Amputee rehabilitation and prosthetic care at Mar Sleeva Medicity Palai, Kottayam, supports patients from pre-amputation preparation through stump healing, prosthetic fitting and return to daily life and work.
A Physical Medicine and Rehabilitation specialist guides wound and pain management, stump shaping, contracture prevention, strength training and phantom limb pain management. Prosthetic selection is tailored to the level of amputation, physical needs and lifestyle, followed by gait training, stair practice and functional training. Regular follow-up ensures the prosthesis remains comfortable and properly fitted as the residual limb changes.
Care begins before the amputation where possible and continues through healing, prosthetic fitting and walking retraining, delivered by the physiatry team with physiotherapy and occupational therapy.
Discussion with the patient and family about what to expect, what function is realistically recoverable and how a prosthesis will fit into daily life, held before surgery wherever possible.
Bandaging, shaping and skin care of the residual limb, which decides how soon and how comfortably a prosthesis can be fitted.
Positioning and exercise to stop the hip and knee tightening into a fixed position, along with strengthening of the arms, trunk and remaining limb.
Selection of the prosthesis suited to the level of amputation, the patient's age and activity level, followed by fitting and alignment checks.
Progressive training in standing, weight shifting, walking and negotiating stairs and uneven ground, until the limb is used with confidence outside the hospital.
Management of phantom sensation, phantom pain and stump pain using medication, desensitisation and mirror therapy, which are common and treatable after amputation.
Prescription of mobility aids and advice on toilet, bathroom and doorway modifications so the home does not become the limiting factor in independence.
Regular review as the residual limb changes shape, with socket adjustment, repair and replacement so the prosthesis continues to fit safely.
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