I am seeing a 70 yr old woman with CRPS secondary to severe ankle
dislocation/evulsion from having the foot caught in the stirrup during
a fall from a horse in 2014. Transtibial amputation was required after
16 surgical attempts to save the ankle.
Her CRPS pain is to mid thigh, 4-5 pain constantly. She has neuromas
at distal and proximal fibula.
I have treated similar situations and would like to know how you have
treated both the neuroma pain and CRPS pain through careful prosthetic
fitting and alignment. I have a plan in mind but would love to learn
something new to apply here. She still rides and is very healthy
otherwise so any suggestions are welcome.
I am planning to use gel liners and possible soft insert in the socket,
sleeve suspension, considering a Kinterra foot. This will be similar
to her current interface and the foot change will add a slight amount
of weight.
Lane Ferrin CP
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