Distal Blisters
Bryan
Description
Collection
Title:
Distal Blisters
Creator:
Bryan
Date:
11/30/1999
Text:
Distal Blisters...hmmm sounds like it could be the name for an alternative
band. Sadly, it is in reality the problem with a current client.
age 68
severe diabetic (retinopathies, the whole bit)
list of meds from ischial tuberosity to floor
right partial foot
left recent trans tibial
using prepatory socket (pelite liner, poured end pad, sach foot sleeve
suspension) and a silipos gel sock.
Our problem is that after weightbearing he rapidly develops
serosanguinous (sp?) blisters distally and anterior-distally, without
redness or irritation to the skin otherwise. The more aggressively he bears
weight, the faster it happens. My initial reaction was to check distal
contact; but he is not getting friction, and there is no evidence of
excessive distal pressure, nor lack of distal contact.
Could this be as a result of his poor vascular system not being able to
withstand the hydrostatic load?
Could this relate to his meds, which may be increasing vascular
permeability?? The surgeon didn't seem to think so.
What can we do prosthetically to get this fellow walking more? He walks
very well and can't wait to get home, but for these blisters.
Any input would be very much appreciated.
Bryan Steinnagel,
prosthetic intern.
band. Sadly, it is in reality the problem with a current client.
age 68
severe diabetic (retinopathies, the whole bit)
list of meds from ischial tuberosity to floor
right partial foot
left recent trans tibial
using prepatory socket (pelite liner, poured end pad, sach foot sleeve
suspension) and a silipos gel sock.
Our problem is that after weightbearing he rapidly develops
serosanguinous (sp?) blisters distally and anterior-distally, without
redness or irritation to the skin otherwise. The more aggressively he bears
weight, the faster it happens. My initial reaction was to check distal
contact; but he is not getting friction, and there is no evidence of
excessive distal pressure, nor lack of distal contact.
Could this be as a result of his poor vascular system not being able to
withstand the hydrostatic load?
Could this relate to his meds, which may be increasing vascular
permeability?? The surgeon didn't seem to think so.
What can we do prosthetically to get this fellow walking more? He walks
very well and can't wait to get home, but for these blisters.
Any input would be very much appreciated.
Bryan Steinnagel,
prosthetic intern.
Citation
Bryan, “Distal Blisters,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/212301.
