Replies- Burns and liners
GARY Lamb
Description
Collection
Title:
Replies- Burns and liners
Creator:
GARY Lamb
Date:
3/15/2006
Text:
Thanks to all, many ideas, will discuss with patient.
Thanks again Paul Prusakowski for this wonderful forum.
=======================================================
Hey Gary-one of our board directors is a b/k and had some similar skin issues.
He ordered some of the Alps Skin lotion SL 108 and their Prosthetic Ointment PO840 (vitamins A & D) and swears by it.
Contact Kevin McLoone at ALPS .He may send you out some samples-good to see you in Chicago.
Take care of yourself my friend.
T-Barr
Hi Gary,
I have been a student of health, nutrition, fitness for most of my life and especially the last 20 years or so. At age 60, I have reduced my biological age to 47, 14 months later to 33, then 12 months later to 23 as of last year. I accomplished this thru nutrition, supplements, aerobic and resistance exercises. I still compete in tennis tournaments, Judo, Kendo,and am gearing up to return to triathlons. I have determined that this is my second vocation!
Here are my offerings for your patient with burn:
1. drink 1/2 bodyweight in ounces [or more] of steam/vapor distilled water per day >> this ought to be measured and strictly adhered to
2. 2. do hot & cold contrast baths 1-3 times per day = this will create an increase in exchange rate of oxygenated healing blood to be brought in on the hot cycle, and then the waste to be removed on the cold cycle hot/dilates and increases blood volume in capillaries and other larger vessels; cold/constricts and expels blood for exchange. Do this in a tub starting with hot water covering the burned area by at least a hands breadth ~10-12 cms - that means as hot as s/he can tolerate without doing further damage - for 5 minutes; then immerse in cold water - as absolutely as cold as can be tolerated to the same level of water in the tub for one minute; perform this in three cycles of 5/1, 5/1, 5/1 minutes hot/ one minute cold, three times. Then gently pat dry and leave exposed to air [sometimes radiant heat from a common incandescent light bulb works perfectly – for 15-20 minutes]
3. a good mulit-vitamin/anti-oxidant [my recommendation is USANA brand (the only vitamin manufacturer in the PDR)
4. apply a lotion, cream, or poultice of CALENDULA (simple garden plant) with tremendous medicinal properties; used in treating localized skin problems of varying causes - burns/scalds, wherever there is skin inflammation, external bleeding, bruising, skin ulcers, etc; two of its constituents are terpines, and quercitin - quercitin is a bioflavanoid, and bf's are potent nutrients that help maintain health of collagen; collagen is responsible for firmness and health of our skin; along with other bioflavanoids can improve the health of capillaries and connective tissue.
5. EPA & DHA (Eicosapentaenoic Acid & Docasahexaenoic Acid) 1000-2000 health maintenance dose, 4,000-9,000mg/day symptom treatment dose - for limited time ~until symptoms subside - source ought to come from WILD-CAUGHT DEEP SEA COLD WATER FISH - BEST, MACKERAL, KING/SILVER SALMON, TUNA, SARDINES and taken from the flesh (not liver, not canned); or in oil capsule form (cod liver oil, while rich in Vitamins A and D, is a poor source of EPA and DHA).
Precautions:
Because it is not considered an essential nutrient, there is no RDA (Recommended Daily Allowance) set. However, various studies have indicated that there doesn't seem to be an issue of toxicity with quercitin -- so, to err on the side of caution, I suggest refraining from using mega-doses of 500 mgs or above. A dose between 50 mgs - 150 mgs seems much more reasonable. Pregnant or nursing women should always speak with their physician before beginning supplementation of any kind.
Tips on Choosing a Supplement:
> Purchase your product only from pharmaceutical GMP compliant manufacturers. These facilities adhere to the strictest regulatory standards for the manufacture of dietary supplements. This is an issue consumers need to take seriously because dietary supplements are unregulated in the U.S., and many products have been shown to harbor contaminants or do not even contain what is stated on the label (*I have a report to show this unfortunate situation - glad to pass it on to you if you like).
> Choose a product that does not contain fillers or additives (examples include: sugar, starch, gluten, silica (sand!)) or any artificial colors or flavors.
