CONSULT REQUEST GUIDELINES                                                                         Print

Amputation: Management of Upper Extremity (Acquired Adult)

Suggested Pre-Referral Evaluation and Management Guidelines
  • If limb amputation recommended, request consult with PM&R Upper Extremity Amputation/Clinic for counseling and education preoperatively
  • 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 Upper Extremity Amputee Clinic
    Suggested Additional Test/Management Prior to Specialty Visit
  • Maintain upper extremity range of motion post op
  • Prescribe O.T. for ROM and early education
  • If phantom sensation (feeling that the limb is still there but is not painful) is present, assure patient this is normal sensation; no treatment needed
  • If phantom pain present, begin gabapentin 100 mg po TID and titrate
    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 (Upper Extremities) Physicians
    Revised on: 02/03/2015



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