Rueb and Motta have helped several clients who have suffered some form of amputation. Sixteen percent of extremity amputations are a result of trauma. A majority of these patients will have post-amputation pain. Historically post-amputation pain has either been characterized as phantom limb pain, residual leg pain or more commonly referred to as stump pain. Reflex sympathetic dystrophy (RSD) is a horrible pain syndrome, which may contribute to both phantom limb pain and residual leg pain. Phantom limb pain is pain that is in the distribution of the lost extremity. Described as sharp, dull, cramping, shooting. Phantom limb pain is often constant and is present in up to 50-85% of patients following amputation and is very resistant to treatment. Stump pain or residual leg pain can be sharp, dull, burning, and shock like. It may include the stump itself or the entire area around.
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Rueb and Motta know the importance of proving current and future needs for those whom have suffered a catastrophic amputation. Rueb and Motta employ experts to prove the present and future needs of a client and as an educator to ensure that the injured patient receives compensation for the state of the art care, to ensure the best possible outcome and the prevention of complications. Prosthetics are also an important factor to best meet the needs and the mobility and functional goals of a specific client.
At an early stage, medical and family support will take precedent over lawsuit related issues. However, it is necessary for a patient and their family to do the following to preserve their rights going forward:
1) Avoid any potentially damaging admissions,
2) Preserve evidence (such as crash scene evidence) for further evaluation,
3) Verify the accuracy of police reports,
4) Obtain contact information from witnesses, and
5) Discuss your situation with an attorney who is experienced in dealing with the complexity of the medical diagnoses and can provide competent representation in the matter.
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Complex Regional Pain Syndrome
Pain physicians have recognized that chronic pain is often caused by the sympathetic nervous system. RSD now referred to as Complex Regional Pain Syndrome (CRPS) is a result of a sympathetic nervous system dysfunction. CRPS is subdivided into CRPS Type I that results from soft tissue injury and CRPS Type II which is the result from an identifiable nerve injury. Clearly amputation potentially causes both.
Physical therapy is needed for a patient following an amputation and CRPS to help range of motion, desensitize the affected tissue, early and progressive weight-bearing, and increased mobility.