> Quercitin works synergistically with Vitamin C to maintain the health of collagen and the health enzyme Bromelain enhances quercitin's absorption. Therefore, all three should be taken together. In addition, it is desirable to take it with other prominent bioflavanoids, hesperidin and rutin.
> One product that meets all of the above requirements -- and more -- is Xtend-Life's Total Balance. Total Balance contains not only Quercitin but also Vitamin C, the bioflavanoids hesperidin and rutin, and the enzyme Bromelain.
****I always recommend the patient seek medical approval and monitoring of any of the suggested treatments (the treatments I suggest to patients are the same treatments that I apply to myself, my daughters, family, and loved ones)
As with any treatments, I have learned to accept that some patients will comply, others say they comply/but don't, and yet others simply reject any treatment out of the typical allopathic Rx drugs. SO -- -- Hope this offers a little help.
Yours in Health, Happiness, Life, and Prosthetics,
-jan stokosa
Ps. Sorry I replied in such length
=================================================================
Gary;
Depending on the size of the affected area, have you thought of Second
Skin, only while wearing the prosthesis. If the area isn't too large, the
seal around the Second Skin should hold for normal gait pressures.
Steve Dickerson
I wouldn't think you'd need to toughen the skin for the liner. If you choose a liner with very light compression, it will act like a burn garment: light compression to prevent scar formation and silicone to keep the skin lubricated. In fact, I would only fit such a patient with a gel type liner.
Don't use urethane--I don't think it is as effective with burn management.
Wendy Beattie
Just like the scoli braces...tea bags and alcohol...maybe a little jack
daniels inside first then the rubbing on the outside
Jane Marlor
My advice is to not treat yor patients skin. Any toughening of the skin is best done under the guidance of physician who is, or was, treating the burns. We are not physicians and if anything should go wrong and you end up in court the first question will be who prescribed this course of treatment? The second question will then be what qualified you to recomend this course of treatment?
Please don't get me wrong. I am not saying this to criticize your care for your patient or your efforts. In many cases I feal that we may actually be more qualified then the doctors because of our regular involvment with issues that they ony occasionally see. But, we must remember, we live in a law suit happy society.
Best of luck to you and your patient.
Jack Ben-Ezra, LPO
Gary
Two thoughts.
One: silipos has burn care items. There is a 4x4 patch of adherent, fabric backed mineral oil gel that you might layer beneath the burn. I forget the exact name, but it is used for scar management.
Two: They always taught us in school that witchazel was the only appropriate astringent to toughen the skin. My patients that have tried it reported good results.
Good luck!
Tom Cutler, CPO
Gary,
As an amputee and a burn survivor I recommend that you first contact a dermatologist or a physician at a burn center for their opinion. Find out if the lack of oxygen to the burn area due to being covered by the liner is a problem. You will probably need to apply a cream or lotion to the skin to facilitate a sliding effect on the burn area so that the liner won't grab on to the sensitive skin easily. Avoid rubbing alcohol.
George Fagan CPO
Gary
i would use a burn cream over the area will wearing the liner also once liner is donned remove tension over that area by lifting liner and allowing skin to relax
Steve Smith
Director of Techncal Service
Smith-Global
Gary,
It has been my experience that patients with burns do extremely well when using pressure garments and silicone patches. In the past patients who present with burns do not have a problem with their liners as long as the area is fully covered. In addition adding a silo patch or similar gel to the skin before applying the liner acts to reduce shear and maintain the pressure for good reduced scar healing. If you have any questions about specific products or application just email me.
Carey Glass CPO, LPO, FAAOP
Gary, I suspect you are using a full length gel liner, I am not sure what type, but, I would suggest trying an Iceross comfort plus. I routinely trim one half inch proximal to my socket trim lines including the posterior. I find my Patients like the extra freedom in flexion and we are not losing suspension.
Joe Perry CP, CFO, BOCO
I don't think you want to toughen up the skin at all. use something like a silipos gel sock or silipos liner or an alpha liner. Silipos sells their materials specifically for burns. You want the scar tissue to be supple not dried out.
What kind of liner are you using to begin with?
