Painful Residual Limb
Michael Johnson
Description
Collection
Title:
Painful Residual Limb
Creator:
Michael Johnson
Date:
6/30/2006
Text:
Dear List Members,
I have a LBKA pt. with severe pain issues. I wonder if you could give
some direction.
Pt is otherwise healthy 40 yo male with 7 long BKA
This pt. started with a crush injury/ankle salvage, dealt with the pain,
finally amputated to BKA.
Pain followed up the limb, resulting pain reported to be of the same
intensity, implants for control attempted, but the wires were not in the
right location, waiting to try another implant. Pt cannot tolerate more
than a sock contacting his residual limb and is sensitive especially on
the distal end of both tibia and fibula, has tried Rx pain creams, seen
the PM&R, pain MD's, and has been through a custom liner and joint and
corset set-up with our office, but could not tolerate even the liner. He
can
withstand pressures at the knee, but not below the MPT, globally.
He has come to me with the feeling that the MD's are reluctant to explore
any other options but also
feels that possibly diagnostic surgery may reveal a solution.
My avenue would be something similar to providing an
ischial weightbearing, knee control, free below the knee type of
prosthesis/orthosis, basically a leg-type crutch to free up his hands
for ambulation, but the basic issue remains unsolved in dealing with the
pain.
Input is greatly appreciated!
Michael S. Johnson, CPO
OrthoPro of Twin Falls, Inc.
762 North College Road
Suite A
Twin Falls, ID 83301
208-733-0505
734-0766 fax
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I have a LBKA pt. with severe pain issues. I wonder if you could give
some direction.
Pt is otherwise healthy 40 yo male with 7 long BKA
This pt. started with a crush injury/ankle salvage, dealt with the pain,
finally amputated to BKA.
Pain followed up the limb, resulting pain reported to be of the same
intensity, implants for control attempted, but the wires were not in the
right location, waiting to try another implant. Pt cannot tolerate more
than a sock contacting his residual limb and is sensitive especially on
the distal end of both tibia and fibula, has tried Rx pain creams, seen
the PM&R, pain MD's, and has been through a custom liner and joint and
corset set-up with our office, but could not tolerate even the liner. He
can
withstand pressures at the knee, but not below the MPT, globally.
He has come to me with the feeling that the MD's are reluctant to explore
any other options but also
feels that possibly diagnostic surgery may reveal a solution.
My avenue would be something similar to providing an
ischial weightbearing, knee control, free below the knee type of
prosthesis/orthosis, basically a leg-type crutch to free up his hands
for ambulation, but the basic issue remains unsolved in dealing with the
pain.
Input is greatly appreciated!
Michael S. Johnson, CPO
OrthoPro of Twin Falls, Inc.
762 North College Road
Suite A
Twin Falls, ID 83301
208-733-0505
734-0766 fax
********************
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
Michael Johnson, “Painful Residual Limb,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/226821.
