Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Painful Leg Ulcer

Discussion in 'Diabetic Foot & Wound Management' started by EVA, Nov 22, 2007.

  1. EVA

    EVA Member


    Members do not see these Ads. Sign Up.
    A 53 year old woman, nil significant medical history presented with a Venous leg ulceration on the anterior aspect of her right leg. Duration two months - has been letting it 'dry' out however concerned that it is not getting better.

    Trialled primary - intrasite gel, secondary - alleveyn non-adhesive, which resulted in extremely painful, stinging sensation which lasted until the next dressing change. As the area was extremely erythamatous and increased exudate Iodosorb was used.

    Initially tolerated but patient reported after a few hours the stinging, painful sensation again. :bash:

    Referral to District nursing for compression has been initiated as ABI: R - 1.07.

    I was wondering if anyone had any ideas for a primary dressing that would be less painful and traumatic for the patient and encourage wound healing.

    Any ideas/advice would be apprecited.:confused:
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. gangrene1

    gangrene1 Active Member

    From my experience dealing with venous ulcers, you may want to stop using intrasite gel dressing. Venous ulcers are typically quite shallow and often presented with minimal/no slough.
    I get good resolution using four layer compression bandage along with silver based dressings ( try Acticoat/Biatain Silver).
    These dressings are to be changed weekly max.
    In addition, the bandage are to be done with a pressure of 40mmHg. If you are unsure about doing it, you may want to speak to a wound nurse specialist.
     
  4. John Spina

    John Spina Active Member

    Try an unna boot also.That would milk out some swelling there.
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    This has just been published:
    The Symptom of Pain with Pressure Ulcers: A Review of the Literature
    Kerrie Girouard; Margaret B. Harrison; and Elizabeth VanDenKerkof
    Ostomy Wound Management
    Full article
     
Loading...

Share This Page