Mark Benveniste RN BS CP
********************
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the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
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OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Thanks again Paul Prusakowski for this wonderful forum.
=======================================================
Hey Gary-one of our board directors is a b/k and had some similar skin issues.
He ordered some of the Alps Skin lotion SL 108 and their Prosthetic Ointment PO840 (vitamins A & D) and swears by it.
Contact Kevin McLoone at ALPS .He may send you out some samples-good to see you in Chicago.
Take care of yourself my friend.
T-Barr
Hi Gary,
I have been a student of health, nutrition, fitness for most of my life and especially the last 20 years or so. At age 60, I have reduced my biological age to 47, 14 months later to 33, then 12 months later to 23 as of last year. I accomplished this thru nutrition, supplements, aerobic and resistance exercises. I still compete in tennis tournaments, Judo, Kendo,and am gearing up to return to triathlons. I have determined that this is my second vocation!
Here are my offerings for your patient with burn:
1. drink 1/2 bodyweight in ounces [or more] of steam/vapor distilled water per day >> this ought to be measured and strictly adhered to
2. 2. do hot & cold contrast baths 1-3 times per day = this will create an increase in exchange rate of oxygenated healing blood to be brought in on the hot cycle, and then the waste to be removed on the cold cycle hot/dilates and increases blood volume in capillaries and other larger vessels; cold/constricts and expels blood for exchange. Do this in a tub starting with hot water covering the burned area by at least a hands breadth ~10-12 cms - that means as hot as s/he can tolerate without doing further damage - for 5 minutes; then immerse in cold water - as absolutely as cold as can be tolerated to the same level of water in the tub for one minute; perform this in three cycles of 5/1, 5/1, 5/1 minutes hot/ one minute cold, three times. Then gently pat dry and leave exposed to air [sometimes radiant heat from a common incandescent light bulb works perfectly – for 15-20 minutes]
3. a good mulit-vitamin/anti-oxidant [my recommendation is USANA brand (the only vitamin manufacturer in the PDR)
4. apply a lotion, cream, or poultice of CALENDULA (simple garden plant) with tremendous medicinal properties; used in treating localized skin problems of varying causes - burns/scalds, wherever there is skin inflammation, external bleeding, bruising, skin ulcers, etc; two of its constituents are terpines, and quercitin - quercitin is a bioflavanoid, and bf's are potent nutrients that help maintain health of collagen; collagen is responsible for firmness and health of our skin; along with other bioflavanoids can improve the health of capillaries and connective tissue.
5. EPA & DHA (Eicosapentaenoic Acid & Docasahexaenoic Acid) 1000-2000 health maintenance dose, 4,000-9,000mg/day symptom treatment dose - for limited time ~until symptoms subside - source ought to come from WILD-CAUGHT DEEP SEA COLD WATER FISH - BEST, MACKERAL, KING/SILVER SALMON, TUNA, SARDINES and taken from the flesh (not liver, not canned); or in oil capsule form (cod liver oil, while rich in Vitamins A and D, is a poor source of EPA and DHA).
Precautions:
Because it is not considered an essential nutrient, there is no RDA (Recommended Daily Allowance) set. However, various studies have indicated that there doesn't seem to be an issue of toxicity with quercitin -- so, to err on the side of caution, I suggest refraining from using mega-doses of 500 mgs or above. A dose between 50 mgs - 150 mgs seems much more reasonable. Pregnant or nursing women should always speak with their physician before beginning supplementation of any kind.
Tips on Choosing a Supplement:
> Purchase your product only from pharmaceutical GMP compliant manufacturers. These facilities adhere to the strictest regulatory standards for the manufacture of dietary supplements. This is an issue consumers need to take seriously because dietary supplements are unregulated in the U.S., and many products have been shown to harbor contaminants or do not even contain what is stated on the label (*I have a report to show this unfortunate situation - glad to pass it on to you if you like).
> Choose a product that does not contain fillers or additives (examples include: sugar, starch, gluten, silica (sand!)) or any artificial colors or flavors.
> Quercitin works synergistically with Vitamin C to maintain the health of collagen and the health enzyme Bromelain enhances quercitin's absorption. Therefore, all three should be taken together. In addition, it is desirable to take it with other prominent bioflavanoids, hesperidin and rutin.
