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Discussion Starter · #1 ·
hi,

I'm not sure which forum to post this in, but seeing as this happened while going for my training ride...

I fell... unfortunately all of my kinetic energy (I was going something like 25Km/h and weigh in at about 100Kg with bike) was absorbed by my hip... right where the joint is...

I hurts, but its livable... the thing is it hurts when I move my leg... a thing you tend to do a lot while riding... plus the notion of the huge scab that's on the wound rubing at my shorts plus the salty sweat on it...

So my question is this... is there a miracle cure for road rash? I sure hope there is, because I dont want to wait another week before hiting the trails...

Thank you for any help... even if it's not a miracle :)
 

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A & D Ointment (recommended by my doctor) helps it heal and keeps the scab soft. My wife (the Grandma) always used it for diaper rash and still has tons of it around for when the grandbabies visit .:D
 

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Discussion Starter · #3 ·
thanks

GaryS said:
A & D Ointment (recommended by my doctor) helps it heal and keeps the scab soft. My wife (the Grandma) always used it for diaper rash and still has tons of it around for when the grandbabies visit .:D
I don't think they sell it where I live, but ill look-up the the healing ingrediant and ask at my drug store.

thanks again!
 

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J&J Healing Bandage

I got a whopper road rash a couple of years ago and tried the Johnson & Johnson healing bandage sold in the band aid section of the drug store in a silver box. Yes they are expensive, but actually prevent scab formation and the dry, itch and pain associated with scabs.

The translucent plastic sheet stays on the wound for days and is water proof so you can shower with this bandage on. Juice from the wound makes the sheet turn opaque over the wound and swells the plastic. This bubble over the wound provides protection and keeps the wound at optimal moisture levels. This wound lube allows exercise despite the injury. The bubble over the wound eventually starts to seep indicating it is time to change the dressing. Very minimal scarring from the road rash compared to some other similar wounds.
 

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jakubc said:
I don't think they sell it where I live, but ill look-up the the healing ingrediant and ask at my drug store.

thanks again!
Whoops! I keep forgetting that this is an international forum. The tube I have in front of me says:

Active Ingredients
White Petrolatum 86.8% Ingredients
Light Mineral Oil , Vitamin A Palmitate with Vitamin D3 in Vegetable Oil


Basically it is just vitamin A and D in some greasy stuff.:)
 

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shaving cream for cleaning

Not that it helps to heal but shaving cream works really well at cleaning road rash after it happens.
 

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Discussion Starter · #9 ·
the stuff I bought

Hi,

I'm back:) So I went to the Pharmacy and they sold me somehting with:

active ingedients: Retinoli Acetas, and Ergocalciferolum (hope this stuff doesn't kill me ;-) )
passive ingredients: white wax, sheep's wool fat (!), and white vaseline.

I'll keep you posted on the side effects...

Soaking the wound in the sea... I like that... one probem though... I live in central Europe:(

Shaving foam for cleanup... will try next time (which I hope won't be soon).

Thank You all for tips!
 

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Complete Bastard
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I got this info off a message board some place and have kept it around for when I scrape my skin off:


supplies:
0.9% sodium chloride solution (just mild salt water)
spray bottle
4" x 4" gauze pads
johnson & johnson Bioclusive dressing or Spenco 2nd skin or Tegaderm (I prefer tegaderm)
paper tape


To deal with fresh rash: Get your post-ride shower (ouch!), NOT scrubbing the abrasions. Then, use the spray bottle of sodium chloride solution to clean up the abrasions, only gently scrubbing with the gauze pad if absolutely needed to remove visible gravel, etc.
The rash needs to be CLEAN - if it's not you're going to have to grit your teeth and make it clean with the gauze and salt solution. Let the wound dry.
Place the semipermeable dressing (you can get it at walgreens...box says semipermeable) over the wound, drying the surrounding area and attaching the film with adhesive tape on dry skin. If you are using sheets too small to cover the wound, Tegaderm, for instance, will adhere to itself and can be shingled over the wound area. The dressing can remain in place for a week, but it might be better to change the dressing after a few days. (THE WOUND SHOULD NOT BE ALLOWED TO DRY OUT UNTIL IT HEALS!!!!!!!!!!!) For signs of infection or if you need a tetanus booster, see your doctor.

