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Leg ulcer after accident

(30 Posts)
SueEH Wed 11-Dec-24 10:21:12

Hi all. I had a stupid accident a month ago and cut my leg when I was doing too many things at once and walked into my coal bucket.
Had it cleaned and dressed at A & E and after a couple of weeks and a change of dressing it seemed to be scabbed over and healing.
I went to the local surgery nurse as I was worried about it pulling apart during movement and they’ve dressed it a couple of times.. last week the nurse said it was healing nicely.
I’ve been this am again and now apparently it’s an ulcer! It looked 100% worse than last week. I’ve got to have a Doppler and possible compression stocking.
I’m 64 and lucky to have never been ill or in hospital (apart from childbirth and having my tonsils out) but this has really thrown me completely.
How could it go from being dry and pretty well scabbed to an ulcer that might be there for months? Why do they seal wounds completely now.. that’s totally new idea for me.
I do realise that many many people have much worse and more urgent problems but I’m flummoxed.
Thank you for reading.

Esmay Sat 21-Dec-24 13:45:20

Henry V111 had two injuries -he fell from his horse and was unconscious for hours -some believe that it caused a radical change in his personality turning him into a tyrant .
He received the second injury from jousting .It caused a supporating ulcer on his leg which never healed . It smelt vile .
He was grossly overweight from over eating .

Pippa22 Fri 13-Dec-24 21:36:18

Dishwashers are one of the main dangers in the home, open of course.
The main problem as mentioned previously are injuries fron walking into the corner. Far more potentially serious are injuries from tripping and falling on an open dishwasher and stabbing yourself on the upright knives. Top tip should be not to leave dishwasher doors open and unattended.

Whiff Fri 13-Dec-24 13:17:12

When I fell out my back door years ago at my old house just above my ankle bone slammed my leg on the door ceil. It ulcerated. The nurse gave me KerraMax dressing they are flat and are soft and the adhesive is ideal for sensitive skin so no pain when redressing . The pad contains gel crystals which absorbs all the fluid coming out of the ulcer and helps it heal . Had to change them 3-4 times a day for a week so they didn't get to heavy with fluid then just once a day . But took 5 months of the whole ulcer to heal . I have a 4" long by 2" wide scar above my ankle bone . There is a faint pink line in the middle but the rest of the skin is black. But never had trouble from it once healed.

In fact I had this ulcer for 2 months when my mom had her second mastectomy and I moved in with her for 3 months . Even though we both had open wounds I made sure neither of us got an infection . Infact I got mom's district nurse get us smaller KerraMax dressing to use on my mom's wound and she healed quicker then she did from her first mastectomy.

You put the dressing on dry no creams otherwise the dressings don't do there thing.

jocork Fri 13-Dec-24 05:48:56

RosiesMaw2

Has anybody suggested Manuka (sp?) honey?
Legs- shins - are notoriously stubborn about healing because the skin has no cushioning. I hope all the treatment planned is successful, but you will still have to be very careful.

I had an infected graze on my shin a few years ago and was going to the practice nurse for regular dressings but it wasn't healing. She eventually applied an ointment containing honey and it healed very quickly after that. The application was excruciating and I remember driving home shouting words I rarely use to counter the pain, but it certainly worked!

Tamayra Fri 13-Dec-24 00:51:16

I believe Henry VIII suffered same for many years !

Tamayra Fri 13-Dec-24 00:48:57

I second this Honey is a wonderful healer

GrandmaLorna Thu 12-Dec-24 18:54:55

The dopler studies will determine the appropriate treatment. Please follow the advice from your practice nurse, they have extensive training in dealing with these problems, and can also fall back on specialist advice from tissue viability experts.

gran5up Thu 12-Dec-24 18:53:46

A feral cat was frequenting our garden and initially was deterred by hand claps, however when my cat arrived on the scene, intruder raced up the garden and attacked...me!!
Badly ripped shin
Liberal application of TCP and prayers helped and it scabbed over nicely
Scab took 4 months to drop off and was wet underneath, since when I was treated weekly by our marvellous nurses at the Medical Centre
Just 2 weeks ago, all well after a carousel of iodine, honey and seaweed dressings under waterproof patch
This was changed to dry dressing and after Doppler I had to wear compression stocking for 3 weeks.
Now fine, grateful and careful to avoid feline visitors!!
Hope you find the many posts helpful and reassuring:get well soon (flowers)

Gin Thu 12-Dec-24 16:47:47

It seems dishwashers are potential danger traps! The corners are so sharp. I cut my arm on the oven door because it was razor-sharp. The people who design these appliances certainly did not test them on users.

Allsorts Thu 12-Dec-24 16:19:54

I understand one hospital uses maggots with great success but I would be honey and bandages so skin breathes also keep the leg circulating with exercise.

PilgrimQuill Thu 12-Dec-24 16:09:57

DH has a leg ulcer. We prop the foot end of the mattress up with a spare pillow to just slightly raise it on his side and help circulation. Not uncomfortable - just a slight boost to circulation at night. Inidine and silver dressings both good but it does keep breaking out. Last time, compression stockings - the gold standard healing for leg ulcers - did the trick. Antibiotics this time are working well now.

LornaS Thu 12-Dec-24 16:06:10

A month ago I injured my leg on the corner of the dishwasher door. I went to our urgent treatment centre who dressed it and made an appointment with my practice nurse to have it re-dressed . Also I was given an appointment at a lower limb wound clinic yesterday. They did the doppler measurements and measured the blood pressure round my ankle where the wound was and compared it with the pressure in my arm and said there was nothing at all wrong with my circulation but that the wound has ulcerated. So I have to dress it myself and wear a specific sized tubigrip and go back in January. They told me to walk as much as possible but raise the leg when sitting. I had the same dishwasher related wound a couple of years ago but wasn't sent for any treatment other than dressings so I think maybe they are more careful these days.

