Physiatrist (Physical Medicine) Questions Amputation

My mother's foot has been amputated due to gangrene. Is there a way to help her recover faster?

My mother had to undergo foot amputation due to diabetes. She now has a prosthetic but is having a hard time learning how to cope with it. Do you think a physiatrist will be able to help her recover faster?

9 Answers

I believe that seeking the help of a physiatrist can greatly benefit your mother's recovery after foot amputation. They can assess if fit of the prosthesis is satisfactory, make recommendations regarding any needed modifications, prescribe orthopedic diabetic shoes and prescribe a specific exercise plan with physical therapy.

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Yes, I would verify that the prosthetist made the prosthesis properly, then send you to a physical therapist he/she trusts for gait analysis and training. If that is ineffective, a psychologist may have to play a role overcoming any fear with the new prosthesis and coping with the loss of limb.
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A physiatrist can be helpful in getting your mother adjusted to her prosthetic as well as back to her activities

Dorie Geraci
Hyperbaric oxygen therapy (HBOT) and vitamin supplements, such as vitamin C, B complex, and lysine all help for recovery.
Yes, I think that physiatrists have the most capacity for knowing general health conditions and recommending prosthesis.

M. A. Gonzalez Viejo MD, PhD
I am so sorry to hear this. Very sad. It's very difficult adjusting to the loss of a part of your body anyway, and adjusting is not easy.
Yes, a physiatrist can help with the pain and of course less pain means better everything psychologically and physically. Pain management using the advanced techniques of nerve blocks, etc., can help immensely. Check also that the prosthetic is fitting well. I am sorry. It's one of the most important examinations in medicine to check diabetic patients frequently removing socks, shoes, etc., to examine the lower limbs are okay.

I hope this helps you.
Maintain tight blood sugar control. Avoid smoking.
Yes. Specifically a Physiatrist that commonly treats amputations and is knowledgeable regarding prosthetics. They may even have a specific physical therapist in mind to speed recovery of function.
Yes, see a PMR doc, we are trained to deal with these problems directly. You didn't describe her issues, but I will be glad to offer oversight if you provide details. I cannot tell if this is a psychological fit, pain, balance, or energy issues from your comments.