If you have poor blood flow to your foot, follow your doctor's instructions for diet and medicines.
You may eat your normal foods when you get home.
Wound and foot care
Do not use your limb until your doctor tells you it is OK. This will be at least 2 weeks or longer after your surgery. Do not put any weight at all on your wound. Do not even touch it to the ground, unless your doctor says so. Do not drive.
Keep the wound clean and dry. Do not take a bath, soak your wound, or swim. If your doctor says you can, clean the wound gently with mild soap. Do not rub the wound. Only allow water to flow gently over it.
After your wound heals, keep it open to the air unless your doctor or nurse tells you something different. After dressings have been removed, wash your stump with mild soap and water every day. Do not soak it. Dry it well.
Inspect your limb every day. Use a mirror if it is hard for you to see all around it. Look for any red areas or dirt.
Wear your elastic bandage or shrinker sock on the stump all the time. If you are using an elastic bandage, rewrap it every 2 to 4 hours. Make sure there are no creases in it. Wear your stump protector whenever you are out of bed.
Ask your doctor or nurse for help with pain. Two things that may help include:
Tapping along the scar and in small circles along the stump, if it is not painful
Rubbing the scar and stump gently with linen or soft cotton
Practice transfers at home.
Go from your bed to a chair, your wheelchair, or the toilet.
Go from a chair to your wheelchair.
Go from your wheelchair to the toilet.
If you use a walker, stay as active as you can with it.
Keep your stump at or above the level of your heart when you are lying down. When you are sitting, do not cross your legs. It can stop the blood flow to your stump.
When to call the doctor
Call your doctor if:
Your stump looks redder, or there are red streaks on your skin going up your leg
Your skin feels warmer to touch
There is swelling or bulging around the wound
There is new drainage or bleeding from the wound
There are new openings in the wound, or the skin around the wound is pulling away
Your temperature is above 101.5° F more than once
Your skin around the stump or wound is dark or is turning black
Your pain is worse and your pain medicines are not controlling it
Your wound has gotten larger
A foul smell is coming from the wound
Department of Veterans Affairs, Department of Defense. VA/DOD Clinical Practice Guideline for Management for Rehabilitation of Lower Limb Amputation. http://www.healthquality.va.gov/amputation/amp_sum_508.pdf. January 2008. Accessed May 26, 2010.
Toy PC. General Principles of Amputations. In: Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics. 12th ed. Philadelphia, PA: Mosby Elsevier; 2012:chap 14.
Richardson DR. Amputations of the Foot. In: Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics. 12th ed. Philadelphia, PA: Mosby Elsevier; 2012:chap 15.
C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.