Medical University of South Carolina Hospital logo
Home |  Video Library | Podcast Library | e-Newsletters | Classes & Events | About Us | News Blog | University & Colleges 
Contact Us | 843-792-1414
  

Patients & Visitors

Medical Services

Maps & Parking

Health Library

Physician Portal

Careers

Online Services
Health Library
Health Topics A to Z
Clinical Trials & Research
Drug Information
Tests & Procedures
Lab Tests & Results
Health Assessment Tools
Treatment Options
Symptom Checker
Health e-Newsletters
Podcast Library
Video Library
Health Library
Bookmark Page icon Bookmark |

Print this page icon

|

E-mail icon

Health Library : Physical Medicine and Rehabilitation

 

Amputation

What is an amputation?

Amputation is an acquired condition that results in the loss of a limb, usually from injury, disease, or surgery. Congenital (present at birth) limb deficiency occurs when an infant is born without part or all of a limb. In the U.S., 82 percent of amputations are due to vascular disease. Nearly 70 percent of amputations due to trauma involve the upper limbs. About 2 million individuals in the U.S. are living with a loss of a limb, with more than 185,000 amputations performed each year according to the National Limb Loss Information Center.

What causes the need for amputations?

The causes for amputation may include any of the following:

  • Diseases such as blood vessel disease (called peripheral vascular disease or PVD), diabetes, blood clots, or osteomyelitis (an infection in the bones).
  • Injuries especially of the arms. Seventy-five percent of upper extremity amputations are related to trauma.
  • Surgery to remove tumors from bones and muscles.

Rehabilitation after amputation

Loss of a limb produces a permanent disability that can impact a patient's self-image, self-care, and mobility (movement). Rehabilitation of the patient with an amputation begins after surgery during the acute treatment phase. As the patient's condition improves, a more extensive rehabilitation program is often begun.

The success of rehabilitation depends on many variables, including the following:

  • Level and type of amputation
  • Type and degree of any resulting impairments and disabilities
  • Overall health of the patient
  • Family support

It is important to focus on maximizing the patient's capabilities at home and in the community. Positive reinforcement helps recovery by improving self-esteem and promoting independence. The rehabilitation program is designed to meet the needs of the individual patient. Active involvement of the patient and family is vital to the success of the program.

The goal of rehabilitation after an amputation is to help the patient return to the highest level of function and independence possible, while improving the overall quality of life--physically, emotionally, and socially.

In order to help reach these goals, amputation rehabilitation programs may include the following:

  • Treatments to help improve wound healing and stump care
  • Activities to help improve motor skills, restore activities of daily living (ADLs), and help the patient reach maximum independence
  • Exercises that promote muscle strength, endurance, and control
  • Fitting and use of artificial limbs (prostheses)
  • Pain management for both post-operative and phantom pain (a sensation of pain that occurs below the level of the amputation)
  • Emotional support to help during the grieving period and with readjustment to a new body image
  • Use of assistive devices
  • Nutritional counseling to promote healing and health
  • Vocational counseling
  • Adapting the home environment for ease of function, safety, accessibility, and mobility
  • Patient and family education

The amputation rehabilitation team

Rehabilitation programs for patients with amputations can be conducted on an inpatient or outpatient basis. Many skilled professionals are part of the amputation rehabilitation team, including any/all of the following:

  • Orthopaedists/orthopaedic surgeons
  • Physiatrist
  • Internist
  • Other specialty doctors
  • Rehabilitation specialists
  • Physical therapist
  • Occupational therapist
  • Orthotist
  • Prosthetist
  • Social worker
  • Psychologist/psychiatrist
  • Recreational therapist
  • Case manager
  • Chaplain
  • Vocational counselor

Types of rehabilitation programs for amputations

There are a variety of treatment programs, including the following:

  • Acute rehabilitation programs
  • Outpatient rehabilitation programs
  • Day-treatment programs
  • Vocational rehabilitation programs

Click here to view the
Online Resources of Physical Medicine & Rehabilitation


 Sources & References

OUR SERVICES

 Find an MUSC Doctor:
 »Physical Medicine & Rehabilitation


 Treatment at MUSC:
 »Physical and Occupational Therapy

 

RELATED INFORMATION

About This Site   |   Disclaimer   |  Privacy   |   Accessibility   |   Donations   |   Site Map
171 Ashley Avenue, Charleston, SC 29403 1.843.792.1414 | © 2014 Medical University of South Carolina

mobile web site iconrss feed iconText Messaging iconPodcast Library