Doctor insights on:
Explain Why People With Poorly Controlled Diabetes Are At Risk For Amputation
Infection and PVD: Uncobtrolled diabetes can lead to increasing numbers of infections and sores on the feet. Diabetes also causes the arteries that give blood to the feet, to become illed with plaque, leading to decreased circulation to heal ores or ulcers on the feet which can lead to amputation. ...Read more
Overall health: Diabetes is a very complicated disease. It is a multi organ condition that could affect some. Amputation is caused by poor circulation, bad infection/bone infections, severe deformity known as charcot joint deformities. The other system that could get affected is the nerves of your feet (protective sensation). All or some of these can cause a higher amputation rate all caused by poor control ...Read more
I believe I've had bad circulation in legs and feet since I was a child, would developing diabetes on top of that make amputation likely?
Definite risk factor: Diabetes is a definite risk factor for peripheral vascular disease, so there's no question that your lifetime risk for amputation will go up, with diabetes. As for whether it's "likely" or not, I'm not sure. Definitely depends on your overall health and your diabetes care. ...Read more
I'm healthy but don't exercise much, I'm 21. I don't have diabetes/major problems. Could you need an amputation for not exercising? I exercise now.
Don't smoke: Pvd risks including diabetes (due most commonly from obesity), hypertension, hyperlipidemia (high serum cholesterol), and tobacco. The worst offender/promoter of vascular disease in general is tobacco. Eat a mediterranean diet, avoid tobacco, & remain lean & you'll avoid complications of vascular disease. ...Read more
Uncommon: As improvement in diabetes management has occurred, the incidence of amputations has decreased. With good diabetes control, control of hypertension and cholesterol, the chance of needling amputation is very low. Smoking is a major risk factor with diabetes, and is the most important thing to avoid. ...Read more
See a physician: While a diabetic patient is more at risk for amputation than a non-diabetic, there are some general things you can do to reduce the risk. Check your feet daily for any wounds, sores, blisters or irritation and have your feet examined on an at least annual basis by a physician. Have on your healthcare team a pcp, an endocrinologist if your diabetes requires it, a foot specialist and eye specialist. ...Read more
Yes: Diabetes is an important risk factor for amputations. These most commonly are required for problems (gangrene, infection) that develop in the toes and feet. Such problems can develop in the fingers and hand but are far less common than in the lower extremities. Good control of blood sugar and preventative foot care are very important ways of lowering the risk of amputation. ...Read more
Slow wound: Healing but chances are if you need to have an above knee amputation then you're at greater risk of getting a blood infection and dying if you don't get the amputation. ...Read more
Have a cut on the underside of pinky toe at bend approximately 1/4 inch deep. Have type 1 diabetes and partial toe amputation on opposite foot.
How long does it take for the kidneys to fail? Patient has stage IV lung cancer, diabetes, and his right leg was just amputated.
Decreasing urine output and increasing blood creatinine levels are signs of worsening kidney function.
If creatinine is close to 4, hemodialysis may be considered.
Be candid with your doctor and have a serial bun, creatinine blood test.
If the urine output is still good and there are no signs of heart failure or lung congestion, maintainance of adequate water intake will delay the progression. ...Read more
75 y.O. Woman just had toe amputated due to diabetes. Surgical wound not healing after three weeks. Can herbal supplements promote skin growth?
If u have diabetes is it dangerous to also have poor circulation in feet whilst also having mild nerve pain in legs and arm. Is amputation likely?
Not good combination: Think of too much sugar in your blood like maple syrup. Your blood wouldn't flow through veins and arteries as well as it should. The sugar in your blood can cause smaller blood vessels to get clogged and reduce oxygen and nutrient supply to affected areas especially small nerve endings in hands and feet. Poor circulation would only compound this problem. Tissue without oxygen will die off. ...Read more
Infection: Can develop and spread and could result in death. ...Read more
Post-op Pain: It is common to have post operative incisional pain which is worst immediately after surgery and subsides over several weeks. Pain medication helps to manage this. Phantom pain is perceived pain in the amputated limb. People at risk for this had a lot of pain in their limb prior to the amputation. This could last for months/years. ...Read more
How successful is an arm amputation re-connection surgery, such as if you get into a bad accident?
Low: For a major limb replantation to be successful, the limb needs to be reconnected within 6 hours before significant muscle death occurs. Even then, ultimate function will depend on nerve recovery, which may be limited based on age of the patient, smoking status, and other medical problems the patient may have. ...Read more
I severed my Achilles in a bad accident and my recovery has gone terribly. I am a runner. Terrible foot and ankle pain. Is amputation an option?
I am 30 years old was in a car wreak in nov of 09 my ankle was almost amputated I have had 5 surgery on it bad arttits. Y is it swelling again?
Did it ever stop: Swelling? If this is a new onset problem it is worth getting checked out. ...Read more
One of my cuticles was amputated by a manicurist. The nail grew but looks bad. Is there anything I can do to heal it? Will my fingernail fall off?
Consider biotin.: When the matrix of the nail which lives just beneath the cuticle is injured by the physical trauma of a manicure, you can actually damage the nail before it actually grows out from the skin. Assuming no re-injury, you should expect your fingernails to take about 6 months to grow out and normalize. It is unlikely your nail will fall off as a result of this. Consider biotin for faster nail regrowth. ...Read more
I was injured at work and my muscle and bone were exposed from it. Infection has set in. Am I at risk for an amputation?
At risk: Patient's are told what they are at risk for. Then they are told how treatment can lower the risk. This is the basis of consent for treatment, especially surgical and interventional procedures. Patients then make their best decision. If you have already had some treatment for this bad fracture, your amputation risk is likely not the same/lower than before your treatment. Clarify with your docs. ...Read more
What other ways that a leg can get amputated because of a knee injury besides knee dislocation and how bad does it have to get? Pinching nerves?
Usually not done: There would have to be something else - not the settiin you describe. Tumors or loss of blood supply would be some that might. You can discuss these with your physician. ...Read more
Is amputation recommended for a diabetic male patient 67yo with bad cellulitis in left foot who has suffered stroke (left part of body)? It's my dad.
2 months post fasciotomy r.t. ulnar arterial embolism. Partial amputation of R. 4th and 5th digits. Pain is still very bad esp. Neuropathy What to do?
Is it necessary to get a leg amputation at the mid-calf because of a very bad ankle fracture that wouldn't heal?
It depends: It would have to be a quite severe fracture to need an amputation. These days an external fixator can be put on to allow healing of most comminuted really awful fractures then revisional surgery is done later. Only fractures that cut off the blood supply to the foot or have a nasty infection would need an amputation. ...Read more
That depends: ...On body part, amount of blood flow, underlying comorbid medical conditions (like diabetes, vascular disease) etc. At 110 tears old, you small toe, if gangrenous and/or ischemic, may auto-amputate quicker than another digit/body part etc. No definitive time answer for you. See the dr. ...Read more