Claudication pain reduced through elevated vacuum?
Lane Ferrin
Description
Collection
Title:
Claudication pain reduced through elevated vacuum?
Creator:
Lane Ferrin
Date:
9/21/2018
Text:
Dear Colleagues.
I'm in need of input from your experiences with claudication induced
pain in Transtibial amputation.
The patient is 59 yrs old, male, average length TT amputation 2 yrs
post, 5' 10, 174 lbs. Peripheral vascular disease, non-diabetic. He
had multiple grafts and stents to try and save the limb and
the final result was loss of anterior and posterior tibial arteries.
His limb is fed by secondary vessels. CT scan this month showed
occlusion in several areas including one stent. The limb is atrophied
to average volume. He can walk for about 900 steps before pain begins
and it escalates quickly to 7/10. He then has to rest for 15 minutes
or more in order to reduce the pain enough to continue walking.
Standing is similarly affected. AMPRO test is K4. He is very
physically fit otherwise.
My question is whether there is evidence that elevated vacuum fitting
can improve circulation enough to reduce pain caused by claudication.
I put his suction socket under vacuum for a short test and he felt some
improvement in comfort. I don't consider a suction socket well fitting
enough to truly test the theory.
What have your experiences shown in similar cases?
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--
Lane Ferrin
<Email Address Redacted>
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I'm in need of input from your experiences with claudication induced
pain in Transtibial amputation.
The patient is 59 yrs old, male, average length TT amputation 2 yrs
post, 5' 10, 174 lbs. Peripheral vascular disease, non-diabetic. He
had multiple grafts and stents to try and save the limb and
the final result was loss of anterior and posterior tibial arteries.
His limb is fed by secondary vessels. CT scan this month showed
occlusion in several areas including one stent. The limb is atrophied
to average volume. He can walk for about 900 steps before pain begins
and it escalates quickly to 7/10. He then has to rest for 15 minutes
or more in order to reduce the pain enough to continue walking.
Standing is similarly affected. AMPRO test is K4. He is very
physically fit otherwise.
My question is whether there is evidence that elevated vacuum fitting
can improve circulation enough to reduce pain caused by claudication.
I put his suction socket under vacuum for a short test and he felt some
improvement in comfort. I don't consider a suction socket well fitting
enough to truly test the theory.
What have your experiences shown in similar cases?
This encrypted email is in compliance with the Breach Notification
Requirements under Section 13402 of Title X111 (Health Information
Technology for Economic and Clinical Health Act) of the American
Recovery and Reinvestment Act of 2009.
CONFIDENTIALITY NOTICE: This e-mail message and any attachments are for
the sole use of the intended recipient(s) and may contain proprietary,
confidential, trade secret or privileged information. Any unauthorized
review, use, disclosure or distribution is prohibited and may be a
violation of law. If you are not the intended recipient or a person
responsible for delivering this message to an intended recipient,
please contact the sender by reply e-mail and destroy all copies of the
original message.
--
Lane Ferrin
<Email Address Redacted>
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
Lane Ferrin, “Claudication pain reduced through elevated vacuum?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 25, 2024, https://library.drfop.org/items/show/209128.
