Amputation of joints

1. Residual Limb Pain
Residual Limb (RL) pain is pain experienced in the residual portion of the limb
Causes of RL pain may include neuromas – scarred nerve endings or nodules that
may cause abnormal ectopic firing of nerves as well as bony spurs in the residual
stump, localized skin disease and infection

2. Observation
Swelling,
Edema
Deformity
Skin, including scar
External appliances
Prosthesis evaluation - Improper socket fit, Improper prosthetic alignment,
Inadequate suspension
Stump - cylindrical, conical, bony, bulbous, or edematous
Gait

3. Examination
ROM
Strength
Sensation
Skin assessment
Tightness, contracture
Endurance
Mobility skills
Balance

4. Stump measurements

5. Francis Mobility Levels (mobility only)

6. Hanspal Mobility Levels (mobility only)

7. Siriwardena Walking Index (mobility only)

8. Barthel Index and FIM score