Skin Tear

Skin Tears 

A skin tear is a traumatic wound where the top layer of skin separates from the deeper layers. They are common on the feet and lower legs, especially in older adults or anyone with fragile, thin, or dry skin.

Why Skin Tears Occur

• Fragile or thinning skin due to age or medical conditions

• Dry or dehydrated skin

• Minor trauma such as bumping furniture or catching the skin on footwear

• Removing adhesive dressings too quickly

• Poor circulation or swelling in the legs

• Rubbing from shoes or socks

• Falls or sudden impact

• Some people develop a habit of picking or tearing the skin or nails, which can weaken the skin and increase the risk of injury

Common Signs of a Skin Tear

• A flap of skin partially lifted or fully detached

• Bleeding or clear fluid

• Redness and tenderness around the wound

• Stinging or sharp pain at the time of injury

• Increased sensitivity in the surrounding area

When Skin Tears Need Care

A skin tear should be assessed or treated when it:

• Continues to bleed or reopens easily

• Shows signs of infection (increasing redness, warmth, pus, or odour)

• Is large, deep, or located in a high‑movement area

• Occurs repeatedly in the same location

• Is slow to heal due to poor circulation or swelling

• Has a skin flap that is difficult to reposition

• Causes reduced sensation or numbness in the area

Safe Management & Natural Support

• Gently clean the area with salt water to remove debris

• Carefully reposition the skin flap if possible, without stretching it

• Cover with a non‑adhesive dressing to protect the wound

• Keep the area dry and avoid friction

• Elevate the leg if swelling is present

• Avoid adhesive tapes directly on fragile skin

• Avoid tearing or picking at the skin, as this can damage deeper layers, cause bleeding, increase pain, and significantly delay healing

• Monitor for signs of infection and seek professional care if symptoms worsen

Prevention & Footwear Assessment

• Moisturise the skin daily to reduce dryness and fragility

• Assess footwear for rough edges or areas that may rub

• Wear long socks or protective sleeves to reduce friction

• Keep toenails trimmed to avoid accidental scratching

• Be cautious when removing dressings or compression garments

• Maintain a safe home environment to reduce bumps and falls