Rapunzel100 Thu 12-Dec-24 15:50:33

I was in your position this time last year. Within two weeks of having compression bandages applied, the wound healed well. Unfortunately, lymphoedema was diagnosed at the same time and I now have to wear compression stockings. Good luck in your recovery.

Pmem Thu 12-Dec-24 13:32:16

Buy some colloidal silver online and spray liberally. It's a natural antibiotic and used to be used in hospitals especially burn units

Gin Thu 12-Dec-24 11:49:22

I am extremely clumsy and am a regular visitor to the practice nurse because of wounds on my shins, corner of the dishwasher, a suitcase and a garden spade have been the inanimate objects that have attacked me, adding to the collection of scars on my lower legs. For me the silver dressings have worked very well but always weeks and weeks of dressings. The dressings that are waterproof and stay on for nearly a week do work so be patient, you will get there.

My father had ulcers on his legs for twenty years that never healed, they were so deep. Treatments have improved dramatically since his time in the 1990s.

Esmay Thu 12-Dec-24 11:27:43

Sue - it's really good to find out if there are any underlying problems with a scan .
If you have a wound in an awkward place like a shin - then , they are difficult to heal .
I was convinced that there was something really wrong with my daughter (5' 9" ) forgetting all about sports at school !
Something both my daughter and I share with you - asthma .
She's outgrown it , but as I've got older mine is increasingly worse . I think that it can cause problems in that it compromises my general health .
Let's hope that it's nothing and heals quickly .
Take care .

Madmeg Thu 12-Dec-24 00:06:19

My DH is currently trying to recover from a shin ulcer, as a result of opening the car door on his leg - 7 months ago! It appeared to heal up initially but not quite and has now required 3-times-weekly visits to the nurse for about 6 weeks. It is definitely improved but every now and then deteriorates a little. He has been referred to the "wound clinic" whatever that is and has his first appointment for assessment next week. He also had two lots of antibiotics this time round.

Both he and I used to have annual doppler scans - they test the strength of circulation in the legs - but they are now only given if you are diabetic. Poor circulation often accompanies diabetes and can hinder healing and risk the develompent of gangrene, but I wasn't aware that dopplers could identify different kinds of ulcer. DH has been told he will be having one after Christmas.

Charleygirl5 Wed 11-Dec-24 23:25:42

Please try to elevate the leg when seated, as that will also help the healing process.

You need swabs, dressings, antibiotics.

MissAdventure Wed 11-Dec-24 16:41:28

I'd be worried if they talked about a "cut off" point, SueEH shock
Seriously, my mum hurt her shin, also on a bucket, and it took a long time to heal.

All you can do is trust the process if it healing, and steer well clear of buckets!

Imarocker Wed 11-Dec-24 16:16:43

You need compression bandaging. Unfortunately our surgery no longer employs a specialist nurse and DH has to go to walk in at local hospital to get it done.

SueEH Wed 11-Dec-24 14:48:53

BigBertha1

SueEH I'm sorry to hear about this. It is most important that you have the Doppler done to establish what kind ulcer it is which will therefore determine the treatment. Please do not be tempted to put any homely remedies on this. It needs professional care if you are to get the desired result of total healing. I hope it begins to progress towards this very soon.

Thank you and yes of course I will go with the treatment suggested. I’ve never had any circulatory issues so not expecting to find a problem. I just find it so strange now that wounds are completely sealed from the air. It seemed to be doing so well with a couple of steristrips and then they started using silver dressings and sealed plasters and it’s ended up like this.

SueEH Wed 11-Dec-24 14:19:19

Esmay

Has the hospital checked your blood sugar ?
If everything is fine - shins are difficult areas to heal as it's so easy to knock off a scab .
My otherwise healthy 15 year old daughter had a leg ulcer for months .
She had blood tests and was given antibiotics and eventually steroids .
Finally , burn dressings were used with success .
It did heal , but left a scar .
I asked the doctor at the hospital why it had happened .
And he gave me a surprising answer -that he sees them more frequently in tall people .
My daughter certainly was and is tall !

Thank you. Blood sugar hasn’t been specifically checked but I had my annual health check not long ago and passed everything and not even near borderline re blood sugar. I’m definitely not tall tho… just 5’ 2”. The only drugs I take are a preventative asthma inhaler and prescribed antihistamines.

BigBertha1 Wed 11-Dec-24 14:19:04

SueEH I'm sorry to hear about this. It is most important that you have the Doppler done to establish what kind ulcer it is which will therefore determine the treatment. Please do not be tempted to put any homely remedies on this. It needs professional care if you are to get the desired result of total healing. I hope it begins to progress towards this very soon.

Esmay Wed 11-Dec-24 14:05:40

Has the hospital checked your blood sugar ?
If everything is fine - shins are difficult areas to heal as it's so easy to knock off a scab .
My otherwise healthy 15 year old daughter had a leg ulcer for months .
She had blood tests and was given antibiotics and eventually steroids .
Finally , burn dressings were used with success .
It did heal , but left a scar .
I asked the doctor at the hospital why it had happened .
And he gave me a surprising answer -that he sees them more frequently in tall people .
My daughter certainly was and is tall !

SueEH Wed 11-Dec-24 11:00:29

NotSpaghetti

Is it definitely an ulcer?
My husband's kept cracking and getting worse.
It was an infection and was cleared once they knew what it was exactly.
He had to tell them he would buy his own swabs though before the surgery got any in!

Thank you. Apparently they now call it an ulcer if something hasn’t healed within a month. They said that the cut off used to be six weeks so I guess they’re treating things as an ulcer sooner and hoping for better outcomes?