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What is a wound culture

wound care oklahoma cityWound culture on children and adults is a test that looks for germs like bacteria, fungi or viruses.

If the wound is infected the culture can help determine what kind of germ produced the infection. This helps your provider determine which antibiotic to use. There is nothing to prepare for except telling your child or adult that a q-tip will swab inside the wound and it will sting or burn. In some cases there may be wound bleeding after the culture.

The culture is taken to a lab and tested and if there is infection the culture will be positive and if it does not it is negative.  The results will be called to your provider and he or she will decide what antibiotic treatment should be used.

References

Wound Drainage Culture. (n.d.). Retrieved from https://kidshealth.org/en/parents/wound-culture.html?view=ptr&WT.ac=p-ptr

What is a wound culture2019-09-23T21:19:17+00:00

Burns

A burn is damage to tissue by heat, chemical, electricity, sunrays or radiation. The Most common Burn occurs from hot liquid such as soup, coffee and boiling water, but other liquids are flammable liquids and gases. Burns are describe by tissue depth and surface area covered.

Burns are measured in degrees 1, 2, 3 and 4th by depth:

1.     First degree burn is superficial epidermis damage, such as sunburn with or without blisters.

2.     Second degree burn affects epidermis and second tissue layer called the dermis layer.

3.     Third degree burn are much deeper damaging epidermis, dermis, hair follicles and sweat glands.

4.     Fourth degree burn extends into the fatty layers, fifth involves muscle and sixth involves bone.

Severe burns are extremely dangerous because of systemic complications from a huge full body inflammatory reaction. This inflammatory response can cause an overreaction injuring major organs such as heart, lungs, kidneys, blood vessels and others.

In most cases burns are treated with clean dry daily dressing using topical antibiotics to prevent infection and ease burn pain. However, in many burn cases daily debridement in an out-patient clinic  is needed to remove damaged tissue to allow healing to occur. Severe cases may require acute hospitalization in special burn center.

Our clinic is well trained in burn care and debridement and will provide you care with professional attention and compassion.

References

Burns. (2018, January 2). Retrieved from

https://www.nigms.nih.gov/Education/Pages/Factsheet_Burns.aspx

 

Burns2022-01-12T14:36:49+00:00

TMJ – Temporomandibular Joint

Temporomandibular Joint

Temporomandibular joint aka TMJ is pain in and around the ear where the mandible attaches to the skull. The temporomandibular (TMJ) joint allows you to open and close your mouth for chewing, talking and yawning. Dysfunction of this joint causes jaw pain, headaches, swelling, numbness, radiating pain, stiffness, jaw locking, clicking and popping.

Occasionally acute TMJ pain will improve without treatment using home remedies such as soft food, heat, ice and NSAID’s. However, TMJ can develop into chronic pain and need physical therapy help to resolve pain and restore joint function. Our out-patient clinic uses manual techniques to relax the surrounding joint muscles, integrative dry needling, ultrasound, joint tapping, electrical stimulation, heat and ice to resolve pain and restore function.References

Temporomandibular Joint Dysfunction. (2017, January 2).

Retrieved from https://www.nidcr.nih.gov/sites/default/files/2017-09/less-is-best-tmj.pdf

TMJ – Temporomandibular Joint2022-01-12T14:38:45+00:00

Breathe Easy

Chest Physical Therapy

Chest physical therapy (Chest PT) is a manual physical therapy technique used for airway passage clearance. It consist of percussion, vibration, deep breathing and coughing. The technique is used to create a productive cough to clear mucus and fluid from the five lobes of the lungs. Chest PT can be used for various diagnosis such as flu, cold, asthma, pneumonia, bronchitis, chronic obstruction pulmonary disease (COPD), neurological disorders, or bed bound persons.

The two main techniques are percussion and vibration. Percussion is done by slightly cupping the hand and clapping against the chest wall. Having the hand cupped provides comfort and less of a slapping sensation. Vibration is performed by gently shaking the chest wall with a flattened hand to loosen the mucus from the lungs. Person is placed in various positions to allow postural drainage to assist with the production of mucus. Each technique is then followed by attempting a productive cough to expel the mucus.

Our clinic provides manual chest therapy for all ages and we highly recommend this treatment for cold and flu season to prevent pneumonia and other complications from congestion.

