HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment Excessive Sweating After Leg Amputation

default
Posted on Tue, 11 Oct 2016
Question: I am a below knee amputee, and my residual limb sweats so much that I have to stop what I am doing because the pain is so bad. Is there anything I can do?
doctor
Answered by Dr. Saddiq Ulabidin (1 hour later)
Brief Answer:
Analgesics can be used

Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.

First of all, it is sad to know what you had gone through. You seem like a determined and a resilient person to carry on your routine and didn't let that amputation over power you. Based on the history you have shared, it seems that the pains if neuropathic which seems more likely, may be difficult to be cured permanently but can be controlled significantly so that your routines may not be affected and the discomfort can be dealt with. Using OTC analgesics like acetaminophen can relieve the pains but for better control discuss using duloxetine or gaba pentins with your primary doctor.

If still uncontrolled long term use of carbamezapine be considered for better pain controls. Also get a consult with pain medicine specialist to discuss for nerve blocks which can permanently control the pain.

Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
default
Follow up: Dr. Saddiq Ulabidin (7 hours later)
Dr. It is not the nerve pain or normal pain, when I have the liner, socks, and the prosthetic leg on the limb sweats so much the limb shrinks, that is what I want to control if possible. When the limb shrinks, the liner slides down and that cause enough pain that cause me to stop my activity, until I dry the limb and dry the liner. That is what I need help with.
doctor
Answered by Dr. Saddiq Ulabidin (27 hours later)
Brief Answer:
It can be due to vascular impairment

Detailed Answer:
Hi! Thanks for the feedback. The likely explanation to your symptoms is that when your limbs is covered for long and it sweats and when it comes back to normal due to its exposure to air as it dries up, the temperature cools down rapidly. It can cause blood vessels to shrink down to decrease heat exchange. It can also trigger nerve pains in return. However the possible solution still includes the measures we have discussed relief as these will decrease the nerve pains and discomfort. Rest is physiological compensation of the body and it can't be stopped completely though can be decreased by calcium channel blockers but these are associated with other side effects. Use of nerve blocks is still an option which can be discussed with pain medicine specialist.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment Excessive Sweating After Leg Amputation

Brief Answer: Analgesics can be used Detailed Answer: Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through. You seem like a determined and a resilient person to carry on your routine and didn't let that amputation over power you. Based on the history you have shared, it seems that the pains if neuropathic which seems more likely, may be difficult to be cured permanently but can be controlled significantly so that your routines may not be affected and the discomfort can be dealt with. Using OTC analgesics like acetaminophen can relieve the pains but for better control discuss using duloxetine or gaba pentins with your primary doctor. If still uncontrolled long term use of carbamezapine be considered for better pain controls. Also get a consult with pain medicine specialist to discuss for nerve blocks which can permanently control the pain. Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.