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Road Cycling “It is by riding a bicycle that you learn the contours of a country best, since you have to sweat up the hills and coast down them. Thus you remember them as they actually are, while in a motor car only a high hill impresses you, and you have no such accurate remembrance of country you have driven through as you gain by riding a bicycle.” -- Ernest Hemingway

ROAD RASH Help !

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Old 06-27-05, 02:46 PM
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ROAD RASH Help !

Any advise please forward. I got knocked off a wheel in final sprint finish and landed on a curb. Right butt extreme knife-edged road rash, knee and calf not so bad.
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Old 06-27-05, 02:50 PM
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SPENCO second skin. Looks like someone played a little too hard with his mistress.
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Old 06-27-05, 02:55 PM
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ouch. Nothing a little neospirin, some vitamin e and a, plus few shots of tequilla couldn't fix
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Old 06-27-05, 02:59 PM
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Try this website--a friend of mine recommends it.
https://www.velonews.com/train/articles/3909.0.html

We found that the DuoDerm patch comes in various sizes.
We got the 4 x 4 inch pads and another box of 4 x 6 pads.
We ordered through a local pharmacy and will pick them up tomorrow. It
will be expensive but I think worth it to have on hand, especially if it
helps the healing process along so much faster.

The Tegaderm patches are easier to find and though they are more expensive
than ordinary bandages, seem to work pretty well. I found them at Walgreens
and the local pharmacy, they come in a variety of sizes and work fairly
well but do not have the healing properties that the DuoDerm has. Clear
patches are easier to monitor for infection and potential problems.
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Old 06-27-05, 04:05 PM
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In my experience, the best thing is just to let it scab up. Sure, it won't heal as fast, but even tegaderm/etc tends to get annoying on the joints, esp if you are wearing pants.

Just give it time, and "deal with it" for now.
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Old 06-27-05, 05:47 PM
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Ouch, I hope you feel better. I have been lucky so far and not had that happen, but I probably would just put some hydronperoxid (sp?) on it to lean it up, then some neospirin and gauze to protect it.
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Old 06-27-05, 07:29 PM
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Get a doctor to prescribe some silverdine cream.
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Old 06-27-05, 08:16 PM
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Pickin' road rash is fun; until it oozes on your pants and everybody becomes grossed out.
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Old 06-27-05, 08:33 PM
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Originally Posted by ivan_yulaev
In my experience, the best thing is just to let it scab up. Sure, it won't heal as fast, but even tegaderm/etc tends to get annoying on the joints, esp if you are wearing pants.

Just give it time, and "deal with it" for now.

No, no, no.

Scabs are bad! It'll heal much faster and with less scarring if it's kept moist. Be it with non-stick pads, or whatever.

Personally, after a recent mountain-bike crash (couple weeks ago) I tried tegaderm for the first time and I'm sold. Barely over two weeks and my arm is pretty much healed (just the whitish-pink patches of fresh skin showing through), and the knee is coming along nicely. Similar road-rash in the past has taken a nearly a month to completely heal.

I covered it with gauze and Brave Soldier ointment for the first 2 or 3 days to allow it to drain and give it a little medicated boost, and switched over to the tegaderm after that.

I did find that the tegaderm doesn't stay on knees nearly as well as areas not on joints. I had a couple patches (had to over lap them to cover the area) stay in place for nearly a week on my forearm, but I found that with all the movement (and sweat from riding) the tegaderm on the knee doesn't stay on for much more than a day or two. I don't find it nearly as annoying as a scab though.

Have not tried duoderm.

-Trevor
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Old 06-27-05, 08:46 PM
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Hi -- i have had lots of plastic surgery (can anyone say burn unit?) on my skin -- and the doctors are evenly divided if 'moist' or 'scabs' are better. My doc went with scabs -- just as long as you monitor the deeper ones for any sign of infection lurking underneath. Be careful -- silver creme (mentioned by others) is good. It takes a long time.
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Old 06-27-05, 08:55 PM
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Dude don't cross post, if you don't get the answers you want in one forum ask a mod to move the thread.
https://www.bikeforums.net/road-cycling/117204-nasty-road-rash-pic-help.html
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Old 06-27-05, 09:13 PM
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Yeah a good bandage and keep it from drying out too much underneath is best. Let it scab, but keep the scabs from getting so dry they split etc. You want a bandage that will be slippery against your clothes though, so use gauze or something and on top, duct tape? Something.....
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Old 06-27-05, 09:51 PM
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Originally Posted by DieselDan
Get a doctor to prescribe some silverdine cream.
I agree with DD here. Silvadine is great stuff. I have had to use it twich after bike accidents. Once when I was hit by a car 3 years ago, DD I think you remember when this happened, severe contusion on right calf that severely blistered. And once when I lost control & slid about 10 feet on my left side down a bike trail. Massive road rash on left glute & side. Silvadine helped both times.

It is actually a burn treatment. Road rash & severe contusions that severely blister are considered mechanical type burns, at least thats what I've been told. The only thing that helps silvadine make the pain go away better is when a good looking nurse is applying it to your glute area for the first treatment at the doctors office. After that you're probably on your own though.
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Old 06-27-05, 09:57 PM
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Be sure to disinfect and thoroughly clean all of your road rashes. I think I used hydrogen peroxide or something like that on cotton balls. Oh man, it hurts like a MF'er, but you do not want to get the yellow pus infection. Afterwords, lightly wrap gauze around the would and use medical tape to keep it on your skin.

And since it's on your butt, the scabs will break up and you stand, sit, stand, sit throughout the day. It's rather uncomfortable, but you just got to deal with it.

And I'll say again: Be sure to disinfect and thoroughly clean all of your road rashes.
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Old 06-28-05, 02:38 AM
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Hydrogen Peroxide is bad.

There are bottles of saline solution available at the pharmacy. Use that to rinse out the wound. Squeeze the bottle for pressure where needed.

A moist dressing, after cleaning, will allow any further debris to float to the surface. This is a good thing.
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Old 06-28-05, 08:17 AM
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i was told to clean it out every day using antibacterial soap to prevent infection. make sure you use nonstick bandages....the other ones really really suck. i kept it moist for a while and then let it slowly scab up, that seemed to work. also put neosporin on it every day. dont even have any scars.
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Old 06-28-05, 05:37 PM
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Just don't mix Darvocet and Flexeril.
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Old 06-28-05, 10:04 PM
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Originally Posted by DieselDan
Just don't mix Darvocet and Flexeril.

I know what Darvocet is, really good pain reliever. But what is Flexeril?
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Old 06-28-05, 10:59 PM
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I agree with the don't cross post comment in most cases, but if I had parts of my body looking like that, I'd be posting all over the internet. I don't blame him here. Also, thanks for all of the great "learned" lessons. I will be saving most of them for the inevitable time that I go down. I don't know if you helped Todd, but you gave this newbie some great advice.
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Old 06-29-05, 05:56 PM
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Originally Posted by N_C
I know what Darvocet is, really good pain reliever. But what is Flexeril?
A muscle relaxer. Mix them and you see things that aren't there and all your nerve ending fire off at once!
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