Amputations of the finger, hand, wrist, and upper limb: Causes, recovery, and rehabilitation
Understanding amputations
An amputation is the surgical removal or traumatic loss of a part of the body, in this case, the finger, hand, wrist, or upper limb. Amputations can occur for various reasons, including accidents, injuries, congenital conditions, or medical necessity.
Causes of amputations
Amputations in the finger, hand, wrist, or upper limb can result from:
Trauma: Accidents, machinery mishaps, or severe injuries can necessitate amputation.
Medical conditions: Certain conditions, such as severe infections or vascular diseases, may require surgical amputation to save a patient's life or prevent further complications.
Congenital defects: Some individuals are born with congenital limb abnormalities that may require surgical intervention.
Recovery from amputations
Recovery from amputations is a complex and challenging process that typically involves several stages:
Immediate medical care: After amputation, immediate medical care is essential to control bleeding, minimise infection risk, and stabilise the patient's condition. Call 000 for an ambulance.
Consult with an expert: Consider seeing an Accredited Hand Therapist for ongoing care once the injury is stable. An Accredited Hand Therapist is a physiotherapist or occupational therapist with expertise in the finger, hand, wrist, elbow, and shoulder.
Surgical closure and healing: The surgical site is closed, and the residual limb can heal. This phase may involve the use of temporary dressings or a prosthetic limb.
Rehabilitation exercises: Accredited Hand Therapists work with patients to optimise the function and strength of the remaining limb. They may also assist in preparing for the use of prosthetic devices.
Prosthetic evaluation and fitting: Patients are evaluated for prosthetic limbs if appropriate. Prosthetists create custom devices to help individuals regain mobility and function.
Rehabilitation and adaptation
Rehabilitation following amputation is a critical part of the recovery process:
Prosthetic training: Learning to use a prosthetic limb effectively is a significant aspect of rehabilitation. Patients work with specialists to adapt to their new devices.
Mobility and functionality: Prescribed rehabilitation exercises focus on improving mobility, strength, and functionality, as well as teaching adaptive techniques for daily activities.
Emotional support: Coping with the physical and emotional challenges of amputation is essential. Psychologists and support groups can provide valuable emotional support and guidance.
Assistive devices: Depending on the level of amputation, individuals may require assistive devices and adaptations in their home and workplace.
Community resources: Many communities offer resources and programs to support individuals with amputations.
Emotional and psychological impact
Amputations can have a profound emotional and psychological impact on individuals and their families:
Grief and loss: Patients often experience grief and loss for their amputated limb.
Body image: Coping with changes in body image can be challenging. Counselling can help individuals adjust to their new appearance.
Depression and anxiety: Emotional challenges may lead to depression and anxiety. Seeking professional help is crucial in managing these conditions.
Returning to normalcy
Returning to a fulfilling and active life after amputation is possible:
Independence: Many people with amputations regain independence and perform daily tasks without significant limitations.
Rehabilitation exercises: Individuals can engage in physical activities and sports with proper rehabilitation and prosthetic devices.
Career and hobbies: Career pursuits and hobbies can often be adapted to accommodate amputation.
Find a local Accredited Hand Therapist
Patients can find a local Accredited Hand Therapist on our website using the link below.