{"id":24789,"date":"2026-07-20T13:34:50","date_gmt":"2026-07-20T17:34:50","guid":{"rendered":"https:\/\/nuxx.net\/blog\/?p=24789"},"modified":"2026-07-20T13:34:50","modified_gmt":"2026-07-20T17:34:50","slug":"healing-a-hefty-scrape","status":"publish","type":"post","link":"https:\/\/nuxx.net\/blog\/2026\/07\/20\/healing-a-hefty-scrape\/","title":{"rendered":"Healing a Hefty Scrape"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><a href=\"https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_172132071-scaled.jpeg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"771\" src=\"https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_172132071-1024x771.jpeg\" alt=\"\" class=\"wp-image-24852\" srcset=\"https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_172132071-1024x771.jpeg 1024w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_172132071-300x226.jpeg 300w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_172132071-768x578.jpeg 768w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_172132071-1536x1156.jpeg 1536w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_172132071-2048x1542.jpeg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\">Triad Hydrophilic Wound Dressing, Vashe Wound Solution OTC, and bandages.<\/figcaption><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">As much as I try to avoid them, I&#8217;m unfortunately familiar with the bumps and scrapes that come with mountain biking; typically minor injuries from brushing a tree of or falling over in the dirt. A few weeks back when riding at River Bends on a <a href=\"https:\/\/nuxx.net\/blog\/2026\/07\/05\/worn-mountain-bike-tires-hooked-side-knobs\/\" data-type=\"post\" data-id=\"24767\">far-too-worn-out tire<\/a> and working on faster, flat cornering, I ended up sliding out, falling over, and scraping the front \/ outer-side of my left shin \/ calf on some hard-packed sand.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This wouldn&#8217;t have been notable at all, except it was a bit deeper than normal and thus had difficulty figuring out how to treat it. I subsequently got a (likely <a href=\"https:\/\/en.wikipedia.org\/wiki\/Staphylococcal_infection\">staph<\/a>) infection that made it much more painful, and took a lot longer to heal, than a normal abrasion \/ <a href=\"https:\/\/en.wikipedia.org\/wiki\/Road_rash\">road rash<\/a>. Thus this post, wherein I document what went wrong, what went (very) right in healing it up, and what I intend to do next time.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Went Right<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-medium\"><a href=\"https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_110654479-scaled.jpeg\"><img loading=\"lazy\" decoding=\"async\" width=\"226\" height=\"300\" src=\"https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_110654479-226x300.jpeg\" alt=\"\" class=\"wp-image-24850\" srcset=\"https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_110654479-226x300.jpeg 226w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_110654479-771x1024.jpeg 771w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_110654479-768x1020.jpeg 768w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_110654479-1157x1536.jpeg 1157w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_110654479-1542x2048.jpeg 1542w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260720_110654479-scaled.jpeg 1928w\" sizes=\"auto, (max-width: 226px) 100vw, 226px\" \/><\/a><figcaption class=\"wp-element-caption\">My shin, nicely healing and on the mend.<\/figcaption><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">After a week of getting worse, and a few days of constant stinging pain that even interfered with sleep, I went to urgent care because I was concerned it was getting infected. The nurse practitioner agreed that it seemed infected and prescribed <a href=\"https:\/\/en.wikipedia.org\/wiki\/Cefalexin\">cephalexin<\/a> (oral) and <a href=\"https:\/\/en.wikipedia.org\/wiki\/Mupirocin\">mupirocin<\/a> (topical) antibiotics. Beginning to take these cleared up the infection and allowed healing to begin.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A riding friend who noticed the bandage, and whose spouse works in wound care in an ER, had dealt with a much-worse leg injury in the past, took an interest, and the two of them recommended a course of action that worked wonderfully:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Regularly clean the wound with <a href=\"https:\/\/vasheotc.com\/\">Vashe Wound Solution OTC<\/a> and a gauze pad, letting it soak for while.<\/li>\n\n\n\n<li>Cover it with mupirocin and a non-stick pad taped in place. Replace this regularly until weeping stops.<\/li>\n\n\n\n<li>After weeping has stopped, continue cleaning with Vashe, then cover with a thick (~2mm) layer of <a href=\"https:\/\/www.coloplastprofessional.us\/wound-care\/solutions\/triad-hydrophilic-wound-dressing\/\">Triad Wound Dressing<\/a> covered with a breathable foam bandage. (I used <a href=\"https:\/\/www.amazon.com\/dp\/B0CPC65BFZ\">these 5&#8243; x 5&#8243; dressings from Amazon<\/a>.)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">This worked amazingly well and in about a week of Triad + breathable bandages everything was healed well enough that I no longer needed to bandage it. Three weeks after I scraped my leg &#8212; two of which were un- to counter-productive &#8212; it&#8217;s still a little pink and tender, but otherwise just looks like skin. And I&#8217;m very relieved.