Healing and moving forward after losing a limb in a car crash

A rehabilitation doctor and a prosthetist on healing, function and your choices

Losing part of an arm or leg changes more than how you walk or use your hands. It can affect pain, sleep, work and how you see your body. Tasks that once came without thinking can feel different. [1, 2]

A rehabilitation doctor coordinates healing and function. A prosthetist designs and adjusts an artificial limb, called a prosthesis, when one fits your goals. The first months bring a series of decisions. There’s no need to rush toward getting a device. [1, 2]

Take care of the healing limb

Get written instructions for the surgical cut, the dressing, swelling control, positioning and movement. Ask who will check the remaining limb and when. Report a fever, growing redness, drainage, or pain that gets worse instead of easing. Unless your treating team has planned for it, a device should not go over a wound that hasn’t healed. [1, 2]

Put names to the different kinds of pain

You may have pain in what remains of the limb. Pain can also seem to come from the part that’s missing. Both can happen. Phantom sensation is a real experience. It is not a sign that you imagined anything. [1, 3]

Describe whether the feeling hurts, where it seems to be and what sets it off. Treatment may include medicines, movement, changes to the device or other approaches. If pain is hurting your sleep or rehab, ask for a pain review. [1, 3]

Build skills before and alongside a prosthesis

Therapy can teach you transfers, balance and skin checks. It can also show you ways to handle daily tasks with or without a prosthesis. Ask when your limb will be ready for a prosthetic evaluation. The fit often shifts as swelling changes, so expect adjustments along the way. A prosthesis is a tool. Your goals, comfort and skin health guide whether you use one and how. [1, 2]

Ask for mental health care or peer support if you’d like it. Grief, anger, relief and uncertainty can exist side by side. Your care team should look after the whole person you are becoming, along with the limb. [1]

What to ask as you heal

  1. Who checks my healing limb and deals with wound worries?
  2. What’s the plan for pain and phantom sensations?
  3. When will we go over rehab and prosthetic options?

Choose a task that matters to you

Pick one task that’s important to you, like getting to the bathroom or making food. Ask your therapists to turn it into your next achievable goal. [1, 2]

Sources and further reading

  1. 1MedlinePlus leg amputation discharge
  2. 2MedlinePlus traumatic amputation
  3. 3MedlinePlus phantom limb pain

Educational content only, based on rehabilitation medicine and prosthetics. A fever, spreading redness, wound pain that gets worse or drainage needs a prompt medical exam.

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