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Ointment For Healing?

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allenlondon | 09:19 Sat 08th Aug 2020 | Body & Soul
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Long shot, I know, but I wondered if anyone here had suggestions for an ointment for this wound.

WARNING! The photo is of a healing wound on the end of an amputated stump, so persons of a nervous disposition, don't click the link.

What I'd like is some sort of ointment/cream/whatever that (a) helps close the wound and heal it, and (b) (wouldn't it be nice) that stops it hurting!

SEE WARNING ABOVE BEFORE CLICKING.

https://drive.google.com/file/d/1ECEIqQIy_O9zwfSGuS58lvYkoB0F5sxS/view?usp=sharing

Thanks.

A.

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allen, this is one of those circs where I am going to say DO NOT take any advice apart from your medical team. What have they said/prescribed/suggested?
I second what woofgang wrote. Allen that looks nasty and to be honest looks nothing like the healing process. I don't like the look of that red area, keep checking its not getting bigger. Can you send this pic to your GP for some advice?

IF you want some advice in the mean time keep it clean -If you were one of my horses with a wound like that I would would be tempted to poultice it to soften it up to see if any muck came out, then let it dry up. But you aren't a horse so ignore that please ;-)
The whole area looks superficially clean.
I agree with woof, only take professional advice.
Also with APG, are you able to forward the photo to 111, GP and your care team.
I don't think an ointment is necessarily the answer Allen. As others have said the situation needs medical treatment which in this case, will probably involve regular and appropriate dressings and something prescribed to relieve the pain.
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Thanks to all, I’ll reply properly later - currently cooking before it hits 97 again!

Worst aspect of The Wound is where it is - base of stump, where it is in constant contact with rigid prosthesis.

A
The prosthesis team should be familiar with all sorts of stump problems and be able to help. Keep the area clean, do not use the prosthesis. Temporary measure might be impregnated burn gauze with dressing on top but I am not an expert in this area. You need professional advice
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“Do not use the prosthesis.”

Well-intentioned advice, I know, and in an ideal world it might be possible. For all sorts of reasons, it wouldn’t be so in my case.

Bit of additional information: the wound, back in February, was twice as large (the area of whiteish skin was all ulcer back then) so progress is being made - like all things when you get old, progress is slow!
Can you further minimise use? What would it take for you to be able to further minimise use? Honestly honestly from my (admittedly old) experience, its about the only thing that makes a difference, both with pain relief and healing in these circumstances.
PS, you haven't told us what your care team have said?
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I haven’t got a Care Team.

Prosthetic dept at my orthopaedic hospital (near as we get to a care team) say (a) use a walking stick (I do). (b) chief prosthetic consultant there gave me a packet of steristrips (no I’m not kidding) to hold the original ulcer together; they lasted about 15 minutes.

Best advice has come from local Tissue Clinic who sent a very bright specialist nurse round. She recommended Comfeel ulcer dressings, but they’re only indicated for discharging ulcers. Mine has been dry for a few months now. District Nurse came more recently and said the Comfeel were now not necessary. Since then I’ve been using proprietary ointments plus Melolin dressings. It IS getting smaller - I’m just trying to hurry things along.

To minimise use? Servants. And no, Mrs A does all she can, but needs looking after herself!
Allen, I am no authority on this matter and as others have said, I would immediately contact your care team for advice. Having said that, I have heard that MANUKA honey can work wonders - be nice to hear if anybody else has heard this. Wish you well Allen.
FBG40
Difficult, very difficult as you probably have impaired blood supply to that limb and a Doppler may well be indicated
Dressings with ointments or impregnated gauze may well be the answer and I would suggest that the amputation team or TIssue team may well be the answer.
It looks clean and non infected but I hope that you are taking something for pain relief.
Have also heard manuka honey is good. We did use honey dressings in hospital for ulcers. Again no expert but you could try putting the honey on a lint dressing
lol sorry, you have answered most of my suggestions whilst I have been typing.
I agree with the Melonin dressings but don't expect a miraculous cure.



Mr F had this problem for many years after losing a leg.
The medics gave him some form of a dressing that appeared sponge-like, no idea now what it was called, sorry.
He also tried different stump socks to try and help. What he found most comfortable was a silky thin sock, followed by two of the towelling ones. He always wore the towelling ones so that the loopy side was on the inside.
Might the socket be a tad loose? They also lined the top of his socket with a fine leather to stop slippage.
The only ointment he ever used was one Odstock recommended made from evening orimrose, but that was mainly in the days after the grafts.
Wish he was here now so I could ask him for you.
If servants are an option and Mrs A needs help, have you considered asking about home care? Have you got a wheelchair and are you using it enough? I know I am teaching my grandfather but thought its worth checking
Sorry, me again.
Just to add (having seen at close quarters since 1989 a very similar looking sore with Mr F )
Are you 'going in too deep', does the prosthesis need some adjustment or re-lining? Just a thought.
Wish there was a flipping edit button......just remembered the name of the dressings they gave Mr F.
Granuflex...hope this helps.
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Ferlew. I wish Mr F was still with you. I know that being with Mrs A after 51 years is a constant blessing.

With respect,

Allne.
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I do have a wheelchair, but the narrowness of our small London flat precludes its use indoors; I would use it for hospital visits, but since (vulnerable) lockdown, haven't been out since hospital back in February.

Kicking this about today has helped, as I'm homing in on (a) chasing GP who in the past has pushed the problem onto the Orthopaedic hospital (of which more above), and (b) getting a new referral to that Tissue Clinic, who were the best of the bunch.

Of course, it all comes back to the fact that my alcoholism (kicked 18 years ago now) was the primary cause of the amputation, so nobody else to blame for these longer-term problems.

A

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