Pressure Sore and Moleskin: What next?

DavidY · Post by **DavidY** » Tue Sep 25, 2018 7:51 am

I have a love-hate relationship with my Wisp nasal mask. It sometimes causes a pressure sore on the bridge of my nose. It may depend on how tight the straps are at times. If they are too loose, I have a high leak rate. If they are too tight, it seems that I get a pressure sore on the bridge of my nose. Therefore, I have been using a piece of moleskin to help alleviate this. Now the pressure sore occurs even with the moleskin in place. I typically rotate my nasals masks...it's rare that a mask lasts a whole week on my face. Other masks include Eson2, Pico and the occasional Dreamwear cushion (very leaky and noisy).

Any advice? Thanks in advance.

Dave

Islandwoman · Post by **Islandwoman** » Tue Sep 25, 2018 8:11 pm

I was given a wisp with my machine and couldn't deal with the plastic on my face and the sores and marks. I read about the Circadience cloth mask and ordered an Advance nasal mask. I have used them ever since. Quite a few different styles and sizes. I highly recommend them. Never registered a large leak.

hobbs · Post by **hobbs** » Tue Sep 25, 2018 10:52 pm

Time will fix it.

wm_hess · Post by **wm_hess** » Wed Sep 26, 2018 12:33 am

Hi

You might want to look at these Boomerang Gel Pads https://smile.amazon.com/Respura-AGGELP ... Bnose&th=1. I used this with a FFM pressure sore but it looks like it might work for a nasal mask as well.

-Bill

DavidY · Post by **DavidY** » Wed Sep 26, 2018 8:00 am

hobbs wrote: ↑
Tue Sep 25, 2018 10:52 pm
Time will fix it.

It's been six months on and off.

Dave

Janknitz · Post by **Janknitz** » Wed Sep 26, 2018 11:57 am

I was an occupational therapist in a past life, and we used to make splints for people's hands out of thermoplastic materials. One of the first lessons you learn in splint making is that padding pressure just increases the pressure. So that's why I'm not a big fan of adding padding or moleskin to potential pressure areas.

What you might try is to tighten the lower straps and loosening the top straps, putting the pressure below the nose (where there's some muscle between the skin and bone), and reducing the pressure on top of the nose. You MUST do this with the machine ON at your max pressure, and loosen the top straps almost (but not quite) to the point of leaking. Even better if you are laying in your normal sleep position when you do this.

As for the Dream Wear cushion, it needs to be tightened a little more than you think it should. I also sewed a little Velcro hook tape (stiff side) into the back of the strap to reduce the slipping (Velcro is an OT standby!). It's still a bit loosey goosey and when I roll over I give it a little push under the nose to keep it in place when I move around.

chunkyfrog · Post by **chunkyfrog** » Wed Sep 26, 2018 12:14 pm

What kind of front frame is on your Wisp?
The reversible fabric frame let the cushion press too hard on/around my nose,
while the silicone frame held it up off my face just enough to be comfortable.

DavidY · Post by **DavidY** » Wed Sep 26, 2018 1:46 pm

chunkyfrog wrote: ↑
Wed Sep 26, 2018 12:14 pm
What kind of front frame is on your Wisp?
The reversible fabric frame let the cushion press too hard on/around my nose,
while the silicone frame held it up off my face just enough to be comfortable.

Clear frame. Both frames caused pressure sores....fabric model was more frequent.

Dave

DavidY · Post by **DavidY** » Wed Sep 26, 2018 1:48 pm

Janknitz wrote: ↑
Wed Sep 26, 2018 11:57 am
I was an occupational therapist in a past life, and we used to make splints for people's hands out of thermoplastic materials. One of the first lessons you learn in splint making is that padding pressure just increases the pressure. So that's why I'm not a big fan of adding padding or moleskin to potential pressure areas.

What you might try is to tighten the lower straps and loosening the top straps, putting the pressure below the nose (where there's some muscle between the skin and bone), and reducing the pressure on top of the nose. You MUST do this with the machine ON at your max pressure, and loosen the top straps almost (but not quite) to the point of leaking. Even better if you are laying in your normal sleep position when you do this.

As for the Dream Wear cushion, it needs to be tightened a little more than you think it should. I also sewed a little Velcro hook tape (stiff side) into the back of the strap to reduce the slipping (Velcro is an OT standby!). It's still a bit loosey goosey and when I roll over I give it a little push under the nose to keep it in place when I move around.

Thanks for the tips.

Dave

Sheriff Buford · Post by **Sheriff Buford** » Thu Sep 27, 2018 3:46 am

I hate it …. on this forum.... when people try to sell their mask. Yes, they love their mask, and trying to get folks to switch masks may not be the solution. That being said, I went over 8 years thinking I could not wear a full face mask because of the pressure on my nose and the sores on the nose bridge. After much difficulty, I was able to wear a Quattro, but I could not stand the forehead piece. Then the Resmed F20 arrived, and I am able to wear the mask with the help of a strip on medical tape and moleskin. I tried one night without the moleskin and almost started a blister. The F20's mask cushion is very flexible and it adjusts to the funky curves of my face. Food for thought.

Sheriff

chunkyfrog · Post by **chunkyfrog** » Thu Sep 27, 2018 7:16 am

Sometimes it almost seems like they actually LISTEN to us.
Sometimes . . .

nicholasjh1 · Post by **nicholasjh1** » Fri Sep 28, 2018 2:39 pm

I have some cloth nasal masks if you want to try them, I won't be using them again, they are just too short for my long pointy nose. I'd send them to you for the price of postage.

Other solutions could be using Pure Lanolin (not a lotion, but the gummy oil), on where the sores are.. that heals the pressure sores on my nose from my nasal pillows.

Pressure Sore and Moleskin: What next?

Pressure Sore and Moleskin: What next?

Re: Pressure Sore and Moleskin: What next?

Re: Pressure Sore and Moleskin: What next?

Re: Pressure Sore and Moleskin: What next?

Re: Pressure Sore and Moleskin: What next?

Re: Pressure Sore and Moleskin: What next?

Re: Pressure Sore and Moleskin: What next?

Re: Pressure Sore and Moleskin: What next?

Re: Pressure Sore and Moleskin: What next?

Re: Pressure Sore and Moleskin: What next?

Re: Pressure Sore and Moleskin: What next?

Re: Pressure Sore and Moleskin: What next?