Skin Care Essential to Amputee Health

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One of the residual effects of COVID-19 is some people are more sedentary. With that in mind, amputees must practice proper skin care to maintain their health to the highest level possible.

Skin that comes in contact with the prosthetic socket must be carefully checked to avert skin breakdown (blisters or sores) and infection. With pain typically being the initial sign of an issue, the
amputee should immediately remove the prosthesis and examine the skin.

The following are skincare steps that Human Technology P&O staff suggest be followed daily:

  • Wash the limb with mild soap and water daily then pat dry with a soft towel. Be sure to allow the residual limb to dry completely before putting the prosthesis back on. If this is not done,
    there is a risk of fungal growth that could produce an infection or abrasion.
  • Check the limb for red pressure patches after removing the prosthesis. If the red patches remain for more than a few minutes, this may indicate the socket needs to be evaluated. If not
    addressed, the red patches may result in skin breakdown.
  • Check for skin breakdown twice daily, which is particularly important for those with diabetes.
  • Use softening cream only if the skin is extremely dry and there is a risk of cracking.
  • Do not use talcum powder on the limb, as it may cause an abrasion. If there is a desire to use a powder, cornstarch is preferred.
  • Do not use alcohol or unknown chemicals/creams on the residual limb.
  • If the limb is to be exposed to the sun for a longer period, use sunscreen with an SPF of 30 or
    higher.
  • Do not shave the limb, as the resulting short hairs may get pushed back into the skin, becoming ingrown hairs that could cause an infection.
  • If the skin of the limb opens, visit your doctor or prosthetist immediately.
  • If there is an issue with the socket fit that is causing skin breakdown, go to your Human Technology prosthetist for an adjustment. If the breakdown causes an infection, a visit to your physician will also be required. At this point, it is proper to refrain from using the prosthesis, so have crutches or a wheelchair available on standby.
  • If there is reduced or no sensation in the residual limb, check the limb frequently during the day and do not put it in hot water or expose it to the sun, as it may burn and blister.

 

Amputees should not hesitate to contact their Human Technology prosthetist or physician if they have questions regarding the care of their residual limb, as anything unusual, persistent, or painful should be appraised by a health care practitioner.

Following these steps will help amputees optimally maintain their residual limb, enhancing their overall health.