Hello everyone.  I am a paraplegic with poor circulation in my lower
legs.  I have a pressure ulcer on the knuckle of the middle toe of my
left foot, and one on the heel that are really worrying me.  I've had
it for about 3 years and it seems to be getting worse.  They are each
about 3/4 inch in diameter.  I have been to the wound clinic, and they
debrided the area and prescribed me Xenaderm and Bactriban.  I clean
the area with saline (contact lens solution), dry it, apply the
ointment (xenaderm at night, bactriban in the morning), and put a
band-aid over it.  I am also wearing special orthotic shoes to keep
pressure off of it.  No luck so far.

Also, they prescribed me Regranex, which I am told works wonders, but
my insurance won't cover it because I am not diabetic.

The wound center has me scheduled for appointments once a month.  Is
this often enough?  Should I pressure them to see me more often to keep
a closer eye on it?  Any advice at all would be GREATLY appreciated.  I
am so worried I'm going to lose my foot.

Thanks so much in advance.

Steve