January 12, 2015 at 11:34 am
Hi everyone, I need some advice! My horse had an injury about a month ago, he jumped over his stall door and cut his right hind leg, right over the cannon bone below the hock. Its a decent size laceration, about 6 inches long and about 1/2 inch wide, it has healed up and scabbed over pretty nicely over the last few weeks! However it did get infected which I was afraid of, he is currently on antibiotics and is doing much better. I have been wrapping it with breathable gauze and vet wrap above and below the gauze, that way it is able to get some air and circulation.
The only issue I am facing now, is that when I go to unwrap and re-wrap morning and night the gauze pulls away some of the scab because it sticks, making the healing and scabbing process much slower, and a big pain! when I am there on weekends, I leave it unwrapped for a few hours at a time to allow it to breath and I would like to continue doing that every day but obviously having a full time job doesn’t allow me to go and see him during the day. I do not wish to leave it unwrapped ALL day while im not there because that was how it got infected in the first place. I also have been cleaning it out with cold water, peroxide, banixx anti-fungal spray, you name it I’ve put it on.
Does anyone have any suggestions as to something else I can try to speed up the healing process? THANK YOU!January 12, 2015 at 12:54 pmpheetsTopics Started: 5Replies Posted: 477
Hi Jess : )
Sounds like you are doing just fine with your current regimen but I will offer an alternative for consideration.
I would lose the peroxide, while good for superficial wound hygiene, in a deeper situation all it does is irritate/damage the new skin underneath, leaving it open to damage and infection. You actually WANT it to heal from inside out so the fact that you are losing some of the scab and grunge is a good thing. Clean daily with saline if you can get it, lay on a layer of Derma-Gel (Valley Vet carries it) or something like it (NewSkin is the human form) and then vitamin E right out of the capsule (or bottle, however it is available to you, if it is) around the edges will help heal cleanly.
For a bandage, IF you can get Teflex or a similar product (the plastic-faced gauze pads) they work fabulously in NOT sticking to wounds and are breathable. If you are peeling scab away and causing minour bleeding, pour a little saline onto the bandage first so as to soften the grunge/scab and soak it off. A little (stops within a minute or two of pressure applied) bleeding is not the worst thing, let’s you know you are at new skin depth and to not scrub any deeper. Those little round tack sponges are great for wound cleaning and simple debriding (IMO) but throw it out when done. New skin heals faster, generating new cell development more efficiently. Try to keep wound fresh but not bloody. Apply Derma-Gel to clean but dry wound. If you see or are having an issue with proudflesh, wrapping is a good thing. Wonder Dust is pretty good at keeping proudflesh at bay. Products are likely the same but with different brand names as I don’t know what part of the country you are in, so these are simply suggestions of products that I am familiar with. Look for a rinse that is non caustic, like NOT peroxide : )
SIMPLIFIED skin status reference:
Red: irritated, vulnerable to infection if not already infected, painful, hot, heightened circulation, throbbing.
Pink: healthy, happy, regenerating itself properly and sustaining integrity, primary goal in wound recovery and nursing procedure. Anything from ticklish to pet/massage appreciation, warm, normal circulation.
White: dead, often best if eliminated/debrided. Numb, cold, slow to no circulation.
I am assuming a vet is on board with this unfortunate incident for your ponee so don’t hesitate to pass all of this thru your vet before attempting. This is also all offered on a discussion with no pictures or first hand visual of Ponee’s wound. Could be totally talking out of my… seat : )
Good luck, Jess, keep us posted!
I hope your boy heals fast, sound and uneventfully : )
Sure there's right and wrong but mostly there's just a whole lotta different.January 12, 2015 at 4:21 pm
thank you, pheets! I really appreciate it! I will go ahead and try all of those suggestions, and btw the color of his cut is pink so I know its healing, slowly but surely 🙂January 12, 2015 at 5:20 pmpheetsTopics Started: 5Replies Posted: 477
Slow but sure is good, Jess. Try a little massage around the wound to keep the skin from becoming tight and cracking. Encourage it to heal with full range of motion above and below the location. Hope that makes sense…
I suggest that after finding what works best for you, to stick to a single plan until you see progress. Less is more, more often than not : )
Crossing fingers for ya!
Sure there's right and wrong but mostly there's just a whole lotta different.January 13, 2015 at 7:24 amJoe-JoeTopics Started: 17Replies Posted: 1205
What did your vet say?
It is never the horse's faultJanuary 14, 2015 at 12:48 pm
Joe-Joe: I’ve only called my vet to order some anti-inflammatory meds and anti-biotics. I told him what happened and what I was doing for the injury which I explained in the beginning. He told me exactly what I thought he would, that there is nothing that he could physically do that I wasn’t doing already. The initial injury wasn’t deep enough for stitching, not to mention all of the excess skin around the wound had fallen off so stitching was not necessary. There was some swelling in his hock and some lameness but that had gone away about a week after I had started him on bute. It didn’t and still doesn’t seem to faze him at all which is the funny part, typical thoroughbred and his activity level outside in his paddock hasn’t changed which only ensured me more that he was healing quickly. He’s a pretty tough cookie 🙂January 14, 2015 at 1:05 pmJoe-JoeTopics Started: 17Replies Posted: 1205
Good to hear. Even when I don’t get the vet to come out, I like to have that input, especially with leg injuries. Hope the recovery continues and that there is no scar. Sounds like you have it all under control!
It is never the horse's faultJanuary 14, 2015 at 3:54 pmLizzie LouTopics Started: 0Replies Posted: 14
I would like to add one thing since it is an injury to the lower leg, a site where proud flesh is common. Wounds heal by creating granulation, but the body can go overboard with the granulation to the point that proud flesh develops… so much granulation that the edges of the wound cannot meet and close up. One can find pictures online of horrible cases of proud flesh. Unfortunately, I have personal experience with it. To help prevent that, wounds in proud flesh prone areas need to be wrapped snugly. The Telfa non-stick pads are the best to put directly on a wound. I don’t like gauze right next to the skin because it is so abrasive, and of course, Vetrap isn’t made to go directly on skin, so you are correct to not put that directly on the wound. A superficial wound that hasn’t healed in a month would concern me enough to have a vet look at it.January 18, 2015 at 11:34 amkindleTopics Started: 0Replies Posted: 2
I am a vet tech with a large animal practice. The number one thing we have found for healing lower leg wounds and preventing proud flesh is a product called Equaide. You can google it and order online. It forms a nice protective cover so you don’t have to wrap the leg so much….air is better for healing than a tight wrap. Seriously, it speeds healing at least 2-3 times faster and we have not had an issue with proud flesh in the 5 years since we started using it.
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