To do absolutely no wounds in everyday life is impossible, they happen because of cuts, bruises, burns and other troubles. It is easy to cope with uninfected injuries, but if a leg wound does not heal, not everyone knows what to do. Wounds on the legs are especially difficult to heal, as they are located in areas that are constantly in contact with clothing, most often rough denim. The reasons why damage to the skin and other tissues may not heal quite a lot, but the main one is the penetration of the infection. The rate of healing may depend on many factors, one of which is the type of damage.

Wounds are:

• sliced;
• chipped;
• chopped;
• torn;
• scalped;
• bitten;
• hurt;
• burns.

Each species heals within a certain time frame, which may be impaired due to age, associated diseases, poor treatment, with the addition of a secondary infection. Stabbed purulent non-healing injuries need to be more carefully looked after than those with sharp edges.

Causes of Long Wound Healing

In order to pick up proper treatmentYou need to know why wounds do not heal well. The reasons are actually varied, here are the most basic:

1. Infections
   Immediately upon receiving an injury or during dressings, pathogenic microorganisms fall into the wound surface, which entails a rise in temperature, the occurrence of redness and subcutaneous suppuration. At the same time, the damaged area swells up and hurts a lot. If the abrasion on the foot began to fester and does not tighten, then special treatment, purification, and antibacterial therapy are required. In serious cases, the doctor may resort to surgical treatment, vitamin preparations and even blood transfusions.
2. Weak immune system
     Problems with the body's defenses are diabetics. Damage they first dry up, then burst and fester. The healing of a wound on the leg of such people can be very prolonged, because in the lower extremities the blood circulation is worse and the swelling is increased. In cases when non-healing wounds arise due to the reduced protective forces of the body, it is necessary to take immunomodulators, to establish a way of life and good nutrition, as well as to properly treat the damaged surface.
3. Advanced age
     In older people, wounds do not heal for a long time due to cardiovascular diseases, excessive body weight, disturbances in the hematopoietic system and other health problems. Nothing can be done about old age, therefore, if an old person does not heal a wound for a long time, it is necessary to thoroughly clean it, remove the pus that has formed, and conduct antimicrobial and antibacterial therapy.
4. Avitaminosis
     If the body contains small amounts of calcium, zinc, vitamins B and provitamin A, then this may cause the wound to not heal for a long period. Most often this factor occurs in childhood. If there are not enough vitamins, then their additional intake is necessary.
5. Other causes of poor healing
     Also badly heal wounds on the skin, for which not enough care. Improperly applied or matched dressing, poor-quality treatment with an antiseptic solution or its absence leads to the fact that the injury site is swollen, festering and slowly tightening. If the wound does not heal, then this is a reason for going to a doctor, since such a phenomenon may indicate serious disruptions in the functioning of the body:

• lack of blood supply;
• inflammatory processes;
• oncological diseases;
• obesity or exhaustion;

The healing feature is also affected by the damage. Many lesions themselves heal a very long period. For example, deep, torn wounds heal for a long time, such, between the edges of which there is a great distance. Another reason why damage cannot be quickly healed is treatment with certain drugs, such as aspirin or glucocorticoids.

Treatment of non-healing injuries

If the wound does not heal for a long time, it is best to take the help of a specialist. Damage that is properly handled should heal quickly enough. The doctor will tell you how to treat a wound on the leg at home and prescribe medicines that will speed up the treatment. However, it is not always possible to quickly get to the doctor. In such cases, you need to follow some recommendations:

1. Bleeding in a fresh wound is stopped with hydrogen peroxide. It is necessary to thoroughly wash the site of damage with this antiseptic. Do not treat a fresh wound with iodine solution, as it can cause a burn. It is allowed to smear a thin layer around the wound.
2. With each ligation, you need to treat the place around the wound so that it does not get an infection. This can be done with medical alcohol or alcohol-containing solutions, which do not contain essential oils.
3. The wound on the leg itself is treated with peroxide and soaked with gauze or bandage. Care must be taken to ensure that the threads do not remain inside the damage. If there are foreign objects in the wound, they should be carefully removed.
4. Washing is done with antiseptics - chlorhexidine, furatsilinom, potassium permanganate (with a weak solution). After which you should wash the damaged area and apply a bandage using the above antiseptic preparations with the exception of potassium permanganate.

Before treatment, hands should be washed well with soap and water and treated with any antiseptic. In this case, the infection from the hands will not fall into the open tissue, and the treatment will give a good result.

Dry injuries that do not heal for a fairly long period need to be treated at least twice a day. The treatment of a weeping wound requires the use of special preparations, for example, an ointment or cream of Bepanten or Eplan, or liquid preparations containing methyluracil. If the burn wound does not heal, Panthenol should be used to treat it. All these drugs  have a healing effect and regenerate damaged tissue.