Cystic Fibrosis Foundation. Chest Physical Therapy. Retrieved from https://www.cff.org/Life-With-CF/Treatments-and-Therapies/Airway-Clearance/Chest-Physical-Therapy/

Breathe Easy2022-01-12T14:38:45+00:00

Non-Healing Wound

Non-healing wound is a delay in the natural healing process from either an outside or inside source. Inside sources could be and infection, bleeding, drainage, clots, fatty necrosis, unexpected debris, tracks, and underlying health issues such as diabetes and  poor circulation. Outside sources could be pressure, friction, moisture, trauma, burn, radiation and insects (roaches or maggots).  All of these sources make each patient and circumstance unique and different and should be treated with individual care.

As a wound practitioner my responsibility is to find the delay or non- healing source quickly for every patient. Early detection will reduce pain, suffering and return patients to their lifestyle.

Our wound care clinic is unique because our staff is physical therapist and assistances that specialize in wound care and debridement. We have successful wound healing because of our outstanding experience, skill and consistent staff. Our small staff of professionals allows us to have better consistency and patient compliance. Most wound care facilities operate with large changing staff that causes inconsistent care and delayed healing.

Sherri Boos, DPT, PT

Yukon Wound Care & Rehab

Non-Healing Wound2019-01-15T16:56:35+00:00

Adhesive capsulitis

Adhesive capsulitis or commonly known as “frozen shoulder” is the tightness, lack of use and the pain associated within the shoulder joint. Frozen shoulder can be caused by an injury or arthritis that then results in lack of use and loss of function. Injuries such as stroke, fractures, falls, or prolonged immobility after a shoulder surgery are examples of common causes. People over 40, particularly women, are more susceptible to adhesive capsulitis.

Physical therapy is the most common prescribed tool for improving adhesive capsulitis. Joint mobilizations, aggressive stretching, and range of motion exercise are techniques used during each session. Physicians may prescribe steroids or an injection into the joint for relief. In some cases, an orthopedic consult may be needed. An orthopedic surgeon would surgically clean the inside of the joint to remove arthritis, scar tissues, or tears and free the capsular space.

Preventive exercise can be beneficial. Contacting an experienced physical therapist is key. Physical therapy will guide the person through appropriate care. If suspicion of a frozen shoulder is occurring, range of motion exercise and joint mobilizations will be used.

Mayo Clinic Staff. (2018, July 20 2018). Frozen Shoulder. Retrieved from https://www.mayoclinic.org/diseases-conditions/frozen-shoulder/symptoms-causes/syc-20372684

Adhesive capsulitis2022-01-12T14:38:45+00:00

Physical Fitness and the New Year

“Physical Fitness – a dynamic physical state compromising cardiovascular/pulmonary endurance, muscle strength, power, endurance, and flexibility; relaxation; and body composition that allows optimal and efficient performance of daily and leisure activities.” Physical inactivity is the leading contributor to increased mortality and morbidity, physical therapists are exercise experts across the lifespan and physical therapists promote physical activity and exercise.

With the New Year, we rush to the gym determined to burn off those holiday calories and work toward our New Year’s resolutions. But unfortunately, studies show that more than half of those who join a gym will drop out in 3-6 months. If we can stay consistent, that creates a habit and a habit creates a healthier lifestyle.

Exercise can help prevent excess weight gain. When you engage in physical activity, you burn calories. The more intense the activity, the more calories you burn, the more calories you burn, the more weight you lose. Regular exercise helps prevent or manage a wide range of health problems and concerns, including stroke, metabolic syndrome, type 2 diabetes, depression, arthritis and falls. Physical activity stimulates numerous brain chemicals that may leave you feeling happier and more at ease. You may also feel better about your appearance and yourself when you exercise frequently, which can boost your confidence and improve your self-esteem.

Exercise and physical activity can be enjoyable. It gives you a chance to wind down, enjoy the outdoors or merely engage in activities that make you happy. I love to lift weights, for Sherri its running. So whether it’s a 5k, yoga, or a spin class; get out there, and get active!

References

cache://(itunes.apple.com/us.podcast/move-forward-radio/id127519960’mt=2) – Google Search. (n.d.). Retrieved from (https://itunes.apple.com/us.podcast/move-forward-radio/id127519960?mt=2)

Ries, E. (2009, June). Login. Retrieved from http://www.apta.org/PTinMotion/2009/6/Feature/WellBeyondFunction?

