Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Podiatry and Amputees

Discussion in 'Introductions' started by philmyfeet, Mar 5, 2009.

  1. philmyfeet

    philmyfeet Member

    Members do not see these Ads. Sign Up.
    I was asked today "What is the role of a podiatrist where amputation is involved?" My answer referred to prevention and referral. But do we have a bigger role than this? or do we leave everything up to the rehabilitation physio's?
  2. Leigh Shaw

    Leigh Shaw Active Member

    I for one take a great interest in patients who have had amputations and spent an interesting day at our regional amputee centre to see what they did and what products they had. I got alot out of the day and brought alot of that knowledge back to my surgical team. My patients are always keen to discuss their limb issues with me and I think its important to be able to give the right advice.
  3. Griff

    Griff Moderator

    In my NHS days I worked one morning a week within a rehabiliatation centre alongside a Physiotherapist and a Consultant. It was a relatively new service and was good fun to help set up. Of course gait/loading patterns change dramatically following the loss of a limb and whilst adjusting to a new prosthesis - (and assuming an underlying disease process which still exists was involved in the amputation) - this will place the remaining foot/limb at high risk.

    I feel we have a role to play here - in working alongside the physio with amputees to try and improve gait paramenters and protect the remaining limb. Whether that be by monitoring neuro-vasular status, routine/palliative care, or provision of functional/accomodative orthoses (for just the remaining limb of course...)

    Last edited: Mar 6, 2009
  4. twirly

    twirly Well-Known Member

  5. philmyfeet

    philmyfeet Member

    Thanks Twirly,

    I checked out the amputation link and there is some "interesting" information there, but sadly nothing on our role of podiatrists with amputation and amputees.

    If I asked you what your view was on the role of podiatry in ampuataion and rehabilitation what would it be?

    (who hopes he is not flogginga dead horse)
    (or banging his head against a brick wall)
  6. twirly

    twirly Well-Known Member

    Communication. Prevention. Education. Action.




    St. Vincents Declaration documentation & references: http://www.idf.org/home/index.cfm?node=839

    My opinion: Our role is multifactorial. As you indicated in your original post.
    . Our skills are primarily to educate & prevent amputation by encouraging the individual to accept their role in lower limb health before critical care becomes an issue. (Only my opinion) If the individual is appropriately
    educated before ulceration occurs then optimum outcomes may be achieved. Multidisciplinary teams are the best way (as indicated by the International Diabetes Federation) to achieve this.

    In my own experience I was fortunate to have witnessed what I would consider the very best of Diabetic foot care during a visit to Hope hospital, Salford. UK. Their foot clinic contained all the elements of multidisciplinary care for patients. Podiatrists, Orthopaedic, Podiatric & vascular surgery teams. Orthotists, specialist nursing teams, dietician etc.

    All working together to provide each patient with appropriate care at each appt. as required.

    Our own education is the most important resource. As clinicians we need to strive to continue to build our knowledge to allow us to provide the very best of available care to individuals.

    Again, only my opinion. :eek: Improved communication between health professionals can only improve outcomes. We all play a role in educating patients.

    My view anyway.


  7. Graham

    Graham RIP

    I worked in a Prosthetics & Orthotics dept at a Rehabilitation center for 8 yrs.

    We need to consider the different requirements for the Non-traumatic amputee (Diabets etc) and the Traumatic Amputee.

    Obviously for the non traumatic amputee, prevention, protection of the remaining foot & leg and allowing efficiency of ambulation and mobility without compromising the foot and leg.

    For the traumatic amputee it is more often allowing for efficiency and symetry. The F-SCAN is very useful here.

    Regardless we need to work with the Rehab Physio's not seperately.

  8. Heather J Bassett

    Heather J Bassett Well-Known Member

    Hi Phil, I have also treated a staff memeber at a clinic that I worked at, I dealt with the H/K on the stump/ Ulceration of the stump/wound dressings and offloading/ of both the stump and the comnplications with footwear/adjustments to the other shoes.


Share This Page