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Road Rash(19 posts)

Road Rashpitt83
Nov 7, 2003 8:56 AM
I did something stupid yesterday. Out for a run and saw a frind up ahead. Sprinted up to scare her and wiped out on wet leaves. Took a nasty digger.

What's the best way to treat RR? It's my knees so getting air to the injury is tough to do.

I cleaned it out with hydrogen peroxide and am gauzeing and wrapping in neosporin coated pads. Anything quick or better for this?
Aaaah... the right questionNo_sprint
Nov 7, 2003 9:09 AM
I'm one of many self proclaimed RR treatment masters. Done it more than I'd like. See also Make sure your wound is super clean.

Keep it wet and clean daily, almost 24 hours/day. You don't need to get too much air to it. Air drys things out and makes things hard and crackable, not what you want. The best way is to avoid getting the classic scab. I use neosporin and if you can, get yourself some Silvadene cream. Road rash has more in common to a burn than a deep cut. Put tons of that stuff on the scrapes, cover with a non-stick telfa and wrap with ace or other type of bandage or burn netting is best for knees and elbows.

Good luck.
re: Road RashBigFatSal
Nov 7, 2003 9:13 AM
Yeah, whatever, you'll be fine.... scars are cool.... But what I really want to know is - Did she laugh at you??? :>)
You don't want to see the inbox abuse I'm getting over this! nmpitt83
Nov 7, 2003 9:18 AM
You don't want to see the inbox abuse I'm getting over this! nmBigFatSal
Nov 7, 2003 9:42 AM
Well, you're kind of an easy target with this incident! Hang tough but Feel free to let the tears flow if need be...

After all, your pantyhose modeling career could be over if those wounds leave unsightly scars!
Please leave my sexual oddities out of this! =)pitt83
Nov 7, 2003 9:48 AM
Sorry.... Thought it was common knowledge about you! (nm)BigFatSal
Nov 7, 2003 10:13 AM
But, they don't make "King" size panty hose nmpitt83
Nov 7, 2003 12:09 PM
re: Road RashWooban
Nov 7, 2003 9:30 AM
Don't use neosporin! 1)Clean the wound out VERY good with sterile sodium cloride(I actually use contact lens solution). 2) Put lots of vitamin E on the rash(I poke a hole in vitamin E capsules and spread it all over). 3)Use Tegaderm bandages. They keep the wound protected and moist(this is key to faster healing), but also allow it to breath. Heal fast.

Duoderm bandagesms
Nov 7, 2003 9:31 AM
When I had road rash, the doc recommended duoderm bandages. You keep the bandage on for 24 hours (i.e., you only change it when you shower). They come in packs of 5 or 6 and are very expensive (I think that a pack of 4"x6" bandages was $60.00). But, they are worth every cent that they cost. I had a fall in July with major road rash (6"x8") on my upper thigh/butt and a much smaller patch on my arm. I used the duoderm bandages on the thigh/butt -- it healed within two weeks and I hardly have a scar. During the four days before I got the duoderm bandages, I had so much stuff oozing from my road rash that I had to change my pants several times per day and the sheets every night -- I was a real mess. Once I had the duoderm bandages, the oozing was contained and I was able to return to some semblance or normalcy (My coworkers were really grossed out by the wet spots on my pants). On my arm, I used neosporin and bandages -- it took longer to heal and I have a nasty-looking scar.

You will not be able to get duoderm bandages at a run-of-the mill pharmacy like Rite Aid or Walgreens. They usually are sold only at specialty pharmacies. If you don't know about such a pharmacy in your area, call the burn unit of your local hospital or someone who is knowledgeable about emergency medicine for where you can find duoderm bandages.
Duoderm bandages - any pharmacy can order them for youinnergel
Nov 7, 2003 9:56 AM
They can probably have them in the next day. My wife is a pharmacist, and they do special orders for items they don't stock all the time. Should not be any extra charge, since they get deliveries every day.
peroxide not a good idea, but it is too lateColnagoFE
Nov 7, 2003 9:38 AM
go to the pharmacy and get some duo derm. works great. neosporin works ok in a pinch. keep it moist and try not to let it scab. that will reduce scarring.
peroxide at first OK?pitt83
Nov 7, 2003 9:45 AM
I usually scrub the grit out with peroxide since if foams and brings all the dirt to the surface to wipe it away. Plus, it doesn't burn like alcohol or stain like iodine or mercurochome.

I always thought you should clean thoroughly with somthing, then start the ointment and bandages.

I will look at duo derm. Too bad, we manufacture Neosporin and it's basically free at the company store.
soap and water betterColnagoFE
Nov 7, 2003 10:51 AM
Peroxide can do more damage to the skin than it helps. Or so I've heard. Maybe someone else has another view on it.
Nov 7, 2003 9:48 AM
though, i've found it difficult to get it to stick on my knees. if you can get it to stick, though, it's great. totally waterproof (makes showering a fun thing to do again), and promotes healing. you can also try the band-aid brand waterproof bandages. some even come with neosporin on them.

another vote for tegaderm...dcdre
Nov 7, 2003 11:53 AM
I've had my share of road rash on my legs (mainly from speedskating though), tegaderm works wonders in healing road rash quickly. Gotta make sure that the patch covers the rash with room to spare - it's the healthy skin contact that forms the seal to keep the road rash moist. Nice thing about tegaderm is that it will stick to itself - use 2 or 3 to form a bigger patch.
I am with rtSadlebred
Nov 7, 2003 12:32 PM
Tegaderm is the way to go. I've heard good things about duoderm as well. Some stores sell a tegaderm like product that is more flexible and "expands" and traps the fluid in it. I have had moderate success in treating road rash on joints that way. Usually, I'll opt for a big bandage and neosporin and deal with the scars later with Silicon sheeting. I'm in love with Silicon Sheeting. I had a nasty fall on my mtb on the road this spring and wound up with a very raised and painful scar. I've been using the sheeting for about 6 weeks can can already notice the scar going down and the pain decreasing even though the package says it can be 8 weeks before any results are seen.
That stuff rocksjtolleson
Nov 7, 2003 1:40 PM
I've had two significant RR experiences. One got dry, cracky, painful, and left scars. The other I used Tegaderm (Spenco Second Skin is also good) and had less pain, less scarring, and faster healing. Contrary to what we learned as kids, dried out wounds are not always best.
re: Road Rashmarkkar
Nov 7, 2003 1:42 PM (nm)