Redefining the standard of post-amputation life through surgical precision and restorative innovation. As specialists in amputations, we treat the root causes of prosthetic pain—specializing in neuroma relief (with Targeted Muscle Reinnervation and/or Regenerative Peripheral Nerve Interface) and *Osseointegration *(prosthesis integrated into bone) to provide a direct, stable, and intuitive connection between the body and the prosthesis. Your journey to improved function starts with a foundation of expert care
1. Post-Amputation Care: The Foundation
Successful long-term outcomes begin with diligent early-stage care. The goal is to manage swelling, protect the incision, and prepare the residual limb for a prosthesis.
- Compression Therapy: Using shrinker socks or ACE wraps to reduce edema (swelling) and shape the limb.
- Desensitization: Gently massaging or tapping the residual limb to help the nervous system adjust to new sensations.
- Skin Integrity: Daily inspections for pressure sores or redness, which are vital for preventing secondary infections.
2. Addressing Neuromas and Nerve Pain
A neuroma is a disorganized growth of nerve cells at the end of a cut nerve. They often feel like an “electric shock” or sharp, localized pain when touched or pressed by a prosthetic socket.
Advanced Surgical Solutions
Modern techniques have moved beyond “cut and bury.” Two primary procedures are revolutionizing how we treat nerve pain:
- TMR (Targeted Muscle Reinnervation): Reassigning cut nerves to nearby motor muscles. This gives the “misfiring” nerve somewhere to go and something to do, significantly reducing phantom and neuroma pain.
- RPNI (Regenerative Peripheral Nerve Interface): Implantation of the
nerve end into a small piece of harvested muscle. This provides a
physiological environment for the nerve to “plug into.”
3. Osseointegration (OI): A Functional Leap
Osseointegration is a surgical procedure where a metal implant (usually
titanium) is inserted directly into the bone of the residual limb. An abutment (connector) then passes through the skin, allowing the prosthesis to attach directly to the skeleton.
The Benefits Over Traditional Sockets
| Feature | Traditional Socket | Osseointegration |
|---|---|---|
| Connection | Friction-based / Soft tissue | Direct skeletal attachment |
| Range of Motion | Limited by socket brim | Full physiological range |
| Comfort | Risk of skin breakdown/heat | No skin pinching or sweating |
| Proprioception | Muffled | Osseoperception (feeling the ground) |
By removing the socket, OI eliminates the mechanical pressure that often triggers neuromas. Furthermore, osseoperception allows users to feel vibrations through the bone, providing a sense of “where the foot is” in space, which drastically improves walking confidence and reduces the cognitive load of movement.
