Wound not healing, frustrated with vet, any layman suggestions?

[Draftmare]

[QUOTE=csaper58;8705551]
If it bleeds that easily, you probably have a little proud flesh on it. Proud flesh has no nerve endings and does not feel pain.

I would

1. clip the hair off 1 inch around the wound

2. wash with antiseptec skin clenser. Hibiclens is excellent and available at most drug stores (store brand is ok). Then hose with gentle pressure for up to 20 minutes. Do this AM and PM if possible or once a day if it is not.

3. Apply this cream liberally after hosing. This product will get rid of the proud flesh with out burning/stinging and speed healing. The 1 oz tubes are for small pets, the 14 oz for large animals. Get which ever size you want, the same product is in both. If you get the jar, use a plastic spoon or something similar to scoop out medicine. Never stick dirty fingers into the jar. You can bandage over it or not.

www.zoetisus.com/products/cats/derma-clens-cream.aspx

www.vetdepot.com/derma-clens-dermatologic-cream-14-oz.html The jar is back ordered but the small tubes are in stock. Get 3 or 4.

4. I would wrap the leg, to protect it, while you exercise the horse. I would leave the wound uncovered IF flies are not present. If you have flies, keep it covered.

With this kind of wound you really need to use a non-stick dressing that absorbs exudate. They can be expensive. Many horsewomen have found that Maxi pads, or Depends, will do the job. Just get the size that will cover the wound, and absorb the goo. Hold it in place with cling gauze. Cover that with a standing wrap. Be careful bandage is not tight, but not loose either. It must not shift, or impede circulation. If you are new to bandaging wounds get help with this.[/QUOTE]

I am currently using rolled cotton with vet wrap on top. I was using maxi pads with a cotton wrap and a track bandage over the top of that and she kept pulling them down. The rolled cotton and vet wrap seems to be working better. Will I still need to use a maxi pad with the rolled cotton? My vet said to avoid excessive hosing. I am nervous about leaving it uncovered with how easily it bleeds, as I said even when just dabbing at it as gently as I can with gauze to remove old medicine it bleeds. The flies aren’t too bad here yet. Mostly we have the little ones that like to swarm around faces.

Also as a general question, how much exercise did anybody with a similar leg injury do? My vet seems unwilling to give me a yes or no answer and/or give me a general time amount for how much I can do with her. I had been lunging her for 20 minutes at the walk and 2 minutes at the trot without any noticeable side effects, but stopped when things got ugly last Thursday.

[merrygoround]

I have had excellent results using Silver Sulfadiazine for wounds such as this, whether wrapped or unwrapped. I purchase a large container, and literally slather it on. It has been in use for years for burns, which like this have large open areas. I do not wash between applications. I would not use Ichthammol.

I also agree with csaper 58, that it does have the appearance of proud flesh in the last picture. I would first deal with that.

[Draftmare]

[QUOTE=merrygoround;8705662]
I have had excellent results using Silver Sulfadiazine for wounds such as this, whether wrapped or unwrapped. I purchase a large container, and literally slather it on. It has been in use for years for burns, which like this have large open areas. I do not wash between applications. I would not use Ichthammol.

I also agree with csaper 58, that it does have the appearance of proud flesh in the last picture. I would first deal with that.[/QUOTE]

Is silver sulfadiazine the same as Aluspray?

https://www.valleyvet.com/ct_detail.html?pgguid=30e077ed-7b6a-11d5-a192-00b0d0204ae5&sfb=1&itemguid=30e08d66-7b6a-11d5-a192-00b0d0204ae5&utm_content=19301&ccd=IFH003&mr:trackingCode=7A42C464-3C81-E211-BA78-001B21631C34&mr:referralID=NA&mr:device=c&mr:adType=plaonline&mr:ad=43741604563&mr:keyword=&mr:match=&mr:tid=pla-84506941123&mr:ploc=1019385&mr:iloc=&mr:store=&mr:filter=84506941123&gclid=CLWimoe_qs0CFRY8gQodThoLwA

I have some of that on hand, but wasn’t super in love with it when I used it on a superficial cut a while back.

I am going to stop the ichthammol now that the infection seems to be gone.

[cloudyandcallie]

When Callie got a wound, not as bad as that of your horse, on her left hind leg, I soaked it in iodine every day. It really helped close up the wound and healed it. When Cloudy got a similar wound, it took much longer to heal because it kept reopening. I used iodine and later used “toe grow” which put hair back onto the leg. When Hattie got her snake bite, I used a prescription medication with colloidal silver in it that healed up the wound once her cast was off. Ok it was the silver sulfadiazine, mentioned infra.