(signs of infection include but are not limited to: severe reddenss around the edges of the wound..it's hot to the touch, swollen/painful to touch more so than usual road rash, green/yellow purulent drainage from wound)

You may find yourself sweating under the dressing when you work hard on subsequent rides. Using paper tape to secure the edges of the dressing will keep it from falling off, and you may find you want to replace the dressing if it is particularly wet.
A thought: if you find yourself in the ER because you have trashed more than some skin, you might want to get pushy with whomever is about to clean up your road rash, hoping to get the treatment outlined here.

..." Conventional treatment has consisted of cleansing the affected area with a mild soap and water or a mild antiseptic wash, such as hydrogen peroxide. This would then be followed with the application of antibiotic ointment along with a dry dressing. The problem with this approach lies in the fact that mechanical cleansing by scrubbing the wounds can produce increased trauma and a renewal of the inflammatory response. It has also been seen that the application of antiseptics, such as hydrogen peroxide or povidone-iodine (aka Betadine) , can actually cause harm to the tissue and interfere with function, which can further increase the injury and lengthen the healing process. Topical antimicrobials have been shown to be detrimental to fibroblasts and other cells needed for wound restoration.

In light of these findings, newer, improved methods for treating abrasions are recommended. The most advisable treatment for cleansing the wound is to flush it using a "pistol" syringe or bulb syringe containing a non-toxic surfactant, such as Shur-Clens (ConvaTec, Skillman, New Jersey) or a 0.9% sodium chloride solution, followed by the application of a hydrocolloid or semiocclusive hydrogel dressing.

A moist healing environment is provided by the dressing, which will promote cell migration, remove excess exudate, allow for gaseous exchange, and provide an impermeable barrier to bacteria and other contaminants. The moist environment provided by the proper dressing is important for optimal cell migration by preventing crust formation and allowing the wound to heal from the bottom as well as from the edges. Two basic options fulfill this requirement. One option is semipermeable film dressings, such as Bioclusive andTegaderm in combination with semiocclusive hydrogels such as Spenco 2nd Skin . These dressings are impermeable to water and bacteria but allow the exudate to evaporate.

Another option is the use of hydrocolloid dressings. These also offer a hospitable healing environment but differ from the semiocclusive hydrogels by absorbing the exudate rather than allowing for evaporation. In addition, the hydrocolloid dressing can remain in place for up to 7 days after being applied as can be done with the semipermiable films."

Examples of hydrocolloidal dressings are Duoderm and Cutinova (but you might need to get them from the hospital...they're pricy)
 

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second that!

merlin said:
TAGADERM is amazing! Stops the pain and heal it faster, You can get it at any of the big parmacys, it's made by 3m
Tegaderm is amazing stuff. in the US you can buy it in most pharmacies, OTC. as the previous poster said it is made by 3M. if you know of a hospital supply company you can also get larger sheets from them. the stuff you buy at the pharmacy is about 2"x3".

rt
 

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Discussion Starter · #12 ·
Over and done with

Thanx again for all the feedback... especially to mward... The post went into my "bike stuff" folder :)

anyway... the scab has been good for the past 2 days (it was the size of my palm)... so good that I had forgotten about it... guess what's coming next?... yup I pulled my pants on REAL fast... well after turning purple I realized that there really was pink skin under all of the scab... thank god!

that makes 11 days since the fall... hope to halve the "healing to pink skin period" next time... with all the good advice given...

thanx again and see you next time... hopefully on a more cheerful note;-))
 

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The best article ever on road rash treatment

I've read many articles on this topic and this one is the most complete I've seen. I have it printed out in my house.

Dealing with road rash

By Dawn M. Richardson, MD FACEP

This report filed May 14, 2003

velonews.competitor.com/2003/05/coaches-panel/ask-the-doctor-with-dawn-richardson_3909
 

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you don't want to allow the scab to form on a large abrasion, as you have noticed. The lengthy post about using the transdermal film with a light dressing is the correct way to work with this type of wound, just like they do with serious burns. All that ointment and crap is about 50 years out of date, not much better than leaches
 

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That's easy. Hydrocolloid Dressing (aka 3M Tegaderm)


After ramming my shoulder into a tree at 17mph and losing a huge patch of skin, the race medic put an 8 inch square Tegaderm patch on it. I left it on for a week and when it came off, the skin was slightly pink, but basically totally healed. The scrape I got from a fall in a rock garden on the same race took weeks and is now a hairless scar on my leg. It wasn't NEARLY as bad as my shoulder which is why the medic didn't waste another dressing on my leg.
 

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its a little late now, but shaving your legs makes road rash not quite as painful when it heals as well!!!

edit: just noticed this thread is from 2004!!!!! geez
 
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