Natural treatments for minor wounds

DEFINITION: Treatment of minor cuts and other injuries to the skin.

PRINCIPAL PROPOSED NATURAL TREATMENT: Careful wound cleaning

OTHER PROPOSED NATURAL TREATMENTS: Aloe vera, amino acid cream, bee propolis, calendula, comfrey, cartilage, essential oils, chamomile, chitosan, garlic, goldenseal, gotu kola, honey, picrorhiza, royal jelly, St. John’s wort, vitamin A, vitamin C, vitamin E, zinc, turmeric, coconut oil

Introduction

Minor cuts are an ordinary fact of life, and they nearly always heal independently. There is no evidence that antibacterial gels and creams will help wounds heal faster or prevent infection. By keeping the air away from a wound, these treatments might actually interfere with healing.

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The best approach to minor wounds is also the simplest and most natural: clean the wound well and keep it clean and exposed to the air. If signs of infection develop, such as redness, oozing, or swelling, a physician should be consulted.

Proposed Natural Treatments

Applying honey (or concentrated sugar preparations) to wounds might help prevent infection and speed healing. Honey is thought to work primarily through its high sugar content, which directly kills microorganisms. However, trace substances contained in it might also be at work. However, not all studies show clear benefits. One trial found that antibacterial honey (Medihoney) did not significantly improve wound healing in 105 persons with mostly leg ulcers.

Preliminary evidence suggests that the herb gotu kola might have general wound-healing properties and might help to prevent and treat keloid scars (a particular type of scar that is enlarged and bulging). A small, double-blind, placebo-controlled trial found that the amino acids cysteine, glycine, and threonine applied as a combination cream could help the healing of leg ulcers. A variety of nutrients, including vitamins A, C, and E, and zinc, taken both orally and topically, have also been tried as a treatment for minor wounds, and creams containing A and E are common staples in hospitals. Oral supplementation with bromelain and L-arginine has been suggested to reduce the healing time of minor wounds. Glucosamine and chondroitin sulfate are suggested for the repair of connective tissue in minor wounds. Several topical herbs have also been tried, including calendula, cartilage, chamomile, chitosan, goldenseal, royal jelly, marshmallow, tea tree oil, lavender oil, echinacea, and St. John’s wort, but there is no real evidence that any of these approaches provides any benefits.

Numerous herbs (and their essential oils) have antibacterial properties, which might theoretically help prevent wound infection. However, this has not been proven. In addition, if a wound is serious enough that infection is a real risk, physician supervision is essential.

The gel of the aloe vera plant has a long folk history of being used to treat skin conditions. Some human and animal studies have shown that aloe might be helpful for wound healing, but one study found that aloe gel actually slowed the healing of surgical wounds.

In a well-designed trial, two concentrations of comfrey creams were evaluated for the treatment of fresh abrasions among 278 persons. A 10 percent comfrey formulation was compared to a 1 percent comfrey formulation, considered the reference or placebo cream. The topical application of 10 percent comfrey led to significantly faster wound healing than the reference cream after two to three days of application. Although the researchers reported no adverse effects in either group, the use of comfrey has been associated with severe, even life-threatening, toxic effects when used orally, and its use over open wounds must be undertaken with extreme caution.

Several other herbs that can be taken orally are theorized to help hasten wound healing, though more study is needed. These include turmeric, dandelion, and pycnogenol. Animal studies suggest that the honeybee product propolis applied topically may benefit wound healing. Similarly, weak evidence hints at the benefits of the herb mycorrhiza. The antibacterial and antimicrobial properties of garlic, which contains allicin, may be beneficial for minor wounds, but it may cause skin irritation. Finally, coconut oil has antimicrobial properties and can moisten a minor wound to promote healing. 

Bibliography

Al-Waili, N. S. "Investigating the Antimicrobial Activity of Natural Honey and Its Effects on the Pathogenic Bacterial Infections of Surgical Wounds and Conjunctiva." Journal of Medicinal Food, vol. 7, 2004, pp. 210-222.

Coffee, Megan. "Can Honey Help Heal Wounds?" Verywell Health, 12 May 2022, www.verywellhealth.com/can-honey-help-heal-wounds-4092613. Accessed 15 Sept. 2024.

Folstad, Steven G. "Soft Tissue Infections." In Emergency Medicine: A Comprehensive Study Guide, edited by Judith E. Tintinalli. 6th ed., New York: McGraw-Hill, 2004.

Fontaine, Dominique, and Kristeen Cherney. "7 Ways to Treat an Infected Wound Naturally and When to Seek Care." Healthline, 2 June 2021, www.healthline.com/health/skin/how-to-treat-an-infected-wound-naturally. Accessed 15 Sept. 2024.

Leontiev, Roman, et al. "A Comparison of the Antibacterial and Antifungal Activities of Thiosulfinate Analogues of Allicin." Scientific Reports, vol. 8, no. 1, 2018, pp. 1-19, doi.org/10.1038/s41598-018-25154-9. Accessed 15 Sept. 2024.

Pieper, B., and M. H. Caliri. "Nontraditional Wound Care: A Review of the Evidence for the Use of Sugar, Papaya/Papain, and Fatty Acids." Journal of Wound, Ostomy, and Continence Nursing, vol. 30, 2003, pp. 175-183.

Robson, V., S. Dodd, and S. Thomas. "Standardized Antibacterial Honey (Medihoney) with Standard Therapy in Wound Care." Journal of Advanced Nursing, vol. 65, 2009, pp. 565-575.

"Wounds." Mount Sinai, www.mountsinai.org/health-library/condition/wounds. Accessed 15 Sept. 2024.