OpenHealth Q&A

It's important to address heel pressure sores promptly, especially since you're in a walking boot for an extended period following your ankle surgery. Here are key points and steps you can take to prevent the sore from worsening and to alleviate discomfort.

Main Points:

• You're at risk for pressure sores in the heel due to prolonged immobilization in the boot.
• Immediate steps should focus on relieving pressure, improving comfort, and protecting the skin.

Explanation:

Pressure sores, also known as bedsores, occur when prolonged pressure on the skin reduces blood flow, especially over bony areas like the heel. Given your recent ankle surgery, it’s crucial to pay attention to any discomfort or signs of skin breakdown, as well as to proactively manage the situation.

Next Steps:

1. Redistribute Pressure:

   • Change Positions Frequently: Alter your sitting position every 30-60 minutes. Shift your weight from one part of your foot to another to relieve pressure on the heel.
   • Use Cushions or Gel Pads: When sitting, consider using a soft cushion or a gel pad under your heel to decrease pressure. Special heel pads or offloading devices are also helpful.

2. Protect the Skin:

   • Keep Your Heel Clean and Dry: Gently cleanse the area and ensure it is dry. Avoid excessive moisture, which can worsen skin integrity.
   • Moisturize: If your skin is dry, applying a gentle, fragrance-free moisturizer around—not directly on—the sore can help maintain skin elasticity.

3. Check Footwear:

   • Ensure Proper Fit: Ensure that the walking boot fits well. If it’s too tight, it may increase pressure. Discuss adjustments if necessary.
   • Soft Sock or Padding: Wear a soft cotton sock under the boot (if allowed) to create a buffer between the boot and heel.

4. Monitor the Area:

   • Daily Inspections: Check your heel daily for any redness, swelling, or changes. Early detection of skin issues can prevent worsening.
   • Avoid Pressure on the Heel: Whenever you take the boot off, avoid resting your heel directly on hard surfaces.

By taking these steps, you can significantly reduce the risk of your pressure sore worsening while managing your discomfort. If your condition does not improve or if you see any signs of skin breakdown (like redness or blistering), it's advisable to seek specialized guidance as soon as possible. Let me know if you need further assistance or specific product recommendations!