Before the amputation
Information on the topic of arm amputations, including preparation, support and amputation levels.
Preparing yourself for a planned amputation
You may have already known for some time that you have an amputation ahead of you. Even though this knowledge is very hard to bear – you are not on your own in this difficult phase of your life. Your treatment team will support you and be open to your questions and problems.
Common reasons people lose an upper limb
Amputation – removing a limb from the body – can be necessary for a number of different reasons. Your doctor or surgeon may have told you that you need one because of an injury, a medical condition in your hand or arm, or because of a bigger health issue that’s affecting your limb.
Your doctor or surgeon will usually decide you need an amputation surgery when they find a problem with your hand or arm that isn’t likely to heal, or that may put you at risk if the limb isn’t removed. Some common causes are:
Different “amputation levels” your procedure may involve
Just as there are many reasons your arm or hand may need to be removed, there are different forms of amputation surgery that your care team may plan for you.
Before your procedure they’ll consider a number of factors that determine the best “amputation level,” which simply means where and how your limb will be removed. Some of those considerations can include:
Where your limb has been damaged
The source or cause of that damage
How much of your remaining arm (or “residual limb”) can be saved
The location that will heal most quickly and safely
Your amputation level can also be an important factor in which prosthetic devices will be most valuable and practical for you. During the planning process, you and your care team may talk to a professional prosthetist who can help find the right device for you based on your amputation, lifestyle, and favorite activities.
Here the different levels your care team may select, and some typical prosthetic options for each one:
It’s worth knowing that any prosthesis can be covered with what is called a prosthetic glove, so hardly anyone would notice it.
For all amputation levels, a custom arm prosthesis made of silicone, for example, can restore the external appearance and, depending on the amputation level, also fulfil passive functions. These prostheses feature a low weight and easy handling.
Pre-op consultations and exams
Once your doctor or surgeon decides you need an amputation surgery, they’ll give you a detailed explanation of:
The kind of amputation you need and why
What the amputation process will involve
What your recovery process will be like
Take notes and ask as many questions as you need to during these discussions. Your doctor or surgeon is there to help you understand the whole amputation process, how it will affect you, and how you need to prepare.
If you’re having a scheduled amputation procedure, your care team will also conduct a set of thorough pre-op examinations. These exams will include blood tests, x-rays, and tests to check the the strength and stability of your heart and lungs.
Before your procedure, your care team will also show you some important exercises you should start doing.
These physical activities can help you strengthen your muscles in ways that make your recovery easier and more successful. Your doctor or a physical therapist on your care team will explain which ones are most important for you to do.
They may also have you speak to a professional prosthetist who can tell you which exercises will help you prepare for a prosthetic device. This specialized expert can help explain which devices may be best for you, and how to get ready to use one.
When you’re getting ready for an amputation surgery, it’s important for you to prepare both physically and psychologically.
Take advantage of the time before your procedure to calm your mind and get yourself mentally ready for a life-changing event.
There are a number of ways you can do so.
Talk to a mental health professional: Discussing your fears and concerns with a trained counselor can help you feel better prepared for your procedure.
Visit a faith leader: If religion is important to you, speak to someone who can help you understand and accept how this major change will affect you.
Use a mental health app: Several evidence-based options can help you manage and work through the daily stress of an upcoming procedure.
Don’t wait to get yourself mentally ready for this difficult process and new chapter in your life. The sooner you find the right support, the easier it will be to overcome the fear, doubt, and anxiety that naturally come with such a significant change – and the better prepared you’ll be for a successful recovery.
Connecting with other amputees
When you’re facing any life-changing event, there’s often no substitute for talking to other people who’ve been through the same experience.
While you’re preparing for life with an upper limb difference – or already getting used to it – ask your care team to help connect you with the amputee community or support groups for people who share your medical condition. Talking to people who’ve been through what you’re facing can help you build the courage to succeed as well.
There are a number of groups dedicated just to people with limb differences:
Organizations like these can help connect you with support and resources in your area, introduce you to community advocates for people with limb difference, and help you start learning how to thrive with a prosthesis.
See what’s next for your journey with an upper limb difference
Amputation rehab after losing a hand or arm
After your procedure, you and your care team will work together to help you manage your residual limb and learn how to use a prosthetic. See what the rehab process looks like.
Learning to use a prosthetic arm
A prosthetic arm can make a big difference in your day-to-day life, but learning to use one takes lots of practice. Find out how to pick the right device and get the most from it.
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