Treatment Sore Foot

by Syukriah

Causes- sore foot

¢Occur when the skin is pressed between the bones of the skeleton and a hard surface.

¢Restricts the normal flow of blood, oxygen, and nutrients to the area. Subsequently the skin cells die.

¢Spina bifida patients have a reduced circulation in the area due to their lack of movement. Usually the brain sends a message to the body to change position so that the cells will once again receive a proper blood supply.

¢A person with spina bifida has areas of skin which do not have any feeling and often have partial or complete paralysis, and so does not receive these messages. If the pressure continues the blood supply is cut off, causing pressure sores.

COMMON PLACE

¢On the behind.

¢Behind the knees

¢On the heels

¢On the feet, ankles, and hips.


PREVENTION

¢Regular visual checks are essential.

¢Checking the skin every day to identify any areas that appear red, white or brown in colour, as discolouration could be the first sign of a pressure sore forming.

¢Shifting position every 15 minutes can help by allowing circulation to flow into different areas.

¢Suitable wheelchairs, footwear, and braces must be fitted.

¢Special air cushion to sit on if they are on the floor or in the wheelchair.

¢Wearing loose clothing can help prevent rubbing. Tight clothing can reduce circulation.

¢Avoid storing objects in pockets or on the seats of wheelchairs. A cigarette packet, for instance, if sat upon can pinch skin.

¢Hygiene! Ensuring the skin is kept clean and dry will help protect from rashes and bacteria.

¢Exercising regularly may improve circulation considerably lessening the risk of pressure sores.

¢Don't smoke! Smoking reduces the circulation in the body.

DIET..!! fluids helps to keep the skin supple and hydrated. Complex carbohydrates (bread, rice, pasta) will keep the muscles healthy. Iron-rich food, such as spinach, will help the blood carry the oxygen around the body to the cells. Vitamin C and zinc (a mineral) both help wound healing, as does an adequate supply of proteins (found in meat, fish and dairy products).

Grade

¢Grade 1 – skin discolouration, usually red, blue, purple or black.

¢Grade 2 – some skin loss or damage involving the top-most skin layers.

¢Grade 3 – necrosis (death) or damage to the skin patch, limited to the skin layers.

¢Grade 4 – necrosis (death) or damage to the skin patch and underlying structures, such as tendon, joint or bone

treatment depends on the grade of the sore

basically grade 1 and 2 only need pressure relieve and daily check up of the foot. if there is any open wound, clean and dressing to avoid infection. not much different with prevention.

for grade 3 and 4-- need surgical flap reconstruction

• the V-Y advancement flap reconstruction.
  

other treatment i'm not sure. I'll check with Arma and post it later. =)