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Went Wrong<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-medium nuxx-spoiler nuxx-spoiler--media\"><span class=\"nuxx-spoiler__media\"><a aria-hidden=\"true\" inert href=\"https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260708_025357090-scaled.jpeg\"><img loading=\"lazy\" decoding=\"async\" width=\"226\" height=\"300\" aria-hidden=\"true\" inert src=\"https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260708_025357090-226x300.jpeg\" alt=\"\" class=\"wp-image-24848\" srcset=\"https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260708_025357090-226x300.jpeg 226w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260708_025357090-771x1024.jpeg 771w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260708_025357090-768x1020.jpeg 768w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260708_025357090-1156x1536.jpeg 1156w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260708_025357090-1542x2048.jpeg 1542w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260708_025357090-scaled.jpeg 1927w\" sizes=\"auto, (max-width: 226px) 100vw, 226px\" \/><\/a><button type=\"button\" class=\"nuxx-spoiler__overlay\" aria-expanded=\"false\"><span class=\"nuxx-spoiler__pill\">Medical image<\/span><span class=\"nuxx-spoiler__hint\">Click to show<\/span><\/button><\/span><figcaption class=\"wp-element-caption\">Infected left shin.<\/figcaption><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Before things went right, they went very wrong, to the point where for a three-day period it hurt constantly, akin to the washing-a-scrape-in-the-shower feeling. Ibuprofen kinda helped, but I still had difficulty sleeping and as my leg muscles would flex while standing the skin would burn and ache. While I didn&#8217;t have a fever, the infection looked scary, felt warm, and I didn&#8217;t want it to get worse.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So what shouldn&#8217;t I have done?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Incomplete Cleaning:<\/strong> The first night I thought I washed the wound well enough, but the next evening I found there was still dirt mixed in with the forming scab. I&#8217;m not sure if this would have been enough, but it wouldn&#8217;t have made things worse. This is where Vashe would have come in handy.<\/li>\n\n\n\n<li><strong>NEOSPORIN + Lidocaine:<\/strong> I&#8217;m not sure why this happened, but I figured <a href=\"https:\/\/www.neosporin.com\/products\/topical-antibiotics\/lidocaine-ointment\">NEOSPORIN + Lidocaine<\/a> would help with the stinging. Instead it did the opposite; this made it burn worse and it took a few hours for the burning to go away.<\/li>\n\n\n\n<li><strong>Hydrocolloidal Dressing:<\/strong> The typical cycling recommendation for abrasions seems to be <a href=\"https:\/\/en.wikipedia.org\/wiki\/Tegaderm\">Tegaderm<\/a>. <a href=\"https:\/\/en.wikipedia.org\/wiki\/Hydrocolloid_dressing\">Hydrocollodial dressings<\/a> came recommended by some friends as working for them, so I tried applying a thicker hydrocollodial dressing + NEOSPORIN for a couple days beginning three days after the injury. I don&#8217;t believe this caused the infection, but I also don&#8217;t think it helped; this time was when the infection really set in. It clearly works for some people, but I&#8217;ll avoid it next time.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Next Time<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-medium nuxx-spoiler nuxx-spoiler--media\"><span class=\"nuxx-spoiler__media\"><a aria-hidden=\"true\" inert href=\"https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260701_000309913-scaled.jpeg\"><img loading=\"lazy\" decoding=\"async\" width=\"226\" height=\"300\" aria-hidden=\"true\" inert src=\"https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260701_000309913-226x300.jpeg\" alt=\"\" class=\"wp-image-24845\" srcset=\"https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260701_000309913-226x300.jpeg 226w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260701_000309913-771x1024.jpeg 771w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260701_000309913-768x1020.jpeg 768w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260701_000309913-1157x1536.jpeg 1157w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260701_000309913-1542x2048.jpeg 1542w, https:\/\/nuxx.net\/blog\/wp-content\/uploads\/2026\/07\/PXL_20260701_000309913-scaled.jpeg 1928w\" sizes=\"auto, (max-width: 226px) 100vw, 226px\" \/><\/a><button type=\"button\" class=\"nuxx-spoiler__overlay\" aria-expanded=\"false\"><span class=\"nuxx-spoiler__pill\">Injury<\/span><span class=\"nuxx-spoiler__hint\">Click to show<\/span><\/button><\/span><figcaption class=\"wp-element-caption\">Scraped leg after falling over in the CK Canal Loop at River Bends.<\/figcaption><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Given all this, what will I do next time?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Wash thoroughly with soap+water, then flood\/wash\/soak with Vashe and re-wash similarly between dressing changes.<\/li>\n\n\n\n<li>Initially coat with a topical anti-microbial silver wound gel and cover with a non-stick pad held in place with tape.<\/li>\n\n\n\n<li>After bleeding\/significant weeping stops, switch to Triad and breathable foam bandages.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>As much as I try to avoid them, I&#8217;m unfortunately familiar with the bumps and scrapes that come with mountain biking; typically minor injuries from brushing a tree of or falling over in the dirt. A few weeks back when riding at River Bends on a far-too-worn-out tire and working on faster, flat cornering, I\u2026<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10,27],"tags":[],"class_list":["post-24789","post","type-post","status-publish","format-standard","hentry","category-cycling","category-health"],"_links":{"self":[{"href":"https:\/\/nuxx.net\/blog\/wp-json\/wp\/v2\/posts\/24789","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nuxx.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nuxx.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nuxx.net\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/nuxx.net\/blog\/wp-json\/wp\/v2\/comments?post=24789"}],"version-history":[{"count":12,"href":"https:\/\/nuxx.net\/blog\/wp-json\/wp\/v2\/posts\/24789\/revisions"}],"predecessor-version":[{"id":24853,"href":"https:\/\/nuxx.net\/blog\/wp-json\/wp\/v2\/posts\/24789\/revisions\/24853"}],"wp:attachment":[{"href":"https:\/\/nuxx.net\/blog\/wp-json\/wp\/v2\/media?parent=24789"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nuxx.net\/blog\/wp-json\/wp\/v2\/categories?post=24789"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nuxx.net\/blog\/wp-json\/wp\/v2\/tags?post=24789"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}