7 great reasons why exercise matters. (2016, October 13). Retrieved from https://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/exercise/art-20048389?pg=2

Physical Fitness and the New Year2022-01-12T14:41:25+00:00

Trauma Wounds

Trauma wound definition is an injury to the body resulting in open skin and / or other tissue. Trauma wound or injury is a universal phrase referring to damage produced by an accident, such as motor vehicle accident, fall, animal bite etc. (MedlinePlus, 2018). In America lots of people injure themselves yearly and those injuries vary from minor to deadly injuries. Trauma wounds happen at work, home, school, indoor, outdoor and basically anywhere at any time performing the most basic activities.

These injuries can be minor or very serious requiring specialized care to manage and heal them. If wounds are not properly cleaned and/or cared for they can become life-threatening. Our out-patient clinic can treat and manage all types and stages of trauma wounds and injuries.  Most trauma wounds or injuries should not be sutured or closed due to high rate of infection. These wounds should be cleaned and left opened and referred to wound care for follow up care. In some situations wound vacs are used to assist with closure and healing. Other common types of trauma or injury:

  • Animal bites
  • Bull or buffalo gored
  • Deep or hard bruising
  • Burns
  • Open dislocations
  • Electrical injuries

References

Wounds and Injuries – treatment: MedlinePlus Medical Encyclopedia. (2018, August 14). Retrieved from https://medlineplus.gov/woundsandinjuries.htm

For more information about trauma wound care, contact Yukon Wound Care & Rehabilitation at 405-265-2255.

Trauma Wounds2022-01-12T14:36:49+00:00

Dehisced Surgical Wounds

Dehisced surgical wound is a separation of staples, sutures or glue from infection, blood clot, serous drainage and swelling. Dehisced surgical wounds can be caused by a bug or microorganism on the skin prior to surgery, in the body or organ, airborne, providers hands or surgical instruments (MedlinePlus, 2016). Patients that are more at risk for dehisced wounds: diabetics, immune suppressed, overweight, smokers, corticosteroid users and patients that have undergone surgery lasting more than 2 hours (MedlinePlus, 2016). Dehisced surgical wounds can be very serious and even life threating.

There are three stages of wound infection: superficial, deep and organ (Medline, 2016). Typically oral antibiotics are given for superficial wounds, but sometimes IV antibiotics are needed because of allergies. Sometimes a surgical procedure called incision and drainage or exploratory surgery is needed to clean and drain the wound (MedlinePlus, 2016). After the incision and drainage procedure the wound is left opened so it will heal from the inside out. During the healing time wound care will be needed and either you, family member or a health care provider will do daily wound dressings. Wound care usually consist of removing the packing, cleaning the wound and repacking followed by outer dressing. Sometimes serial debridement is needed to clean the wound for better healing. Occasionally a wound vac is used to speed up the healing process. The healing time is different for every patient so it could take days to months to completely heal. Yukon Wound Care and Rehab work closely with your physician to best meet your needs and speed up healing recovery.

 

Reference

Surgical wound infection – treatment: MedlinePlus Medical Encyclopedia. (2016, August 22). Retrieved from https://medlineplus.gov/ency/article/007645.htm

 

Dehisced Surgical Wounds2019-08-27T15:39:47+00:00

Knee Rehab

Knee Rehabilitation is important for daily life! Having a pain free knee joint is important to maintaining daily life tasks, exercise routines, general function and mobility. Rehabilitation can be utilized for arthritic pain, strains, sprains and weakness. Therapist will listen to your complaints and descriptions of pain while palpating the area to feel for arthritic changes and muscular inflammation.

Treatment will then include strenghtening, plyometrics, stretching, taping and manual therapies to assist with the healing process. Manual therapy can consist of dry needling, soft tissue mobilization, and joint mobilization. A combonation of each treatment will be utilized to meet the patient’s goals. As goals are met, a home exercise program and self care instructions are given for long term needs. Strong pain-free knees make work and daily routines effortless! You may contact our clinic directly to schedule an appointment at any time. Direct access allows you to be seen 30 days without a signed prescription from your physican. We do stay in constant contact with your physican during your physical therapy.

 

Knee Rehab2022-01-12T14:58:36+00:00
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