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

[QUOTE=vxf111;8706593]
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.[/QUOTE]

But the SSD won’t help with the proud flesh, correct? It does look like I can get it from a couple of local places.

http://www.walmart.com/ip/21854491?wmlspartner=wlpa&selectedSellerId=0&adid=22222222227016074799&wl0=&wl1=g&wl2=c&wl3=40754266952&wl4=&wl5=pla&wl6=78607046192&veh=sem

And in case your vet didn’t tell you -

Since he’s been wrapped for so long, when you stop the wrapping you can’t just quit cold turkey. They have to be weaned off the wrap gradually because the lymphatic system is used to the wrap/compression. Usually just quitting the wrap suddenly will lead to the leg blowing up again. Start with unwrapped for several hours, for several days and then lengthen unwrapped time from there.

No, you will still need to debride

That SSD link from Walmart might not be as concentrated as what you can get from a vet/with a presciption but yes, that’s generally the same stuff. For a wound like what you’re dealing with, I think you want to buy the TUB not the baby tube though :wink:

And SSD won’t do anything about proud flesh that has already developed. That would need to be debrided, and then going forward you can apply whatever the vet suggests, including SSD. I don’t really know any way to deal with proud fresh once it’s already developed other than debriding. But you can probably prevent/slow its development in the future if you are careful.

This is the SSD I am used to buying for horses…

http://www.allivet.com/p-710-silver-sulfadiazine-1-cream-400-gm.aspx?gclid=CIqmpfLRrM0CFYIlgQodGn8AVw

I swear by equiaide for lower leg injuries. It has saved my bacon and many of my horses. Hi tensile injuries suck.

[QUOTE=NorCalDressage;8706858]
And in case your vet didn’t tell you -

Since he’s been wrapped for so long, when you stop the wrapping you can’t just quit cold turkey. They have to be weaned off the wrap gradually because the lymphatic system is used to the wrap/compression. Usually just quitting the wrap suddenly will lead to the leg blowing up again. Start with unwrapped for several hours, for several days and then lengthen unwrapped time from there.[/QUOTE]

No, she didn’t tell me.

[QUOTE=vxf111;8706961]That SSD link from Walmart might not be as concentrated as what you can get from a vet/with a presciption but yes, that’s generally the same stuff. For a wound like what you’re dealing with, I think you want to buy the TUB not the baby tube though :wink:

And SSD won’t do anything about proud flesh that has already developed. That would need to be debrided, and then going forward you can apply whatever the vet suggests, including SSD. I don’t really know any way to deal with proud fresh once it’s already developed other than debriding. But you can probably prevent/slow its development in the future if you are careful.[/QUOTE]

The vet is giving me a steroid spray to help with the proud flesh that I will pick up later today.

Here is the wound today: https://goo.gl/photos/s3Wj5YeQWoq526d8A

I was actually momentarily confused when I took the bandage off because for a distance the wound looked like one pink blob with no crease down the middle. Her bandage was pretty gross again today, so I went ahead and did another icthammol wrap and then will start the spray tomorrow.

One treatment for proud flesh is Sugardine. (Sugar + Betadine solution)

www.youtube.com/watch?v=0UC-WV4_BXc

This video shows how to make it, but use the solution not the scrub.

This thread explains more.

www.chronofhorse.com/forum/showthread.php?483703-Sugardine-Info-(By-Request)

In post #7 there is a link to CVS Manuka Honey Dressings. Those are great to.

Maybe ask your vet if you can use any of these in combination with the steroid spray.

Keep on top of that proud flesh, if it doesn’t go down I would debride. Seriously. You do NOT want to let it get out of control.

[QUOTE=csaper58;8707133]
One treatment for proud flesh is Sugardine. (Sugar + Betadine solution)

www.youtube.com/watch?v=0UC-WV4_BXc

This video shows how to make it, but use the solution not the scrub.

This thread explains more.

www.chronofhorse.com/forum/showthread.php?483703-Sugardine-Info-(By-Request)

In post #7 there is a link to CVS Manuka Honey Dressings. Those are great to.

Maybe ask your vet if you can use any of these in combination with the steroid spray.[/QUOTE]

Funny you should mention the Manuka, a friend suggested it to me as something that her instructor swears by, but I thought it sounded a bit crazy to smear honey on a wound. What exactly does it do for the wound?

I do need to ask her if I should put anything else on the wound with the spray, forgot when I was on the phone with her.

I’m another that will shout EQUAIDE!

It’s not hype, the stuff really is amazing.

[QUOTE=eclipse;8705207]
If it went down all the way to the bone make sure there is not a bone sequestron, although if there was I’d be surprised as the wound has filled in quite a bit! I too would also keep it wrapped. When my guy severed a tendon we had it wrapped 24/7, and used no creams, just a wound pas to keep it moist and then the bandage and wrap. You do not want the wound to dry out… It should heal from the inside out with as little proud flesh as possible … Wrapping will keep it compressed![/QUOTE]

I am also suspicious of sequestrums.

We surgically fished sequestrums out of my horses post-tornado for darn near 2 years. Wounds would heal up almost all the way, and then pop open another small draining hole. Not draining pus, more like yellow-ish serum. X-ray & ultrasounds to find sequestrum(s) and surgery to fish them out.

[QUOTE=Draftmare;8707182]
Funny you should mention the Manuka, a friend suggested it to me as something that her instructor swears by, but I thought it sounded a bit crazy to smear honey on a wound. What exactly does it do for the wound?