[Foxtrot_s]

Sounds like many roads lead to Rome.

I WISH my mare’s leg looked as good as yours - you have done a good job.

My horse has a big gash from who knows what but it was something to do with a
dividing high visibility electric wire used to divide the field, but was not ‘on’.

It is only two weeks old. I am wrapping every third day, using non stick Telfa pads, elastic gauze, gamgee, and then vet wrap. I used up my Silver creme and now using the Swiss product Derma-gel. Vet likes to use both. I am not hosing, but use very diluted chlorohexadine solution to clean the suppuration. It has a deep pocket on one side, but showing signs (in two weeks) of closing.

There is signs of a little proud flesh and it bleeds copiously at the slightest touch, but since it is painless, I just wrap it all up.

Opening the wrapping ever third day is cause for anxiety, but so far no swelling or infection that I can see. Long job though, and I will wrap longer rather than sooner…keeping caustic products in the vet box.

[csaper58]

[QUOTE=Draftmare;8705669]
Is silver sulfadiazine the same as Aluspray?

https://www.valleyvet.com/ct_detail.html?pgguid=30e077ed-7b6a-11d5-a192-00b0d0204ae5&sfb=1&itemguid=30e08d66-7b6a-11d5-a192-00b0d0204ae5&utm_content=19301&ccd=IFH003&mr:trackingCode=7A42C464-3C81-E211-BA78-001B21631C34&mr:referralID=NA&mr:device=c&mr:adType=plaonline&mr:ad=43741604563&mr:keyword=&mr:match=&mr:tid=pla-84506941123&mr:ploc=1019385&mr:iloc=&mr:store=&mr:filter=84506941123&gclid=CLWimoe_qs0CFRY8gQodThoLwA

I have some of that on hand, but wasn’t super in love with it when I used it on a superficial cut a while back.

I am going to stop the ichthammol now that the infection seems to be gone.[/QUOTE]

NO. Google ‘silver sulfadiazine’. Many vet supply stores have it. You must deal with the proud flesh before you can use the SSD.

Draftmare, According to your previous posts, you have spent $1000’s of dollars on tack, $100’s of dollars on saddle pads, $100’s of dollars on show cloths.

This wound needs the appropriate medicine. Spend the money and get it, and make time in your schedule to apply it. Or pay someone qualified to do it. You have a responsibility here.

[Cataluna]

[QUOTE=Equibrit;8705577]
Equaide,Equaide,Equaide,Equaide, http://equaide.com/

Did you HEAR…EQUAIDE !! Follow the directions and it’s amazing.[/QUOTE]

THIIISSSSSSSS!!! x1000

Lower leg wounds heal slower than the fatty fleshy parts of the body so don’t be discouraged with (what feels like) slow progress. Equaide is no joke and I would absolutely purchase some if I were you. My experience:

My mares fresh wound after falling onto an razor sharp edge of an icy snow drift:
http://img.photobucket.com/albums/v635/Randelle/IMG_0345_zps2684b208.jpg

Week 4 following vets instructions/wrapping and 1 proud flesh debridement:
http://img.photobucket.com/albums/v635/Randelle/IMG_0408_zpsbbae2f27.jpg

This is Week 6 and one week after starting Equaide:
http://img.photobucket.com/albums/v635/Randelle/10246235_10152270582999279_2893115878745569002_n_zpsbacmsv2d.jpg

The wound stayed dry and proud fresh-free right to the very end. Mare ended up with a 1 cm wide strip of a scar, but the healing was tremendously fast once I started using Equaide.

[Draftmare]

[QUOTE=csaper58;8705725]
NO. Google ‘silver sulfadiazine’. Many vet supply stores have it. You must deal with the proud flesh before you can use the SSD.

Draftmare, According to your previous posts, you have spent $1000’s of dollars on tack, $100’s of dollars on saddle pads, $100’s of dollars on show cloths.

This wound needs the appropriate medicine. Spend the money and get it, and make time in your schedule to apply it. Or pay someone qualified to do it. You have a responsibility here.[/QUOTE]

A simple no would have sufficed. I was also hoping to find something that could be purchased locally so I could have it now instead of a week or more from now.

[Equibrit]

Check the map HERE; http://equaide.com/distributors.html

Do you need me to come and dress it for you ?
I’m sure your horse would appreciate Overnight freight service - it’s light!

[IPEsq]

Alushield is aluminum and like a second skin bandage. It’s great for mild abrasions. Not what you want here. Silvadene is antimicrobial and commonly used for burns.