Doctors do not recommend treating injuries with the use of streptocide for the powder, because, reacting with the exudate excreted from the wound, it turns into a crust on the wound, which is very hard to wash off. This causes even more pus formation and prevents the wounded surface from being fully treated.

When the help of a doctor is needed

How to cure a wound is now known, but what to do if healing does not take long, despite the implementation of all previous recommendations? Lack of healing for more than a week, an increase in the amount of pus, redness and inflammation of the edges, as well as the occurrence of throbbing pain, and an increase in temperature are a reason for contacting the surgeon. The doctor examines the damage, treats the wound, tells you how to treat it on arrival home. Regardless of what caused the long healing of the wound, you need to take all possible ways of recovery to eliminate the factor that interferes with regeneration.

Open injuries of the lower limbs are usually associated with concepts. "wound"   or "wound" . By these terms is understood damage to the tissue with a violation of the integrity of the skin or mucous membranes.

Wounds are classified according to many criteria: according to the nature of occurrence, damage, infection, in relation to the body cavities and the presence of microbial contamination.

How to cure a wound on the leg and how to make the appropriate diagnosis, surgeons know. They pre-determine the symptoms of the wound and the characteristics of its course depending on the nature of the injuring object.

Local symptoms:

• Pain;
• Bleeding;
• Gaping (tissue defect);
• Violation of the function or its limitation.

Common symptoms are due to the development of shock, acute blood loss, traumatic toxicosis and infectious complications.

The healing process depends on a number of reasons. These include microbial contamination, foreign bodies in the wound cavity, damage to nerves or bones, and other therapeutic diseases.

How to cure a wound on the leg caused by a blunt object or a sharp weapon?

The goal of the whole treatment is to restore the integrity of the damaged tissues with full preservation of their functional features.

For this you need:

1. Timely and correctly provide first aid (PMP);

2. Qualified exercise PHO  wounds ( primary surgical treatment);

3. To conduct pathogenetically substantiated treatment and thorough care.

First aid:

Stop bleeding (bandage or tourniquet);

Processing the wound edges with an antiseptic solution and closing the wound with an aseptic dressing;

If there are foreign bodies on the wound surface, it is necessary to carefully remove them with tweezers or a napkin.

In the case of deep immersion of foreign bodies in the tissue - they are not removed:

Adequate pain relief;

With significant damage - transport immobilization;

PHO wounds (first 6-12 hours after injury).

How to cure a wound on the leg, if there are no signs of infection!

If there is no evidence of microbial contamination in the wound after PEC, then it is subsequently treated as a clean operating wound.

  with obvious signs of wound infection:

1) Revise the wound;

2) For purulent inflammation - washing, drainage, dressing with antiseptic solutions.

Watch the video: Exercises for the prevention of varicose veins and leg fatigue

Diabetes mellitus is considered an insidious disease, as it carries a lot of complications. One of them is poor healing of wounds, which especially complicates the life of a diabetic. Therefore, it is important to know why wounds heal poorly, how to prevent such a condition and, most importantly, how to properly treat it.

Why are diabetes poorly healed wounds?

With diabetes  lower extremities are most often affected. This is due to the fact that the circulation of blood is not only disturbed in large vessels, but also in small capillaries. This in turn leads to the destruction of nerve endings, resulting in a deterioration of sensitivity.

Therefore, diabetics do not always notice the wound on the skin. A person may accidentally cut himself while walking barefoot, step on a pebble, or just rub a corn. This leads to cracking of the skin and further suppuration. Therefore, due treatment is not carried out, and first aid is not provided. Damage is subject to infection and suppuration. It is quite difficult to cure a wound. The consequence is the development of ulcers, diabetic foot and neuropathy.

Causes of poor healing:

• weakening of immunity;
• circulatory disorders and damage to nerve endings;
• swelling of the lower extremities;
• infection;
• the inability to immobilize the leg for the period of treatment;
• lack of nutrition of cells and tissues with nutrients;
• delayed treatment.

Wounds in the advanced stage can lead to the development of gangrene, from which it is almost impossible to get rid of. The disease proceeds rapidly. As a result, diabetic lower limbs undergo amputations. Therefore, it is important to inspect the legs daily for the presence of various wounds, cuts, corns and calluses.

Basics of wound treatment in diabetes mellitus

In order to improve the epithelization of wounds, it is necessary to create optimal conditions for this:

1. Mandatory treatment of wounds by means of antiseptics. If there is swelling and redness, use antibiotics in the form of ointments.
2. Vitamin therapy will also be beneficial, thanks to which the immune system can be greatly strengthened.
3. It is very important to clean skin covering  from harmful microorganisms, foreign bodies and dead cells.
4. Wounds are washed with saline.
5. In some cases, it is recommended to do local baths with turbulent movement of water.
6. Treatment of wounds should be only complex and under the supervision of a doctor.

