This is a digest of discussions from SCI-india discussion group on pressure sores and its treatment.
Date: Feb 08 and Sep 2009
(Names and other personal information have been removed)
If anybody wants to remove any content please let me know.

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1. keep the skin dry
2. relieve pressure often by doing push ups, etc.
3. moisturise skin daily with oil etc. - mustard oil, coconut oil and vaseline are all good. best is to use them alternately
4. relieve pressure often by doing push ups, etc.
5. if you get a sore, keep pressure away. re-design your wheelchair cushion / commode chair / bed / postures etc. (whatever's required) till the sore heals
6. relieve pressure often by doing push ups, etc.
7. if the skin gets reddish, apply vaselines, oils and even a little soframycin. it helps even if the sore hasn''t formed yet.
8. relieve pressure often by doing push ups, etc.
9. the homeopathic ointment - calendula - is very good for strenthening skin
10. relieve pressure often by doing push ups, etc.
 
and last but no the least:
 
relieve pressure often by doing push ups, etc.

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1. it needs to be checked immediately by a plastic surgeon withexperience in pressure sores. at leas consult with the doctors at ISIC on phone, try to get a local contact.
2. need to keep pressure off - completely. while sitting in bed, lying down, sitting in wheelchair. use a rubber tube while sitting to make sure the area of sore does not get any pressure. study your systems for transferring, bath, etc. and make sure no shearing / tearing happens during shifting / transferring, and while taking bath or using the WC - these are the two activities which cause most trouble and are probably the reason the wound has taken bad shape recently.
3. keep it dressed - twice a day - with betadine, bactroban, calendula, coconut oil etc. use betadine / bactroban once a day and calendula / coconut oil once. if th wound is in bad shape, then use only antibiotics twice a day, and the other things when condition improves.
4. keep a rich diet - rich in proteins.
5. keep the would completely dry.

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For UV light you can get a lamp in the market, it's not very expensive. Take light on the affected area for 30 mins 3 times a day.
Don't keep the light too close to the skin.

Ask your doctor if you can apply an oil called Lookmane Hayat. I know the name sounds weird but it works miracles. I had much deeper wounds and they are all gone now. You can pour it into the wound, but please ask your doctor. My surgeon herself advised this treatment and the oil is easily available at any chemist shop.

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I too used Lookmaane hayaat oil when I had bedsore 3 yrs back. Its a unani preparation, works wonder for any kind of wound.

 Besides I also took one teaspoon three times of Figaro Olive Oil (commonly known as Zaitoon tel) and it helped me increase my immune system besides reducing pain.... at a time when I had severe chest pain due to ribs fracture.

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Please have a look and ignore if you know them already.

1. My physiotherapist and some people suggested that the wound should be left open. The senior plastic surgeon i visited at Apollo Hyderabad blasted me for doing so and said that the Healing process i.e skin reformation takes place by skin cells which are formed and travel fastest in a moist environment. Saline water dressing provides the Best environment for this , so leaving the wound open would mean slowing down the healing process.

2. We discussed about surgical alternatives. He said that surgery was always an option but it would be a suggested as a last resort as a scar left after surgery is prone to more pressure.

3. I asked him whether to apply some ointment on the wound. For this he again gave me a cruel look   , smiled and said no. Finally he thought for a while and suggested that instead of saline will go for a PLatelet solution ..for 10-15 days and then check for any improvement .