Should I use a donut cushion for a pressure sore?

No. Donut-shaped or ring-shaped cushions reduce blood flow to the area, which may cause sores. Use pillows, foam cushions, booties or mattress pads instead, chosen with your provider.

No. Do not use donut-shaped or ring-shaped cushions. They reduce blood flow to the area, which may cause sores.

That’s worth thinking about, because the logic of a ring cushion is so convincing. A hole where the sore is seems as though it should take the pressure off the sore. And it does lift pressure off the middle. The problem is what the ring does to the blood supply of the tissue it presses on, and the result can be sores rather than relief.

Ring cushions are also widely sold, often marketed for exactly this purpose. This is one of the few places where the medical advice goes against what’s on the shelf.

What to use instead is a type of support rather than a specific product: use pillows, foam cushions, booties, or mattress pads to reduce the pressure. Some pads are water- or air-filled to help support and cushion the area.

It can’t be narrowed down further here, for a good reason. The type of cushion you use depends on your wound and whether you are in bed or in a wheelchair. Talk with your health care provider about what choices would be best for you, including what shapes and types of material.

A cushion is also only half of pressure relief. The other half is movement: about every 2 hours in bed, and every 15 minutes in a wheelchair.

What to watch for

Do not use donut-shaped or ring-shaped cushions. They reduce blood flow to the area, which may cause sores.

Talk with your provider about what choices would be best, including what shapes and types of material.

A reddened, painful area that does not turn white when pressed, appearing where a person sits or lies, is a reason to have the equipment reviewed. It’s a sign that a pressure ulcer may be forming.

If a ring cushion is already in use, stopping it is not a reason to call, but a new or changing sore is.

Wound Wizard is general education and can’t assess a person or their equipment. Your own clinician is the right person to ask.

What we look at

  • Examining the skin over the sitting or lying surfaces
  • Recommending a cushion shape and material
  • Checking whether current equipment is working
  • Advising a repositioning routine alongside it

Sources

  1. How to care for pressure sores — MedlinePlus, U.S. National Library of Medicine https://www.medlineplus.gov/ency/patientinstructions/000740.htm