Proud flesh

S

showqa

Well-Known Member
Joined
26 February 2008
Messages
827
Visit site
Friend's horse has a wound - slightly bigger than a five pence piece - and I think it has proud flesh. It's shrunk a lot to what it was and it's very clean, but red raw and is showing no real signs of healing altogether. The horse is perfectly sound, no heat or swelling, and the wound is nowhere near joints or tendons.

I said to put a manuka dressing on it for three days, and then change, perhaps for a couple more dressings. Just wondering if that is the best approach? It seems massive overkill for the vet to come and cut it away, as it's so small. Thanks.
 
Keep it clean with hibi scrub and bandage it jelonet is gr8
you must keep it it clean for it to heal properly.

Jelonet is amazing stuff

http://www.amazon.co.uk/s/?ie=UTF8&...=aps&hvadid=7735921129&ref=pd_sl_9jg9gfvo6o_e
My mare ripped her knee off down to the veins proud flesh did come but it did go. It will be raw its good to rub it a bit aids the healing .It will take time.. If you can ask the vet for some Dermasol spreads up healing x 2 It really does you can see it change by the day

http://www.vetmedsdirect.co.uk/products/Dermisol-Cream-30g.html
 
Hey Levi - that sounds like good experience gained knowledge, so I've passed it on. Cheers.

Wondered wether the honey was still the way to go - glad I asked!
 
There are 2 things that can be used for proud flesh - one I know is vet prescribed only and it's a gel called Vulcatan. It works well when used correctly. The other - and don't ask where it comes from, I don't know I just have to use it upon occasion - is Copper Sulphate. Litterally chuck a sprinkling onto the proud flesh and it will burn it away. CS is not my favourite method but it is very quick and clean to do.
 
My sisters horse is currently recovering from a wound and i asked the vet this same question today!
She told me that manuka honey/alu-spray etc is very good at cleaning up dirty and infected wounds but that it wouldn't really help in a proud flesh situation. Basically debrided/trimming back the flesh is the best way forward for quick, complete healing. With a 50:50 steriod:nu-gel mix applied afterwards to discourage further formation.
 
I can highly, highly recommend Equaide! Recommended to me by somebody on here, for a very large wound on a joint, which was developing proud flesh. Overnight (not an exageration, was overnight) the wound went from horrible, about 2 in wide and 9 in long it shrunk by about half an inch in width and the same in length. It didn't need bandaging (just as well, horse needed sedating to bandage :() and could be turned out after a few days. It didn't appear to hurt her (she would have made it very clear if it did) and only had the tiniest scar! None of us could believe it!

J&C
 
showqa said:
Friend's horse has a wound - slightly bigger than a five pence piece - and I think it has proud flesh. It's shrunk a lot to what it was and it's very clean, but red raw and is showing no real signs of healing altogether. The horse is perfectly sound, no heat or swelling, and the wound is nowhere near joints or tendons.

I said to put a manuka dressing on it for three days, and then change, perhaps for a couple more dressings. Just wondering if that is the best approach? It seems massive overkill for the vet to come and cut it away, as it's so small. Thanks.
Click to expand...

The key thing to understand about proud flesh is that it is a multifactorial process - the growth of proud flesh simply shows us that something is not healthy within the granulation tissue bed. The key to treating the proud flesh, and therefore healing the wound is not any particular product, it is identifying what the problem is with wound healing and addressing it.
The most common factors that inhibit wound healing are
1) Excess movement, usually when wounds are over the joint. I liken this to builders putting up scaffolding - if it wobbles then they put down extra
2) Infection, usually the clue is very delicate granulation tissue that bleeds easily, and may be tenderness/swelling around the wound.
3) Poor blood supply, which is an issue with any wound on the leg, especially the front of the hock
4) Several other less common factors.

Finding these factors and treating them is the key to preventing proud flesh - if it is already present then getting your vet to trim it back is the best thing to speed healing - new skin cannot grow over mountain ranges.
 
Leviathan said:
Keep it clean with hibi scrub
Click to expand...

Hibiscrub has been shown to inhibit the formation of new epithelial(skin) cells, and slow the process of wound healing. Sterile saline is the best thing for cleaning wounds, and can be made at the right concentration (0.9%) by dissolving 1 tablespoon of salt in 1 pint of boiled water. The best way of cleaning is to squirt the saline on through a syringe and needle, not scrubbing with cotton wool.
 
My horse had a large cut on the inside of his hock from a kick. I got some cream from the vet (cant remember what its called will check)as he did have a bit of proud flesh, was very good! Once that had gone down I used multi care cut heal, kept the flys off and he didn't get an infection. I would recommend it as it has pretty much cleared up now with hardly any scaring :0)
 
I didn't believe it myself, but was advised to use medical grade manuka honey (10+) but I used 15 from sainsburys, on a melolin dressing, changed every other day on a proud flesh wound about 3cm x 6cm on the front of my heavily pregnant mares fetlock. Within 8 days it was a tiny healthy wound! I am converted!
 
ameeyal said:
Honey will encourage more skin to form, i always stop the honey when the skin has reached the fur.
Click to expand...

Honey does not encourage proud flesh - it prevents its formation.

Keep dressed with honey and covered until completely healed over.

If you think it is out of control then wash with saline - (Hibiscrub is not designed for open wounds - it is a sterilisinf wash for a surgeons hands!)

smear Vaseline below and around the outside of the wound and then press some copper sulphate crystals on the wound. Remove daily, clean and repeat until proud flesh is below skin level again.

Then go back to honey dressing and bandage until healed.

Wounds heal better and cleaner if kept moist and covered.
 
sprite1978 said:
Betnovate steroid cream.....Prescription only I think.
Click to expand...

This ^^, or any other mild steroid cream. Put it onto a dressing, and cover the wound. Leave for at least 2 days before changing. Continue until the skin is almost together.

I used this method - as advise by a wound management nurse -last year on a hooching massive piece of pround flesh diwn the cannon bone. It had failed to heal for 4-5 weeks, and was gone in a week!
 
showqa said:
Hey Levi - that sounds like good experience gained knowledge, so I've passed it on. Cheers.

Wondered wether the honey was still the way to go - glad I asked!
Click to expand...

yes it is experienced knowledge :D you used to be able to get dermasol only from vet. Over the years its more widely available. my mares knees was gross you could put your fingers behind her veins right into the knee i took pictures of the progress. We are talking about the 80's tho
 
Think of it as the body's immune system going into overdrive, desperately trying to heal this wound but producing too much new tissue. If it's mild proud flesh steroid cream, ie betnovate will slow down the immune system at the site and stop the tissue overproduction. There is also a cream with betnovate plus antibiotic, which I have been racking my brains to remember the name of and can't aggh, but I think it is betnovate and neomycin, anyway this will help keep the wound free of infection.

If it is a larger piece of proud flesh you probably need the vet to cut it out. The problem with using anything caustic is that it will as likely damage healthy cells as well as those you want to get rid of.
 
I have used Equaide very sucessfully for proud flesh, it is made from natural ingredients, you just paint it on the wound and cover if necessary or leave open as I did, 2 weeks later new pink skin and the proud flesh gone.
 
You must log in or register to reply here.
Top