Preventing Pressure Ulcers on Heels: Tips and Strategies
Pressure ulcers, once upon a time known as bedsores, are a serious and painful condition that can occur when there is prolonged pressure on the skin. When pressure is applied to the skin for an extended period of time, it can lead to a decrease in blood flow and oxygen to the affected area, causing the skin to break down and form a sore. I need to add a bit of clarification here because no one can know if there is a safe level of pressure or a safe period of application - extended amount of time might not be very long at all. It varies so much with individual circumstances. The safest thing to do is aim to completely offload the heel area.
Pressure ulcers are more likely to occur in people who are bedridden or have limited mobility, as well as those who have certain medical conditions that affect blood flow, such as diabetes.
If you or a loved one is at risk for developing pressure ulcers on your heels, there are steps you can take to prevent them from occurring. Here are some tips and strategies to help keep your skin healthy and avoid pressure ulcers on your heels:
Keep your heels clean and dry
Moisture can increase the risk of skin breakdown, so it's important to keep your heels clean and dry. This means changing socks or bedding frequently if they become damp, and using a moisture-wicking fabric or a special heel pad to help keep your heels dry. Make sure to gently wash your heels with mild soap and warm water, and pat them dry with a soft towel. Avoid rubbing or scrubbing your heels, as this can damage the skin and increase the risk of pressure ulcers.
Use a pressure-relieving device like one of the PRAFO family of ankle foot orthoses
Using a pressure-relieving device can be an effective way to prevent pressure ulcers on your heels. There are many different types of pressure-relieving devices available, such as heel protectors, cushions, or pads that help distribute pressure evenly and reduce the risk of skin breakdown. Your healthcare provider can help determine which device is best for you and provide guidance on how to properly use and care for the device to ensure maximum effectiveness.
Wear appropriate footwear
Wearing appropriate footwear is crucial in preventing pressure ulcers on your heels. Shoes that are too tight or too loose can cause friction and pressure on your heels, increasing the risk of skin breakdown. Opt for shoes that fit well and provide adequate support and cushioning. If you have a foot deformity or other foot condition, talk to your healthcare provider about getting custom-made shoes or orthotics to help distribute pressure evenly. Additionally, avoid walking barefoot or in socks to reduce the risk of skin breakdown.
Maintain a healthy diet and exercise routine
Maintaining a healthy diet and exercise routine can also help prevent pressure ulcers on your heels. Eating a balanced diet with plenty of protein, vitamins, and minerals can help keep your skin healthy and promote healing. Exercise can improve circulation and help distribute pressure evenly throughout your body. Talk to your healthcare provider about safe and appropriate exercise options for your individual needs and abilities. Remember to also stay hydrated by drinking plenty of water throughout the day.
In conclusion, if you or someone you know is at risk for pressure ulcers on the heels, taking preventative measures is crucial. By following these tips and strategies, you can help keep your skin healthy and avoid the development of painful pressure ulcers. If you have any concerns or questions about preventing pressure ulcers, be sure to talk to your healthcare provider.