Author Topic: Gravel rash failing to scab over  (Read 356 times)

tonycollinet

  • No Longer a western province of Númenor
Gravel rash failing to scab over
« on: October 19, 2019, 10:39:21 pm »
Had an off Tuesday night, resulting in a largish (aprox 3x5cm) loss of skin just between low hip and high thigh.

I put a dressing on until Thursday night as it was weeping through trousers. Since then I've left the dressing off to try and get air to it. It is still "sticky" and not scabbed over. I'm wearing dressing gown while in the house to allow air to circulate a bit better.

Anything else I can do?

LittleWheelsandBig

  • Whimsy Rider
Re: Gravel rash failing to scab over
« Reply #1 on: October 19, 2019, 10:48:29 pm »
I’d try to avoid it scabbing over. There are specialist moist dressings for that (kind of transparent plastic/ silicone membranes) and they allow the joint’s full range of motion with minimal pain or scarring.

The medical folk know a lot more about this sort of stuff. I have had quite a few similar injuries (mostly when I was racing) and found the moist dressings to be a revelation.
Wheel meet again, don't know where, don't know when...

hellymedic

  • Just do it!
Re: Gravel rash failing to scab over
« Reply #2 on: October 19, 2019, 10:59:04 pm »
LWaB is correct, though scabs are conveniently dry, inert and protective of a wound.

Scabs prevent new cells migrating towards the injured area during the healing process - some Plastic Surgery units have/had an 'if it scabs, pick it' policy BUT scabs do keep nasty bugs out (an in, occasionally).

A wet hydrocolloid 'burn' type dressing should optimise healing.

It will heal anyway!

Mend fast!

tonycollinet

  • No Longer a western province of Númenor
Re: Gravel rash failing to scab over
« Reply #3 on: October 19, 2019, 11:11:21 pm »
Thanks for advice both.

EDIT:
Hydrocolloid dressing ordered.

Kim

  • Timelord
Re: Gravel rash failing to scab over
« Reply #4 on: October 20, 2019, 12:03:03 am »
The cheapskate option for large weepy wounds is to get some decent quality sanitary towels (for those without a working knowledge of such things, you're after something at the more expensive end of the shelf that's relatively thin but large and high absorbency, wings are good, perfume bad) and some micropore tape, and use your Blue Peter skills to manufacture dressings of an appropriate shape.  The magic upper layer does the Right Thing of allowing fluid through without sticking to the healing skin.

I'm sure hydrocolloid is a better option, healing wise, but this is an improvement on buying large quantities of traditional dressings in sizes you local pharmacy doesn't stock.  Particularly if the wound is in a position that dictates frequent dressing changes for, erm, sanitary reasons (DAHIKT).
Careful, Kim. Your sarcasm's showing...

Re: Gravel rash failing to scab over
« Reply #5 on: October 20, 2019, 03:00:14 pm »
The cheapskate option for large weepy wounds is to get some decent quality sanitary towels (for those without a working knowledge of such things, you're after something at the more expensive end of the shelf that's relatively thin but large and high absorbency, wings are good, perfume bad) and some micropore tape, and use your Blue Peter skills to manufacture dressings of an appropriate shape.  The magic upper layer does the Right Thing of allowing fluid through without sticking to the healing skin.

I'm sure hydrocolloid is a better option, healing wise, but this is an improvement on buying large quantities of traditional dressings in sizes you local pharmacy doesn't stock.  Particularly if the wound is in a position that dictates frequent dressing changes for, erm, sanitary reasons (DAHIKT).

The official version of the sanitary towel hack is Melolin dressings, non(ish) stick but absorbent, ans available in a variety of sizes. Hydrocolloid is the Rolls Royce dressing for gravel rash. Nothing stops it hurting like a b*stard when dropping into ones cars supportive sports seats with side bolsters, as I can testify.
We are making a New World (Paul Nash, 1918)

hellymedic

  • Just do it!
Re: Gravel rash failing to scab over
« Reply #6 on: October 20, 2019, 03:16:05 pm »
Melolin has a perforated plastic film for wound contact, making it theoretically 'non-stick.

That is the theory....

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Re: Gravel rash failing to scab over
« Reply #7 on: October 20, 2019, 05:09:24 pm »
The advantage of the hydrocolloid is that the weeping is absorbed. If you just want protection the cling film does exactly r
The same but oozes.

Mrs Pingu

  • Who ate all the pies? Me
    • Twitter
Re: Gravel rash failing to scab over
« Reply #8 on: October 20, 2019, 08:54:28 pm »
I love hydrocolloid dressings, they are the mutts nuts. I have a small supply for eventualities.
When I scalded myself and then ran it under the tap too vigorously such that the top of the forming blister came off  :'( I put a Compeed (I figured if it was good for foot blisters...) on it and it healed beautifully, with no scarring.
Do not clench. It only makes it worse.