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Help! Please Quickly Respond. Helping a wound grow new skin.

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    Help! Please Quickly Respond. Helping a wound grow new skin.

    Hello! My pony has had a tendon injury in the past and constantly needs it wrapped. Recently, the bandage got wet and rubbed a 50 cent sized area raw. I am now trying to get this "fresh" wound to heal over and grow a scab/skin. I cannot let it "air out" because this area constantly needs to be wrapped with compression or it will swell. I've been using Wonder Dust and a no stick gauze pad, but it's not working quickly enough. Anything helps. Thanks

    I’ve not used it but Vetericyn is supposed to be good for that. The nonstick pad is a great idea. I don’t think WD will help.


      Maybe also post on Horse Vet Corner on Facebook


        Manukau honey and turmeric on a no stick pad


          First, coat the wound with Equiderma’s ointment, or a similar lubricating ointment. Then cover with a Nonstick gauze pad that’s also coated in Equiderma’s ointment or even a neoporin type ointment. Secure loosely with vetwrap. The trick is to keep it from drying out but also allowing it to breathe enough to grow hair.


            This might be a good question for the vet that diagnosed the tendon injury.


              We had something like this and it's going to take awhile to heal but here you go.

              Horse had a normal wound that on any other horse, would have been able to heal on it's on within a few weeks with minimal attention. Horse (boarder) is an asshat. Had to be twitched just to clean and re-cover every few days and hoped to not get your head kicked off. If left open, he would chew on it and make it worse. We tried everything... I clean with vetricyn or saline and then applied silver sulfadiazine cream with non-stick pad. When it would explode, we had to switch to topical steroid cream to reduce the flesh so the skin could grow under the compression bandage. It literally took forever and he is now left with a permanent lump.

              I hope your horse is better with the healing process than this guy was. It can be done, but it's going to take awhile and patience.

              "Some people will never like you because your spirit irritates their demons"


                ... _. ._ .._. .._


                  OP, I agree with trubandloki that you need to talk to the vet. When a horse's legs are wrapped with a compression bandage for a period of time they often swell when the bandage comes off. This is a normal reaction to the compression, and it typically resolves within a few days. Your post didn't say how long your horse's leg has been bandaged or when the vet last saw him, but it seems possible that the swelling may be a reaction to the bandage being removed and not the original tendon injury. Only your vet can say for sure whether you need to keep bandaging and what to do about the sore.


                    I'd absolutely not be putting any sort of debriding agent on there. No wonderdust, no equaide--they will literally chew through healthy tissue and make your problem worse.

                    I'd be sorely tempted to use a hydrocolloid dressing since you're wrapping anyway, but do talk to your vet. The hydrocolloids are can buy the size you need on Amazon for not a lot of $$, and IME, last about three days before peeling away and needing to be replaced (if you can wrap over them; they don't work very well if you can't wrap since they don't stick great to horse hair on their own.) They protect the wound bed very well and do a good job to hasten healing.


                      Original Poster

                      Originally posted by Simkie View Post
                      I'd absolutely not be putting any sort of debriding agent on there. No wonderdust, no equaide--they will literally chew through healthy tissue and make your problem worse.

                      I'd be sorely tempted to use a hydrocolloid dressing since you're wrapping anyway, but do talk to your vet. The hydrocolloids are can buy the size you need on Amazon for not a lot of $$, and IME, last about three days before peeling away and needing to be replaced (if you can wrap over them; they don't work very well if you can't wrap since they don't stick great to horse hair on their own.) They protect the wound bed very well and do a good job to hasten healing.
                      Thank you for letting me know. I will definitely look into using that type of dressing. The vet is coming to check it out today, but I just needed a little substitute in the mean time. I'll let everyone know what the vet recommends.


                        Why does an old soft tissue injury need to be wrapped? What is the injury? When is it swelling? Is it healed fully? What are you using to wrap with?

                        Is the only objective to the wraps to keep swelling down (on a healed, or unhealed tendon?) - if that is the sole purpose, I'd be considering other alternatives like MSM or more turnout (if appropriate).

                        Absent vet wrap to keep something clean (such as a laceration or cut), I try very hard not to 'compression wrap' over open wounds, especially if the wraps caused the open wound in the first place.
                        AETERNUM VALE, INVICTUS - 7/10/2012


                          The silver sulfazine stuff is the best thing I've ever used. Now, like beowulf, I'd like to know about the constant wrapping for the older tendon injury----ONLY because: if additional rubbed wound needs to heal and this needs different cleaning and applications----would your vet feel a good leg drawing clay on the tendon area be ok ? since both will need washing off and reapplications and drying time? might allow you to treat both. (obviously meant ask about the clay without paper/wrapping in this case) now head/leg rubber I'm sure this won't work with. My pony was fine with the clay poltice on legs and then rinsed /removed next day I arrived...but not all are! Regardless...if you still have to cover, I'd still recommend the SS cream.
                          "Indecision may or may not be my problem"
                          --Jimmy Buffett


                            Original Poster

                            The vet gave us some Sulfur pills. We have to give her 9 every morning and 9 every night. I've been mixing them in with about 1/4 scoop of cheap sweet feed. She also gave us some more non-stick pads for the wound. For everyone asking, it is an old tendon injury, but if it is not wrapped, it swells up at an alarming rate and bursts open. We typically cover this new wound with antibiotic ointment, then place a non-stick pad over that. Then we take a sheet from a cotton roll (I forget the exact name). This helps keep padding between the vet wrap and the wound. Finally, we cover the entire thing with a tight, but not super tight vet wrap. Before this new wound appeared, the wound was fully healed, but the skin was extremely thin and there was no hair regrowth.


                              Original Poster

                              Also, for anyone who was to constantly wrap their horse's leg, what would you recommend for cleaning the hair that is under the wrap. The hair that was not apart of the injury has so much oil and dead skin build-up getting stuck to it from constantly being under this wrap that it is very sticky and you can usually just pick it off because it consists of old hair that has shedded. I will continue to just pick it off, but it is a very tiring process that usually takes a good half hour. Thanks.


                                OP: I honestly 'got nuthin' for the situation you describe. I can't imagine having to wrap a leg for LIFE or it will swell and burst into a wound. wow. you've got my sympathies!!!!!!!!!!!!!!!!!! . I would have to find another way. Do you still have this horse in work? or retired? and in re: old meds /dirt stuck I think I'd use warm water and betadine scrub, but if not near wound(s) at all you could always try like a de greaser dish soap liquid like Dawn.....
                                "Indecision may or may not be my problem"
                                --Jimmy Buffett


                                  Does the vet think that the wound is infected? Or that the swelling is related to an infection? Or is the sulfa more of a prophylactic thing?

                                  How quickly does the leg swell up? It sounds like lymphedema, but the sulfa makes me think the vet is concerned about lymphangitis? Is there heat? Or just fluid?

                                  Going forward (once any infection is under control) then I would consider experimenting with some alternative wraps to see if they help without being so hard on the skin/hair while still encouraging fluid to move back up the leg. Something like back on track, incrediwear, etc.

                                  As far as cleaning under the wrap, I would probably just use ivory dish soap, rinse well, and make sure the leg is 100% dry before wrapping again.