Treatment of non-healing purulent wounds on the legs: what and how to treat, treat

Treatment of non-healing wounds in the lower limbs should begin with treatment of the affected area. Antiseptics on alcohol based  categorically contraindicated, as they excessively dry the epidermis. Therefore, every diabetic should have at home sparing physiological solutions. It may be Chlorhexidine, Furacilin or manganese (potassium permanganate).

Wear rubber gloves before washing the wound to prevent infection. Use only sterile cotton and bandage. Further, for disinfection, you can apply a special ointment based on silver, metronidazole and other antimicrobial substances. With inflammatory process  It is advisable to use antibiotic ointments (Levocin, Levomekol).

When the wound begins to tighten, you should not allow excessive tightening, so moisturizing ointments are used. This may be Trofodermin or Methyluracil Ointment. Dressings and solution treatment should be done 2-4 times a day.

If the wound contains a large amount of pus and does not heal for a long time, the doctor may prescribe a surgical intervention. It involves the thorough processing and stitching, as well as wound drainage. As a rule, stitches can be removed after 10 days.

Neuropathic complications: features

• Fusicutan  is based on fusidic acid, refers to antibiotics.
• "Delaksin"  consists of synthetic tannin, has a comprehensive effect - dries, regenerates, eliminates inflammation and itching.
• "Solcoseryl"  accelerates metabolic processes, heals the skin.
• "Vulnostimulin"  consists of natural ingredients.
• "Algofin"  refers to antibacterial agents. Consists of carotenoids, chlorophyll and other natural substances.

Ointment for open wounds

• "Levomekol"  regenerates tissue in a short time.
• "Baneotsin"  consists of bacitracin and neomycin, therefore, is the strongest antibiotic. Can be used for burns.
• Zinc Ointment  promotes drying.
• Dioxysol.

Preparations for purulent wounds

• Ichthyol Ointment has all-round properties - pulls out pus, anesthetizes, disinfects. Apply to a cotton swab and insert into the wound, fixing it with a sterile dressing.
• Ointment"Streptocidal" destroys bacteria, pulls purulent fluid.
• Vishnevsky ointment"  used as a tool for lotions and compresses.
• Ointment "Sintomitsinovaya"  refers to antibiotics.

Treatment of wounds with folk remedies

1. Fresh cut leaves of celandine  applied directly to the site of injury.
2. Can do ointment from the root of the celandine and burdock  in the ratio of 2: 3. Add a little vegetable oil and boil on the fire for 10-15 minutes. Lubricate the wounds three times a day.
3. As an antiseptic used juice from fresh cucumbers   in the form of a compress or lotion.
4. Relieve inflammation will help sour milk.  For this gauze is impregnated with fermented milk product and applied to the wound. To do 4 times a day.
5. Make juice from burdock leaves  and apply several times a day.
6. Take 2 tbsp. l calendula  and 200 ml of boiling water. Do baths.

Recipes traditional medicine  used along with drug therapy. Before applying them, it is necessary to consult with the attending endocrinologist and strictly follow all of his prescriptions. Only in this case, you can achieve positive results.

Preventing unhealed wounds

In order to prevent complications due to non-healing wounds, it is necessary to take timely preventive measures:

• daily inspect the lower limbs and the skin as a whole;
• to prevent damage to the blood vessels and nerve endings, periodically take antioxidants (for example, Glucoberry);
• do not go barefoot, and always check your shoes for sand and other objects before going out;
• make sure you have a water treatment every day;
• lubricate the skin moisturizers and emollients;
• get rid of bad habits (smoking, drinking alcohol), as they disrupt microcirculation;
• do not stay for a long time near heating devices that dry the air;
• do not sit close to the radiator, as there is a risk of burns;
• change socks and tights more often;
• buy linen from natural fabrics;
• do not use sharp objects for corns;
• shoes should be as comfortable as possible (ideally wear shoes for diabetics);
• socks should not have tight elastic bands;
• do not hold the legs for a long time in water, this leads to looseness of the skin;
• do not use petroleum jelly and mineral oil products (the skin does not absorb them);
• hydrogen peroxide, iodine should not be used to treat wounds.

And, of course, do not forget about the proper care of the feet, with diabetes.

How to prevent the development of diabetic foot and amputation (video)

Learn more about preventive measures  against the development of diabetic foot and the formation of ulcers, you can from the video provided to your attention:

Always seek the advice of the attending endocrinologist and do not use the advice of friends, as in each case requires individual therapy. Remember, only a specialist can objectively assess the situation, taking into account the peculiarities of the course of the disease and the body.