I have a dog that has a small shoulder wound that won't heal. He is not diabetic. We put a cone on him at all times except at night - he's small...

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Customer

I have a dog that has a small shoulder wound that won't heal. He is not diabetic. We put a cone on him at all times except at night - he's small and gets under the bed covers - so for the vast majority of the time it is covered. It was originally a wound made by a hornfly larvae. It was debrided and stitched 4 times so far. The last time the vet cut the whole area out. The same area just won't heal. It seems wet all the time so I'm not sure if the other dogs may be licking it for him. He's been on endless rounds of antibiotics and we put triple antibiotic on it twice a day. This has been a year now, and $1000 in vet bills. We're at our wits end and need another solution to dry this thing out and get it healed.

Last updated
Judith Torchia
Veterinarian

Hi!  This is Dr. Judy Torchia.  You must be so concerned.  Did the veterinarian that originally treated the wound see the hornfly larva or was it just assumed from the way the wound looked?  Has a culture and sesitivity ever been done on the wound?  Could you send me a photo?  

Posted
Customer

Hey there. THanks for your response. Our worry centers around having to take this little monster back to the vet for yet another surgery and bill. The hornfly larvae was assumed because of the "tunnel" that was present. Yes, when they cut around the whole area last time, the culture was sent to UGA. Everything was negative.. I don't have a photo but I'll try to get one this evening. It looks a bit like a volcano. Red and puffy around the rim with an inset, wet mucous in the center. The whole thing is about the size of a pea.

Posted
Customer

It was assumed each time that he was having a reaction to a part of the suture that was still in the wound,  but the suture is out this time and its getting worse. It could be that he's licking it during the night, but with the cone and antibiotic on it during the day, you'd think we'd be seeing at least some sort of improvement. Instead, it's getting redder, deeper and more mucous-y.

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Customer

This is NOT MY DOG, but this looks A LOT like what his wound looks like.

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Judith Torchia
Veterinarian

Thank you.  A photo may be helpful.  This sounds like a fistulous draining tract.  These can go on draining for years.  It can be difficult to find the object causing the draining.  Sometimes it is a piece of the dog's own bone that was broken off by trauma, for example, and lost its blood supply so then became a foreign body that the body is trying to get rid of.  A  piece of a tooth from a dog bite is another example.  Was an Xray ever taken?  Sometimes a dye solution can be injected and then Xrays taken.  There are also some odd skin tumors and fungal infections that can look like the photo you sent.  This would likely take a biopsy sent to the lab. asking for specific testing.

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Customer

Yes, an xray was done last time too. Nothing. From my understanding, UGA did a full workup and didn't find anything unusual. I'm thinking of trying an iodine wash and then trying to dry it with a hair dryer on low. Or maybe smooshing some honey in it? I'm willing to try anything.

Posted
Judith Torchia
Veterinarian

Those are not bad things to try.  I think this is not just superficial but honey is antibacterial and I love it for many infections.  Regular sugar works too.  Betadine solution for wound treatment is the form of iodine we use topically and is available online.    If this were the lower leg I would suggest epsom salt warm water soaking for 10 to 15 minutes twice a day.  The shoulder area would mean almost a full bath unless you could fashion at least a warm water compress in a sling.  Massaging the area and flexing and extending the leg to increase circulation in case there is a foreign piece of material deep would be something to try twice a day.  Can you make a vest so the area is covered and your other dogs don't lick it?  There are some comercially available but I have used a child's T shirt from the dollar store often.

I would still like a photo of the wound and the dog that goes with it!

Posted
Customer

Hey there. Below is a photo of his shoulder. He's little so a tshirt won't work, but I have made him several different variations of shoulder sling-type coverings that cover well, but he still licks it through the fabric and keeps it wet. It's been infuriating. Last night and this morning I did a betadine wash, dried it and smooshed manuka into it. 

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Customer

Henry

 

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Judith Torchia
Veterinarian

Oh my goodness he is so cute!  I think this is close to where his tendons attach from his upper to lower arm.  I wonder if he licks it because it oozes or because it hurts or irritates.  Essential oils have some risks associated with them in pets.  Please read up on possible reactions.  I like the sugar or honey application better.  Use the Elizabethan collar constantly.  I would still warm compress it.  I think I see a necrotic center in the wound.  When was it last surgically sutured?

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Customer

He's cute but he's a monster. We call him Henry the Horrible.  I'll try warm compress. Yes, I think the center is necrotic. It looked SO GOOD a month ago and was almost healed. We left the cone off for the weekend and on Monday checked it again, and it was back to this and getting worse since. Little bastard.  The last surgery was almost 3 months ago.

Posted
Customer

I tried Tea Tree Oil on him for a few days. He doesn't like the taste of it so it was handy to put on before bedtime. He didn't have any adverse reaction to it, but I was afraid to use it for an extended period of time. I also have Eucalyptus Oil but haven't tried that.

Posted
Judith Torchia
Veterinarian

Hi!  Somehow your response got lost in the email.  How is the wound looking?  Are you able to keep the E. collar on?  I think it was good to stop the Tea Tree Oil.  I am  not familiar with Eucalytptus oil for wounds.  Is that necrotic center still there?

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