Skin tears in the lower extremities are common. The increased cost of wound care, healthcare provider visits, dressing changes, creams and fillers, and medicines far outweigh the cost of prevention. The pain of a wound in the lower extremity is both physical and emotional. My own study demonstrated a need to prevent lower extremity wounds particularly in people with diabetes, impaired gait, and on blood thinners and prednisone. There are many conditions associated with increased risk for lower extremity wounds and extended healing time including age, BMI, nutritional intake, medication, activity activity level and chronic illness. Lower extremity wounds could take a month to heal or longer. Often there will be another injury and the cycle of pain and wound care starts all over again.