CONSULT REQUEST GUIDELINES                                                                         Print

Amputation: Management of Lower Extremity (Acquired Adult)

Suggested Pre-Referral Evaluation and Management Guidelines
  • If limb amputation recommended, request consult with PM&R Amputation/Clinic for counseling and education
  • If limb amputation has been performed and patient is in hospital, consult with PM&R Amputation/Vascular Consult service; if an outpatient consult PM&R Lower Extremity Amputee Clinic
    Suggested Additional Test/Management Prior to Specialty Visit
  • Maintain knee and hip range of motion, especially knee and hip extension
  • If phantom sensation (feeling that the limb is still there but is not painful) is present, assure patient this is normal sensation
  • If phantom pain present, begin gabapentin 100 mg po TID and titrate
  • Begin Physical Therapy for ROM, gait training, transfers and wheelchair use
  • If staples/sutures removed, prescribe "stump shrinker" through Orthotics and Prosthetics
    Patient Education/Information (includes preps)  
    Appointment Timeframe  
    How to Get Results to Consultant UMHS Patients: Please have patient hand carry if not on MiChart
    External Patients: Please send medical records with the patient
    Clinic Contact Information Physician: 800-962-3555
    Patient: 734-936-7175
    Clinic Location Sites Orthotics and Prosthetics Center, 2850 South Industrial
    UM Consulting Physician Prostheses (Lower Extremities) Physicians
    Revised on: 02/03/2015



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