DO NOT use Schreiner’s on something like this. It contains cayenne.

If all of the extra fluid seems to have been drawn out now, just do rolled cotton and vetrap, no maxi pad.

[IPEsq]

Alushield is aluminum and like a second skin bandage. It’s great for mild abrasions. Not what you want here. Silvadene is antimicrobial and commonly used for burns.

DO NOT use Schreiner’s on something like this. It contains cayenne.

If all of the extra fluid seems to have been drawn out now, just do rolled cotton and vetrap, no maxi pad.

[Foxtrot_s]

I used Shrreiner’s on my poor greyhound who had a cut on her thigh - after all the rave reviews - OMG - she cried it was so caustic. Threw it out.

[Ghazzu]

@Draftmare;8705342

Even just dabbing the wound to get the old medicine off and to put new on makes it bleed right now.

that’s typical for granulation tissue.

I am not sure if I should go back to antibacterial ointment, or try something else.

I’m a big fan of Derma-Gel.

I do believe I will keep it covered from here on out until it gets more closed. It is a tough balance though between it getting too moist, and keeping it protected. I was doing a maxi pad on top of the wound and then a quilted wrap and track bandage, but she kept pulling that off. Caught her in the act a few times, the stinker. Now I am using rolled cotton covered by vet wrap and it stays much better. I changed it every day over the weekend, now I am trying to make it last at least two days between changes.

Sounds like a reasonable approach.

[Foxtrot_s]

Glad you second the use of Derma-Gel…I’ve had good luck with it. The new cells can float through it without being burned.

[foggybok]

There are wonderful new materials for wound care. At this point, it actually looks pretty good. I might go for the Kendall Foam pad at this time. They are expensive, but you actually can leave them on for many days. I used them on a similar injury over my mares hock (very high motion) and it healed quite nicely. You make sure the area is clean, then wrap and forget for a bit… They say you can keep the pads on for 5 days, but I usually changed after 3. They keep the wound moist for healing (but absorb the excess) and don’t pull away healthy tissue when you take them off. I would not use maxi pads as they absorb moisture and pull it away…and also don’t protect the new tissue.

[shayaalliard]

vetrycin. made a HUGE difference in my mare’s leg wound, and the cat with his belly ripped open that I used it on. I used the summer whinnys socks rather than wrap- they stayed on about a day at a time.

[Draftmare]

I picked up some Vetrycin today.

[RegentLion]

[QUOTE=Equibrit;8705577]
Equaide,Equaide,Equaide,Equaide, http://equaide.com/

Did you HEAR…EQUAIDE !! Follow the directions and it’s amazing.[/QUOTE]

Absolutely this. Peruse the website. It healed a terrible wire cut on my gelding’s leg. It did scar but that’s probably in large part because I mucked around with “Doc Underwoods” first.

Equaide is easy to apply, curbed proud flesh 100%, and he didn’t mind it/I didn’t get kicked. You can bandage over it or not (see directions on website).

It comes in a jar and if it gets too thick a few drops of water, stir, ready to go. You paint it on with a tiny brush that they send with you. A little goes a long way.

[csaper58]

[QUOTE=foggybok;8706331]
There are wonderful new materials for wound care. At this point, it actually looks pretty good. I might go for the Kendall Foam pad at this time. They are expensive, but you actually can leave them on for many days. I used them on a similar injury over my mares hock (very high motion) and it healed quite nicely. You make sure the area is clean, then wrap and forget for a bit… They say you can keep the pads on for 5 days, but I usually changed after 3. They keep the wound moist for healing (but absorb the excess) and don’t pull away healthy tissue when you take them off. I would not use maxi pads as they absorb moisture and pull it away…and also don’t protect the new tissue.[/QUOTE]

A Kendall dressing, or Duoderm dressing would be great choices and they are available locally here.

I have found that the maxi pads and incontinence pads that have the ‘stay dry’ fabric against the skin, when paired with the Derma-Clens work almost as well, and are less $ if more dressing changes are required.

I also think if the person applying the dressing is not experienced, and proficient, quite a lot of damage can be done with a dressing left on for 3-5 days.

[vxf111]

I think it IS healing but I agree with those who see proud flesh in the last photo. You want to get on top of that, if you let it go it becomes MUCH harder to deal with later. IMHO debriding early and often, if necessary is MUCH better than letting it go. Has the vet seen the recent photo? What does s/he think?

If a vet will give you a prescription, you can get SSD locally. It’s used for human wounds too, so a pharmacy should stock it.