a stage one pressure sore (tender, red and does not blanch) to stage four (an open wound extending down to the bone). Early stage pressure sores can respond to off-loading, while deep ulcers require debridement, dressing ...Read more
Frequent rinsing: Pressure sores are perfect areas for bacteria to colonize, inhibiting wound healing. With each dressing change, which should be at least twice a day, one should gently rinse off the wound base with either salt water or gentle soap and water, followed by application of silvadene (silver sulfadiazine) to prevent infection. ...Read more
See your Doctor: The primary cause of pressure sores is infrequent changes in position. Chronic illness and poor nutrition can also contribute. Prevention is of course the best strategy. If you see signs on the surface of the skin, it can sometimes be masking a deeper problem or even an infection. This should be evaluated by a physician so that treatment can be started if needed. ...Read more
The deepr the longer: Pressure ulcers vary from simple abrasion of the skin to deep into muscle with exposed bone. If pressure ulcer is superficial, healing may be complete in 3-4 weeks. For deep ulcers 12-16 weeks might be needed. Some pressure ulcer will never heal unless surgery is done. ...Read more
Depth: Depending on the Stage and depth once or twice a day. Also need to monitor for drainage. ...Read more
Yes: You should.Get a more detailed answer ›
How big can pressure sores get? I have never seen a pressure sore. How large are they capable of getting? .
Very Large.: Pressure sores left untreated, can become extremely large. For example, I have seen pressure ulcers that span the entire width of the patient's back, sacrum, or buttuck areas. ...Read more
Can someone have pressure sores and not be aware of it? Is it possible for an alert individual to develop a pressure sore and not realize it? .
No pressure, no sore: Is the general rule. People with normal sensation and mobility never stay in one position for too long. Pressure over a bony prominence can cause skin injury in as little as two hours. That is why debilitated patients and those with spinal cord injuries are placed on pressure-relieving mattresses, turned and repositioned frequently and checked for the presence of early pressure sores frequently. ...Read more
Pressure ulcers: We know that patients who develop pressure ulcers are often 'at risk'. The skin is the largest organ of the body and sores can be a sign of organ failure in general for the patient. Also, a pressure ulcer can become very deep and affect deeper structures causing, for example, infection of the bone that will require extensive treatment. Rarely, patients develop serious, life-threatening infections. ...Read more
Possible-Less likely: See a doctor > let him/her examine you and advise you. ...Read more
Please recommend if it's best to keep a pressure sore dry and let it breath or put ointment on it and cover it up?
Is it best to keep a pressure sore dry and let it "breath" in the air or should I apply ointment on it and cover it up?
No pressure, no sore: Normal skin can begin to break down, especially over bony prominences, after only 2 hours of unrelieved pressure. Thin skin would be even more susceptible, but the bottom line is: no pressure no sore. ...Read more
I have a pressure sore that has been healing. Now that it is almost healed up the skin around it has turned white?
Probably normal: If it is healing on its own, it is not a deep pressure sore-congratulations on getting it to heal. The skin borders around such sores are often white; a combination of scarring and absence of melanocytes (pigment producing cells.) these areas often eventually re-pigment in a spotty manner or completely. ...Read more
I keep getting pressure sores inside my buttocks and one is an open-sore now. What can I use or who can I see? Look at picture under my profile.
Can't see the: Pictures under your profile. You are asking this on HealthTap health/ medical education portion. Please use the HealthTap Prime or Concierge services if you are looking for a consultation. We are not able to make diagnoses or provide treatment on the health education site. ...Read more
Heel sore: A pressure injury is due to pressure. The first step in healing is to keep pressure off of the heel. A clinician will help you analyze why there is pressure on the heel and suggest ways to offload that pressure using cushions, pillows, special foot gear such as pressure relieving foot ankle orthotics (prafo). ...Read more
I am paraplegic. I have bed sore with an area of 1 inch square size. How to get rid of this pressure sore?
I have a pressure sore on the back of my head and one on my bottom and tailbone. The tailbone has 3rd degree sores and is tunneling. Should I worry?
Yes: It is concerning that you would have these type of wounds. If this is being treated then usually it can heal well with time- but it does take time. I would just want you to make sure you are seeing someone and that there is a management plan in place for addressing the wounds. Deep wounds some time require treatments with hyperbaric chambers, wound vacs or skin grafts. Good luck. ...Read more
Remove the pressure: The rule is "no pressure, no sore." elderly, debilitated and/or poorly mobile people are susceptible to pressure sores (bedsores) because there is too much pressure on one area of the skin for too long. In general, patients should be turned every two hours to avoid this. Their skin should be inspected daily for early sores. If present, pressure must be avoided in these areas. ...Read more
Skin wound over bone: It is an injury to skin and tissues underneath from prolonged continuous pressure on the skin. The heel, ankles, hips or buttocks are the areas most commonly affected because the skin covers the bone. Direct pressure to the skin over the bone will cause decreased blood supply and will initiate the bedsore process. ...Read more
I have an unknown bug bite. Thought it was just a mosquito bite but haant gone away I weeks and now looks like a minor pressure sore. How do I heel it?
Infection: Although it could be a bug bite, there is concern about a skin lesion that fails to resolve. If it is a bite, it could be infected. If it's not a bite, one of the increasingly common infections that initially appears like a bite is MRSA skin infection. Since either case may require antibiotics, you should see your physician for an accurate diagnosis. ...Read more
My mom is paraplegic and has had a large pressure sore on her lower back and buttocks for nearly a month now?
Pressure ulcer: Your mother should be seen by a specialist in wounds, either home health nursing or in a wound center if the travel is not too onerous. There are several changes that you will need to make in the home related to equipment (mattresses and cushions) and activity and turning schedules. You will also need to have a nutritional consult also related to protein intake. ...Read more
It depends: The best treatment is prevention by relieving pressure which can also help heal early ulcers. If there is significant necrotic tissue or the ulcer is quite large/deep, surgical debridement and closure may be performed. Infections and other problems which delay healing (tobacco, poor nutrition, diabetes)need to be controlled with appropriate treatments as well for best results. ...Read more