Fitting for neuromas and CRPS
Lane Ferrin
Description
Collection
Title:
Fitting for neuromas and CRPS
Creator:
Lane Ferrin
Date:
5/10/2021
Text:
I am seeing a 70 yr old woman with CRPS secondary to severe ankle
dislocation/evulsion from having the foot caught in the stirrup during
a fall from a horse in 2014. Transtibial amputation was required after
16 surgical attempts to save the ankle.
Her CRPS pain is to mid thigh, 4-5 pain constantly. She has neuromas
at distal and proximal fibula.
I have treated similar situations and would like to know how you have
treated both the neuroma pain and CRPS pain through careful prosthetic
fitting and alignment. I have a plan in mind but would love to learn
something new to apply here. She still rides and is very healthy
otherwise so any suggestions are welcome.
I am planning to use gel liners and possible soft insert in the socket,
sleeve suspension, considering a Kinterra foot. This will be similar
to her current interface and the foot change will add a slight amount
of weight.
Lane Ferrin CP
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>
dislocation/evulsion from having the foot caught in the stirrup during
a fall from a horse in 2014. Transtibial amputation was required after
16 surgical attempts to save the ankle.
Her CRPS pain is to mid thigh, 4-5 pain constantly. She has neuromas
at distal and proximal fibula.
I have treated similar situations and would like to know how you have
treated both the neuroma pain and CRPS pain through careful prosthetic
fitting and alignment. I have a plan in mind but would love to learn
something new to apply here. She still rides and is very healthy
otherwise so any suggestions are welcome.
I am planning to use gel liners and possible soft insert in the socket,
sleeve suspension, considering a Kinterra foot. This will be similar
to her current interface and the foot change will add a slight amount
of weight.
Lane Ferrin CP
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>
Citation
Lane Ferrin, “Fitting for neuromas and CRPS,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/255382.