> One product that meets all of the above requirements -- and more -- is Xtend-Life's Total Balance. Total Balance contains not only Quercitin but also Vitamin C, the bioflavanoids hesperidin and rutin, and the enzyme Bromelain.
****I always recommend the patient seek medical approval and monitoring of any of the suggested treatments (the treatments I suggest to patients are the same treatments that I apply to myself, my daughters, family, and loved ones)
As with any treatments, I have learned to accept that some patients will comply, others say they comply/but don't, and yet others simply reject any treatment out of the typical allopathic Rx drugs. SO -- -- Hope this offers a little help.
Yours in Health, Happiness, Life, and Prosthetics,
-jan stokosa
Ps. Sorry I replied in such length
=================================================================
Gary;
Depending on the size of the affected area, have you thought of Second
Skin, only while wearing the prosthesis. If the area isn't too large, the
seal around the Second Skin should hold for normal gait pressures.
Steve Dickerson
I wouldn't think you'd need to toughen the skin for the liner. If you choose a liner with very light compression, it will act like a burn garment: light compression to prevent scar formation and silicone to keep the skin lubricated. In fact, I would only fit such a patient with a gel type liner.
Don't use urethane--I don't think it is as effective with burn management.
Wendy Beattie
Just like the scoli braces...tea bags and alcohol...maybe a little jack
daniels inside first then the rubbing on the outside
Jane Marlor
My advice is to not treat yor patients skin. Any toughening of the skin is best done under the guidance of physician who is, or was, treating the burns. We are not physicians and if anything should go wrong and you end up in court the first question will be who prescribed this course of treatment? The second question will then be what qualified you to recomend this course of treatment?
Please don't get me wrong. I am not saying this to criticize your care for your patient or your efforts. In many cases I feal that we may actually be more qualified then the doctors because of our regular involvment with issues that they ony occasionally see. But, we must remember, we live in a law suit happy society.
Best of luck to you and your patient.
Jack Ben-Ezra, LPO
Gary
Two thoughts.
One: silipos has burn care items. There is a 4x4 patch of adherent, fabric backed mineral oil gel that you might layer beneath the burn. I forget the exact name, but it is used for scar management.
Two: They always taught us in school that witchazel was the only appropriate astringent to toughen the skin. My patients that have tried it reported good results.
Good luck!
Tom Cutler, CPO
Gary,
As an amputee and a burn survivor I recommend that you first contact a dermatologist or a physician at a burn center for their opinion. Find out if the lack of oxygen to the burn area due to being covered by the liner is a problem. You will probably need to apply a cream or lotion to the skin to facilitate a sliding effect on the burn area so that the liner won't grab on to the sensitive skin easily. Avoid rubbing alcohol.
George Fagan CPO
Gary
i would use a burn cream over the area will wearing the liner also once liner is donned remove tension over that area by lifting liner and allowing skin to relax
Steve Smith
Director of Techncal Service
Smith-Global
Gary,
It has been my experience that patients with burns do extremely well when using pressure garments and silicone patches. In the past patients who present with burns do not have a problem with their liners as long as the area is fully covered. In addition adding a silo patch or similar gel to the skin before applying the liner acts to reduce shear and maintain the pressure for good reduced scar healing. If you have any questions about specific products or application just email me.
Carey Glass CPO, LPO, FAAOP
Gary, I suspect you are using a full length gel liner, I am not sure what type, but, I would suggest trying an Iceross comfort plus. I routinely trim one half inch proximal to my socket trim lines including the posterior. I find my Patients like the extra freedom in flexion and we are not losing suspension.
Joe Perry CP, CFO, BOCO
I don't think you want to toughen up the skin at all. use something like a silipos gel sock or silipos liner or an alpha liner. Silipos sells their materials specifically for burns. You want the scar tissue to be supple not dried out.
What kind of liner are you using to begin with?
Mark Benveniste RN BS CP
********************
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the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
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OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
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should not be sent to the entire oandp-l list. Professional credentials
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Citation
GARY Lamb, “Replies- Burns and liners,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 26, 2024, https://library.drfop.org/items/show/226399.
