Dr. Geetika Paliwal

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Bed Sores (Pressure Ulcers): How They’re Prevented and Surgically Treated

Bed Sores, also known as Pressure Ulcers or Pressure Injuries are a problem for people who spend a lot of time in bed. Bed Sores happen when the skin and the tissue underneath it are under pressure for a long time. This is common in people who use a wheelchair cannot move much or are recovering from a serious illness or surgery. Dr. Geetika Paliwal believes that it is really important to prevent Bed Sores on because if the skin is red for too long it can turn into a deep wound that affects the fat, muscle or even the bone.

What Causes Bed Sores?

Bed Sores often happen on parts of the body with bones to the skin like the tailbone, hips, heels, ankles, elbows and shoulder blades. When there is much pressure on these areas it can reduce the flow of blood to the tissue. If a person slides down in bed it can also damage the skin because of friction and shearing.

Some people are more likely to get Bed Sores, like those who cannot change their position on their own, do not eat well, have problems with urine or stool, have weak skin, diabetes or circulation problems.

How Can Bed Sores Be Prevented?

1. Change Position Regularly

A person who cannot move much should not stay in the same position for too long. Moving around in bed and changing the way they sit can help reduce the pressure on the skin. The schedule for moving should be based on how well the person can move, the condition of their skin and their overall health.

2. Use Pressure-Relieving Support

There are mattresses, cushions and surfaces that can help reduce the pressure on the skin. These can be really helpful for people who’re at a higher risk of getting Bed Sores.

3. Check the Skin Every Day

It is really important to check the skin every day around the heels, hips, buttocks, back and elbows. If the skin is red, discolored, warm, tender, swollen or open it should not be ignored.

4. Keep Skin Clean and Dry

The skin can get damaged if it is wet for a very long time. Cleaning the skin gently, drying it properly and using products to protect it can help.

5. Support Nutrition and Hydration

Eating a diet with enough protein, calories, vitamins and minerals is important for keeping the skin healthy. Drinking water is also crucial. People who do not eat well or are losing weight may need to see a dietitian.

When Does a Pressure Ulcer Need Surgery?

Not all Bed Sores need surgery. If the wound is small and caught early,it may heal with pressure relief, dressings and good nutrition.

Surgery may be needed if the wound is deep, has tissue or is infected. Dr. Geetika Paliwal will assess the wound and the person’s overall health before deciding on surgery.

How Are Bed Sores Surgically Treated?

  • Debridement is a procedure that removes damaged tissue from the wound. This helps the surgeon see how deep the wound is and makes it easier for the wound to heal.
  • Flap Reconstruction is a type of surgery that uses skin and tissue from another part of the body to cover the wound. This is often needed for wounds that will not heal on their own.
  • Skin Grafting is another type of surgery that may be used for some wounds. This involves taking skin from another part of the body and placing it over the wound.
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Recovery After Pressure Sore Surgery

After surgery it is still important to relieve pressure on the skin. This may involve following a schedule for moving around using a special mattress and eating a healthy diet.

It is also important to follow up with the doctor to make sure the wound is healing properly. Caregivers should learn how to check the skin and protect the site to prevent the Bed Sore from coming back.

Conclusion

Bed Sores can be serious but many of them can be prevented. Bed Sores can be prevented by recognizing the risk of relieving pressure on the skin, taking care of the skin and eating a healthy diet. If a Bed Sore does develop and does not heal with treatment, surgery may be needed. Dr. Geetika Paliwal, best doctor for bed sores treatment in Indore, can help determine the course of treatment for each person with a Bed Sore.


FAQ’s

Bed sores, also called pressure ulcers or pressure injuries, are areas of damaged skin and underlying tissue caused by prolonged pressure. They commonly affect people who remain in bed or a wheelchair for long periods.

Early signs can include persistent redness or skin discoloration, warmth, tenderness, unusual hardness or softness, swelling and skin breakdown. Early medical attention can help prevent the wound from becoming deeper.

Bed sores usually appear over bony areas where there is less natural padding, such as the heels, tailbone, hips, ankles and elbows. People with limited mobility are particularly at risk.

Regular repositioning, daily skin checks, keeping the skin clean and dry, using pressure-relieving mattresses or cushions and maintaining proper nutrition can help reduce the risk of pressure ulcers.

Yes. Many early or less severe pressure ulcers can heal with pressure relief, wound care, suitable dressings and management of underlying health issues. Advanced or non-healing wounds may require surgical evaluation.

Surgery may be considered when a pressure ulcer is deep, has significant dead tissue, does not heal with regular wound care or requires healthy tissue coverage. The need for surgery depends on the wound’s depth, location and the patient’s overall health.

Depending on the condition of the wound, treatment may involve surgical removal of unhealthy tissue, known as debridement, followed by wound closure or reconstructive procedures such as flap surgery. Dr. Geetika Paliwal can assess the wound before deciding whether surgical reconstruction is appropriate.

Flap surgery uses healthy nearby skin and underlying tissue to cover a deep pressure ulcer. It can provide stronger tissue coverage over areas where bone or deeper structures have become exposed.

Yes. A pressure ulcer can develop again if prolonged pressure continues over the treated area. Regular repositioning, pressure-relieving support, skin care and follow-up remain important even after surgery. Pressure-relief strategies are a key part of preventing pressure injuries.

People with deep, infected, recurrent or non-healing bed sores should seek a medical evaluation rather than relying only on home wound care. For bed sore treatment in Indore, Dr. Geetika Paliwal can evaluate the wound and advise whether continued wound care, debridement or reconstructive treatment should be considered.

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