Many times the biomechanics of the sound foot and ankle can be improved through orthotic intervention. If orthotics are used, extreme caution should be exercised in terms of skin inspection, wear times and proper placement in the shoe. Therapists should lead by example with periodic skin checks for both extremities during early gait training. Stress the importance of skin inspection, skin care, friction reduction, shoe wear and especially early identification of any signs of lesion development. Communication amongst the health care team is essential.
Amputees have considerable medical complications and require multi-specialty intervention.
Physicians, nurses, social workers, prosthetists and physical therapists need to communicate well in order that these individuals receive proper care. Just remember that protection of the sound limb and prevention of skin lesions can make a significant difference in functional ability and quality of life.