Heel wound caused by trauma and phlebitis: what to do

Good morning,

On May an iron ladder fell on my foot and the wound got infected. I’m currently treated at the University Hospital of Salerno, where I had 40 sessions of HBOT and I underwent a skin graft surgery. I’m currently affected by phlebitis and continuous pain in the wound. I’m thinking about moving to another hospital or at least to ask for another medical opinion.

Thank you,

One comment on “Heel wound caused by trauma and phlebitis: what to do

  1. Sofia Fioravanti on

    Dear Paolo,
    Thank you for contacting us.

    Unfortunately, trauma wounds are very common and they often tend to become chronic; this is the reason why they have to be treated promptly.
    The first step is certainly to treat phlebitis, which is the inflammation of a vein. Phlebitis is a potentially dangerous condition, because it may become thrombophlebitis and thus cause an embolism.

    The treatment, prescribed by the doctor, usually involves the heparin administration and the use of elastic socks. Dressings are even more effective in terms of compression and they are useful for wound management. In order to give the right degree of compression, I would recommend, if you haven’t done it yet, to undergo an arterial and venous ecocolordoppler of the lower limbs.

    Now, let’s speak about your wound. I’m so sorry for your continuous pain, which certainly doesn’t help wound healing.
    Indeed, we can state that our brain establishes priorities: when it has to choose between pain control and tissue damage healing, our body will always opt for the first one. Pain can be managed by drugs prescribed by the doctor and by other therapies.

    At our centre, for example, we employ FREMS treatment, a technology which consists of biocompatible electrical signals deriving from computerized neurostimulators administered through transcutaneous electrodes. FREMSTM is a valid alternative to drugs treatment and, in certain cases; it can prevent serious surgical operations. The cycle normally consists of 15 sessions, but the protocol to be followed is decided by the doctor during the visit.
    Another treatment, which can help pain control and wound healing, is Klox treatment, which is photobioluminescence, which employs the visible light capacity to trigger non-thermal and non-cytotoxic biological reactions.

    The therapy involves the application of a gel that contains chromophores (they are a group of atoms responsible for the colour of a specific substance) and urea peroxide.

    Once applied to the wound and on the perilesional skin, the gel is exposed to a non-coherent blue light emitted by a LED lamp placed 5 cm far from the wound.
    The light exposure lasts 5 minutes, then the gel is removed and it is possible to apply the most useful medication and dressing. It’s normally advisable to take one treatment per week for four weeks.

    To contact us you can call the telephone number +39 0544 500152, or send an email to scrivici@iperbaricoravenna.it, by specifying that you come from outside the Emilia-Romagna region.

    You will be called by a doctor to decide the treatment that better fits your needs.
    Thank you for your trust.
    Best regards,
    Sofia Fioravanti
    Nurse of the Wound Care Centre of the Hyperbaric Centre of Ravenna


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