claudication in a BK limb? - responses

claudication in a BK limb? - responses

Ted A. Trower

12/9/1997

My original post:

Has anyone ever seen an amputee suffer claudication in their BK limb?

I was fitting a guy today and his symptoms fit the pattern perfectly!

Any suggestions?

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>
>ted,
>
>Good morning, Yes, I've seen this before. It was on an elderly
>woman with a history of IC. It was necessary to decrease the
>pressure in the popliteal fossa and increase the pressure on the
>medial and lateral areas. Tthis must be done very carefully as to not
>impinge on the superficial veinous supply and the saphenous vein in
>particular. Good luck with this, I know my patient was difficult at
>best to determine the best fit.
>
>
>Alicia J. Davis, CPO
> <Email Address Redacted>
>(313) 973-2400

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>
>Ted
>I believe many patients are affected by intermittent claudication. The
>problem seems to be no accurate way to measure this while the prosthesis is
>on. There have been many times when I've sent patients to there vascular
>doctor for tests and they usually return with stories like the circulation is
>fine. I don;t think there are any values that take into consideration the
>socket environment. I'd like to know more also.
>Keith

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>
>Ted,
>
>I have had the same experience with a few BK amputees over the years. One
>gentleman in particular constantly clomplained of generalized
>claudication pain over the entire residual limb. He was in his 80's and
>had a history of extreme claudication pain prior to his amputation.
>Unfortunately, we were unable to reduce his pain either prosthetically or
>with any other treatment.
>
>Bob Silvestri, CPO
>

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In all it doesn't look very promising, still I have another idea to try. My
client is much too young and active to give up easily.

Thanks to all who replied. Further ideas and input would be greatly
appreciated.


Ted A. Trower C.P.
A-S-C Orthotics & Prosthetics
Jackson, Michigan, USA
<Email Address Redacted>

The best time to plant a tree is twenty years ago, the second best time is today