I do need to ask her if I should put anything else on the wound with the spray, forgot when I was on the phone with her.[/QUOTE]

I’ve personally have amazing results with Manuka honey and wounds! Keeps infection away and after trying many things with wounds - have the best results with it. Actual Manuka honey can be pricey - IMO raw unprocessed honey probably works as well as Manuka, but when I’m feel there’s an infection I go with Manuka because of known anti-bacterial properties.

I’ve also found that I don’t need to hose or clean in between dressing/bandage changes with honey. The honey draws the funk out. I just wipe excess and reapply fresh honey. The maxipad you talked about would work fine over the honey. Some people are nervous about flies being attracted to the honey, but I’ve never had this problem.

The sugardine works good too - I just find the honey easier.

[QUOTE=moving to dc;8707299]
I am also suspicious of sequestrums.

We surgically fished sequestrums out of my horses post-tornado for darn near 2 years. Wounds would heal up almost all the way, and then pop open another small draining hole. Not draining pus, more like yellow-ish serum. X-ray & ultrasounds to find sequestrum(s) and surgery to fish them out.[/QUOTE]

The vet didn’t seem too worried about that.

[QUOTE=NorCalDressage;8707948]I’ve personally have amazing results with Manuka honey and wounds! Keeps infection away and after trying many things with wounds - have the best results with it. Actual Manuka honey can be pricey - IMO raw unprocessed honey probably works as well as Manuka, but when I’m feel there’s an infection I go with Manuka because of known anti-bacterial properties.

I’ve also found that I don’t need to hose or clean in between dressing/bandage changes with honey. The honey draws the funk out. I just wipe excess and reapply fresh honey. The maxipad you talked about would work fine over the honey. Some people are nervous about flies being attracted to the honey, but I’ve never had this problem.

The sugardine works good too - I just find the honey easier.[/QUOTE]

I will keep honey in mind and for future refrence. For now I have the steroid spray to try. I feel that part of the reason that we have had such a sudden improvement is because I have been able to keep a bandage on so I haven’t had to wash sand off the wound as frequently.

[QUOTE=Draftmare;8707970]
I feel that part of the reason that we have had such a sudden improvement is because I have been able to keep a bandage on so I haven’t had to wash sand off the wound as frequently.[/QUOTE]

You are probably correct about that.

[QUOTE=NorCalDressage;8707948]
I’ve personally have amazing results with Manuka honey and wounds! Keeps infection away and after trying many things with wounds - have the best results with it. Actual Manuka honey can be pricey - IMO raw unprocessed honey probably works as well as Manuka, but when I’m feel there’s an infection I go with Manuka because of known anti-bacterial properties.

I’ve also found that I don’t need to hose or clean in between dressing/bandage changes with honey. The honey draws the funk out. I just wipe excess and reapply fresh honey. The maxipad you talked about would work fine over the honey. Some people are nervous about flies being attracted to the honey, but I’ve never had this problem.

The sugardine works good too - I just find the honey easier.[/QUOTE]

I am a big fan of raw honey, and Manuka is the best. You do not have to wrap. Seriously. Twenty years ago I had a horse with a horrible wire cut and it was the honey that finally turned it around so that it healed from the inside out. Flies do not seem to hover over it either, for whatever reason.

My second go-to for all wounds is the silver sulfadiazine 1% cream noted above. I get that from my vet.

Vetericyn is basically overpriced bleach, with the main ingredient being hypochlorous acid, a disinfectant and also a bleaching agent. I cannot figure out why it costs so much. That being said, I do use it occasionally, although I grumble about the cost every time I do. But I don’t see it promoting healing.

For the wound I see here, I would go with the Manuka honey. Smear it on thick each day, don’t worry if dust collects in it (seriously!), and I bet the results will be amazing.

I was introduced to using raw honey by Dr. Joyce Harman who is a wholistic vet living down the road from me.

[QUOTE=Draftmare;8706856]
But the SSD won’t help with the proud flesh, correct? It does look like I can get it from a couple of local places.

http://www.walmart.com/ip/21854491?wmlspartner=wlpa&selectedSellerId=0&adid=22222222227016074799&wl0=&wl1=g&wl2=c&wl3=40754266952&wl4=&wl5=pla&wl6=78607046192&veh=sem[/QUOTE]

SSD is great stuff! The 1% that you need is prescription, while the OTC is only .0055%. Even at the OTC % the label says it effectively kills bacteria, fungus and yeast.

I used the prescription strength SSD to cure ringworm I got from someone’s cat…in only two applications! I had previously been trying to get rid of it with some equine ringworm product that did nothing. It cleared up in a couple of days with SSD. SSD is a great product to have on hand. Would love to hear from someone who’s had luck with the OTC version.

I just got a horse-sized tube of it today for $30 from my vet, using it on a weird allergic reaction on my horse’s mouth (presumably from trying to eat an odd weed). SSD is good stuff! I did check and it’s 1% so stronger than the OTC version.

I will likely be taking the Vetericyn back now that I have the steroid. Save myself $30. Hopefully the steroid helps.

[QUOTE=Color of Light;8708029]
SSD is great stuff! The 1% that you need is prescription, while the OTC is only .0055%. Even at the OTC % the label says it effectively kills bacteria, fungus and yeast.

I used the prescription strength SSD to cure ringworm I got from someone’s cat…in only two applications! I had previously been trying to get rid of it with some equine ringworm product that did nothing. It cleared up in a couple of days with SSD. SSD is a great product to have on hand. Would love to hear from someone who’s had luck with the OTC version.[/QUOTE]

The vet never mentioned SSD. Another thing I will have to keep in mind for next time, which hopefully there won’t be a next time! So sick of vet bills. Now up to $5000 since November. :no: