RE Hair follicle replies
Michael Arnette
Description
Collection
Title:
RE Hair follicle replies
Creator:
Michael Arnette
Date:
7/12/2013
Text:
Thank you everyone for the replies!
Original Question the replies are below,
I have a patient who has been having fairly serious issues with ingrown and
infected hair follicles.
He was in a MVA in late 2012 and is 6 months post-op and we have tried
several different systems to try to alleviate the problem (no extra expense
to the patient or insurance)
There seems to be no specific site where the issue is occurring and but the
skin contacting the liner is effected without issues above the liner. Here
is what I have tried with no real solution. What are your suggestions for
this patient?
Replies,
I suspect that your patient develops greatly elevated bacterial levels
inside his liner. Very high bacteria counts (3x greater inside a liner) can
result in folliculitis, in some patients. To confirm, I suggest he remove
the liner every 6 - 8 hours, wash his limb and the liner, then spray the
liner with isopropyl alcohol and tamp dry ... then reapply the liner. The
alcohol will also help to neutralize soap residue. Avoid anti-bacterial
soaps. Liquid Ivory soap works well. Eventually, he may only have to stop
and clean once or twice/day or every other day. You should also inquire
about his general hygiene and liner car
Have your patient get Electrolysis. The process removes the problem by
permanently removing the hair follicule.
And it is reasonably priced
You could try a liner liner.
Does the pt shave their limb? Using a razor tends to create this problem. I
recommend my pts switch to using an electric razor if they insist on
shaving as it creates less of a problem.
All you solutions involve liners - maybe you should try fitting with socks
and a pelite liner, or just a plain old hard socket?
I would try Tea Tree oil from iHerb.com, buy the organic. 20 drops in a
spray bottle of water. According to a Lancet article, Tea Tree kills
demodex in 4 minutes flat. Demodex is a bug that eats the sebum in the
follicle. Up to 50 demodex (plus eggs) inhabit one follicle, and trust me,
don't look at a picture of this bug! ALL patients with baldness have
demodex, 100% of the studies show this, however the studies like to say
there is no causality between demodex and baldness! Historically, Japanese
women never lose hair, and now for the first time in history, at age 25,
they are beginning to lose hair, and they all have demodex. Tea Tree was
first issued by the Australian Army and now is issued by the US Army for
tropical country kits.
A residual limb is like the weak link in the chain of the body. It may be
the chemicals coming from your products (or the drugs the patient takes, or
their food). You can soak in a water tub, anything that touches the skin
in the following:
It could be fungal in nature and the patient requires an antifungal from
the physician to get a handle on it. Especially since when we place a
liner on a patient we are essentially trapping moisture in the liner. I
will present the issue to a dermatologist friend of mine and see if she has
any suggestions.
I am an AK and had problems with hair follicle inflammation. The only
thing that worked for me was to have lazer hair removal. I have not had a
single incident since having this done.
Been worrying over this one for years, here's my take on it. Ingrown hair
follicles, once they get started, seem to never end. The common
denominator with all of them is the blockage of the pore with skin flakes.
That gets infected and the follicle makes a small pimple. The patient
pops the pimple, drains it and the process repeats itself until they leave
it alone and stop draining it. Then the core of the pimple dries up and
forms what is called a keratin plug. It's like an inverted spike that
fills the pore and makes a hard seed that is irresistible to the patient
so they pick it out and the process repeats itself with a new bigger pore.
The solution is for the patient to be neurotic about their hygiene.
Normal hygiene won't cut it, they have to scrub a few times a day until
the pore closes from the inside out then keep the leg cleaner than they
keep the rest of their body. In the interim there is a product I have had
success with called a Bioclusive Select transparent wound dressing. It's
made by Systagenix and is available at the pharmacy on request. It's like
cellophane and you peel and stick it in place. It wears off by itself in
a couple of days and it keeps stuff out of the pore. You just have to be
careful where you put it because it can roll up on the edges.
There were a few others who mentioned similar solutions...Thank you!
Michael Arnette CPO
--
Michael Arnette BOCPO, LPO
Progressive Orthotic and Prosthetic Services
www.progressiveoandp.com
9511 E. 46th St.
Tulsa OK, 74145
(918) 663 7077
(918) 724 6256
This e-mail, including attachments, is covered by the Electronic
Communications Privacy Act, 18 USC 2510-2521, & the HIPAA regulations and,
as such, is confidential & may be legally privileged. It is intended for the
use of the individual or entity to which it is addressed & may contain
certain information that is privileged, confidential & exempt from
disclosure under applicable law. If the reader of this message is not the
intended recipient or agent responsible for delivering or copying this
communication & attachments, you are hereby notified that any retention,
dissemination, distribution or copying of any of the contents are strictly
prohibited. If you have received this communication in error, please reply
to the sender & then delete it. Thank you for your cooperation
Original Question the replies are below,
I have a patient who has been having fairly serious issues with ingrown and
infected hair follicles.
He was in a MVA in late 2012 and is 6 months post-op and we have tried
several different systems to try to alleviate the problem (no extra expense
to the patient or insurance)
There seems to be no specific site where the issue is occurring and but the
skin contacting the liner is effected without issues above the liner. Here
is what I have tried with no real solution. What are your suggestions for
this patient?
Replies,
I suspect that your patient develops greatly elevated bacterial levels
inside his liner. Very high bacteria counts (3x greater inside a liner) can
result in folliculitis, in some patients. To confirm, I suggest he remove
the liner every 6 - 8 hours, wash his limb and the liner, then spray the
liner with isopropyl alcohol and tamp dry ... then reapply the liner. The
alcohol will also help to neutralize soap residue. Avoid anti-bacterial
soaps. Liquid Ivory soap works well. Eventually, he may only have to stop
and clean once or twice/day or every other day. You should also inquire
about his general hygiene and liner car
Have your patient get Electrolysis. The process removes the problem by
permanently removing the hair follicule.
And it is reasonably priced
You could try a liner liner.
Does the pt shave their limb? Using a razor tends to create this problem. I
recommend my pts switch to using an electric razor if they insist on
shaving as it creates less of a problem.
All you solutions involve liners - maybe you should try fitting with socks
and a pelite liner, or just a plain old hard socket?
I would try Tea Tree oil from iHerb.com, buy the organic. 20 drops in a
spray bottle of water. According to a Lancet article, Tea Tree kills
demodex in 4 minutes flat. Demodex is a bug that eats the sebum in the
follicle. Up to 50 demodex (plus eggs) inhabit one follicle, and trust me,
don't look at a picture of this bug! ALL patients with baldness have
demodex, 100% of the studies show this, however the studies like to say
there is no causality between demodex and baldness! Historically, Japanese
women never lose hair, and now for the first time in history, at age 25,
they are beginning to lose hair, and they all have demodex. Tea Tree was
first issued by the Australian Army and now is issued by the US Army for
tropical country kits.
A residual limb is like the weak link in the chain of the body. It may be
the chemicals coming from your products (or the drugs the patient takes, or
their food). You can soak in a water tub, anything that touches the skin
in the following:
It could be fungal in nature and the patient requires an antifungal from
the physician to get a handle on it. Especially since when we place a
liner on a patient we are essentially trapping moisture in the liner. I
will present the issue to a dermatologist friend of mine and see if she has
any suggestions.
I am an AK and had problems with hair follicle inflammation. The only
thing that worked for me was to have lazer hair removal. I have not had a
single incident since having this done.
Been worrying over this one for years, here's my take on it. Ingrown hair
follicles, once they get started, seem to never end. The common
denominator with all of them is the blockage of the pore with skin flakes.
That gets infected and the follicle makes a small pimple. The patient
pops the pimple, drains it and the process repeats itself until they leave
it alone and stop draining it. Then the core of the pimple dries up and
forms what is called a keratin plug. It's like an inverted spike that
fills the pore and makes a hard seed that is irresistible to the patient
so they pick it out and the process repeats itself with a new bigger pore.
The solution is for the patient to be neurotic about their hygiene.
Normal hygiene won't cut it, they have to scrub a few times a day until
the pore closes from the inside out then keep the leg cleaner than they
keep the rest of their body. In the interim there is a product I have had
success with called a Bioclusive Select transparent wound dressing. It's
made by Systagenix and is available at the pharmacy on request. It's like
cellophane and you peel and stick it in place. It wears off by itself in
a couple of days and it keeps stuff out of the pore. You just have to be
careful where you put it because it can roll up on the edges.
There were a few others who mentioned similar solutions...Thank you!
Michael Arnette CPO
--
Michael Arnette BOCPO, LPO
Progressive Orthotic and Prosthetic Services
www.progressiveoandp.com
9511 E. 46th St.
Tulsa OK, 74145
(918) 663 7077
(918) 724 6256
This e-mail, including attachments, is covered by the Electronic
Communications Privacy Act, 18 USC 2510-2521, & the HIPAA regulations and,
as such, is confidential & may be legally privileged. It is intended for the
use of the individual or entity to which it is addressed & may contain
certain information that is privileged, confidential & exempt from
disclosure under applicable law. If the reader of this message is not the
intended recipient or agent responsible for delivering or copying this
communication & attachments, you are hereby notified that any retention,
dissemination, distribution or copying of any of the contents are strictly
prohibited. If you have received this communication in error, please reply
to the sender & then delete it. Thank you for your cooperation
Citation
Michael Arnette, “RE Hair follicle replies,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/235404.
