Prosthesis on a thigh amputee

Many patients communicate with a lot of prosthesis salesmen in the hospital.Some companies will brag the effect of installing prosthesis for the patients.Actually the compensation effect after the installation of thigh prosthesis not as good as theysay. 

Today MEDI-REHATEK will tell you about the effect for a unilateral thighamputee after wearing prosthesis.

1, After the installation of artificial limb, amputation patients can continue usingduring working in the day.

2, The average walking speed can reach 100mper 1 minute 30 seconds.

3, Whether patient can have continuous walking distance above 1km, that depends on the condition of patient’s stump

4, Unilateral thigh amputation patients do not need to walk with crutches. Bilateral amputation patients with good physical condition do not need a crutch.In general,patient is required to walk with a single crutch or double crutches.

5, Patients with unilateral, bilateral thigh prosthesis can freely alternate position likesitting, standing and other postures.

6, This note is not directly related to the ability to walk, in the daily life patients can go to the toilet, take off the shoes freely and other daily living. 

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Best way to promote blood circulation

Medi-Rehatek will introduce how to promote lower limb blood circulation for the weak elder in the best way ?

 The method of Beecher movement may be employed. Beecher movement can promote blood circulation of lower extremity , which can make blood vessels expand, increase blood flow of lower limbs.The method can effectively promote the recovery of lower limb vascular disease caused by diabetic and reduce the recurrence of diabetic foot.

Specific steps are as below:

(1)The patient lying in bed

Both legs lift up, the angle between and legs and bed is 60 degrees to 90 degrees.Stay the position when tiptoes are pale lasting for 20 to 30 seconds, and then put down the legs;

(2)Feet are perpendicular to the edge of the bed edge of the bed

Until the soles of the feet has fever or congestion for 2 to 5 minutes, and then ankle moves up and down, right and left about 3 minutes.Make the feet with the color of red feet;

(3)The patient lying on the bed

The towel wraps the hot water bottle (the temperature is below than 40 ℃ ) that warms feet for about 5 minutes.

The movement takes about 10 minutes to complete.Patients should do twice daily.Each time patients should repeat the movement for about 1 hour, the weekelderly can be completed by others collaboration.

Which department should diabetic foot patients go to see a doctor?

Patients can see a  doctor firstly in the endocrinology department, but the condition of diabetic foot is complex, that is relatively difficult to treat.It needs a number of departments to assist, it can also be treated in orthopedics, burns, plastic surgery, vascular surgery department.

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How to exercise for diabetic foot patients

Today Medi-Rehatek will introduce how to exercise for diabetic foot patients.

High-risk groups of diabetic foot should actively participate in appropriate exercise,which can improve blood circulation on diabetic foot , reduce the incidence of diabetic foot ulcers.

(1)The appropriate exercise

 The "light - moderate strength" of aerobic exercise, such as walking, jogging, yoga, swimming, playing Chinese shadow boxing, aerobics, climbing stairs.

(2)Exercise time:

Starting from 10 minutes, and patients gradually extend the time from 30 to 40 minutes.

(3)Exercise frequency:

At least 5 times a week.

(4)Exercise preparation:

Before each exercise,patients should have 5 to 10 minutes of preparatory activities (body stretch).After each activities,patients should be 5 to 10 minutes of slow walking.The movement will be slowly finished.

(5)Monitor blood sugar

Patient should monitor blood  sugar before and after exercise.Patients should carry candy in order to avoid hypoglycemia during exercise 

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Diabetic foot patients have special examination

Medi-Rehatek will introduc what diabetic foot patients have special examination items today.

According to the patient's condition,you can choose the special inspection items areas below:

(1)Bipedal Doppler blood flow imaging to determine the ankle brachial index;

(2)Electromyography is used to measure nerve conduction velocity and peripheral nerve sensory;

(3) Determination of TcPO2 in both lower extremities;

(4)Blood culture + drug sensitivity test;

(5)Bipedal magnetic resonance image (MRI);

(6)Multi - slice spiral CT angiography (CTA) of double lower extremity arteries;

(7)Magnetic resonance angiography (MRA).

 How do diabetic foot patients with ulcers have a reasonable diet?

Diabetic patients with a reasonable diet is the key to treatment, which will help ulcer healing. Patients should choose the food that is rich in vitamins, protein, crude fiber, low sugar, low-fat foods. 

Patients should have more meals a day but less food at each, while eating more green vegetables, beans, low-sugar fruits, so that patients ensure adequate nutrition and promote ulcer healing.

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Diabetic foot ulcers

Medi-Rehatek will introduce what is the treatment of diabetic foot ulcers.

(1)Comprehensive treatment of internal medicine:

Control blood sugar and blood pressure, lipid-lowering, infection control, improve microcirculation, nutritional nerve and other symptomatic and supportive treatment.

(2)Local wound treatment:

Remove the necrotic tissue; choose the right dressing to cover the wound; raise upthe side of the affected lower limbs, in order to reduce plantar pressure.

(3)Hyperbaric oxygen therapy.

(4)Surgical treatment:

For diabetic vascular disease of lower extremity , we can use interventional therapy (removal or ablation of arterial thrombosis), vascular reconstruction, stem cell transplantation, amputation.

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Trim nails for diabetic patients

Medi-Rehatek will introduce how to trim nails for diabetic patients with risk factors of foot disease as below:

(1)Foot nails cut often

Cut foot nails often, do not keep the foot nails too long, nor should cut too short to prevent infection.

(2) Professional tool for trimming nails

Choose professional tool for trimming nails, do not use scissors, one tool is only for one patient as far as possible.

(3) Trim toenails properly

Trim toenails in a straight and flat direction, but do not cut too short. The length of the nail should be trimmed,that is parallel to tiptoe. Do not trim the edge of nail to be around or angled. Use nail file to smooth the sharp edge of nail.

(4) Assist by family member

If patients with poor vision or inflexible action is not, do not trim by themselves, need to ask the family member to help trim.  

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How to wash diabetic foot

Today Medi-Rehatek will introduce how to properly wash feet for patients with risk factors of diabetic foot?

(1)The proper water temperature

The water temperature is below than equal to 40 ℃, should not be too cold or too hot. Before washing feet,you should test the water temperature with hand. If patients are not sensitive to water temperature who should ask the family member to do that, if you have a thermometer,that is the best to use a thermometer.

(2)The proper washing time

Washing time should not be too long,about 10 to 15 minutes is appropriate.

(3)A soft dry towel

After washing, you should dry with a soft dry towel (especially the gaps between the two toes).

(4)Skin lubrication

In order to maintain the foot skin lubrication, you prevent the occurrence of chapped skin,smear appropriate amount of body lotion. 

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Calluses leads to diabetic foot

Medi-Rehatek will introduce why "calluses" can also lead to diabetic foot.

Generally the site has calluses where has more stress, if it is not dealt with in time, calluses will become longer and thicker. Subcutaneous tissue on the calluses is like a sandwich biscuits, will be squeezed by both ends of the bones and shoes. That will cause insufficient blood supply and local injury.

In addition, diabetic patients with varying degrees of autonomic neuropathy, affecting the secretion of sweat glands.So the calluses of diabetic patients are usually more hard, dry, and more likely to crack, ulcers that induce diabetic foot.

If the soles of the feet have calluses, you’d better choose loose shoes.According to the location of calluses,you add a cushion in the shoes to reduce local pressure, and pay attention to correcting walking posture, to reduce local friction.

Serious calluses should have timely medical treatment by a professional doctor.Do not cut your own callus freely, so as not to be injured. 

　　

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