Pre-Operative Consultations
Many people take their first step into a Hanger patient care center before they have actually lost a limb. Whenever possible, those who are facing surgical amputation are strongly encouraged to seek a pre-operative consultation with an experienced, certified prosthetist. The mere thought of making an appointment for this type of frank discussion might be extremely unsettling. In spite of how difficult it seems, it is vital to understand that the earlier you begin working with a prosthetist, the better your outcome will be as a prosthetic user. Hanger will provide you with a thorough pre-operative prosthetic assessment to discuss with your surgeon. We don’t pretend that any of this is easy...but we do pledge to devote our care and expertise to help you cope with this intense experience.
Emotional Considerations
While the physical loss is tremendous, the emotional toll of amputation can be equally devastating. Many people experience depression and must endure a grieving process similar to what occurs with the death of a loved one. Family members and friends will also struggle to cope with feelings of anxiety and sadness. Our patients tell us that what helps them most of all is getting to know other people who have lost limbs and become prosthetic users. Any Hanger patient care center can connect you with a local or regional support group of amputees and prosthetic users, or call a patient care representative at 1-877-442-6437. There are numerous support groups and organizations available to see you through.
Immediate Post Operative Care (IPOCare)
There are many reasons to seek a pre-operative consultation, and one of the most important is to learn about Immediate Post Operative Care or IPOCare. IPOCare involves a prosthesis that is applied in the operating room or during the first day or two after surgery. IPOCare consists of a rigid socket that is hand-molded from plaster bandages or fiberglass, or pre-fabricated from plastic. IPOCare helps to protect the healing residual limb and can reduce post-operative pain. It is available for both upper and lower extremity patients. Studies have shown that people who have IPOCare are more optimistic about the future; have shorter hospital stays; and begin to focus on rehabilitation sooner. There is a significant psychological benefit to IPOCare compared to spending days, weeks or months with no limb replacement, as some people do. For infants and children, IPOCare allows them to subconsciously incorporate a prosthesis into their body image as they grow and develop.
Phantom Limb Sensation/Pain
Some new amputees experience phantom sensations such as itching, tingling, movement, burning or pain in the missing portion of the amputated limb. Phantom limb sensation or pain is typically intermittent and can range from a minor irritation to extreme discomfort. It occurs most frequently in the hand or foot and usually surfaces in the first week after surgery. Be sure and tell your doctor and physical therapist about any phantom pain/sensation you experience so that it can be evaluated and treated.