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Follow these guidelines to prevent infection:

• Wash your residual limb daily with mild soap and water, then rinse and pat dry. Increase frequency if you sweat excessively or are treating a rash or infection. Use a non-perfumed, pH-balanced lotion recommended by a pharmacist.

• Clean anything that touches your skin (liners, socks, prosthetic socket, etc.) with mild soap and water, then rinse and dry thoroughly (follow manufacturer instructions).

• Avoid alcohol-based lotions, as they dry the skin, causing cracks that increase infection risk.

• Apply moisturizing lotion sparingly to prevent flaking or peeling but avoid excessive moisture. Apply lotion at night rather than before wearing your prosthesis.

• Ensure a proper prosthetic fit to prevent pressure sores. Adjust your sock ply if needed or seek a professional prosthetic adjustment if redness develops in pressure areas.

• Maintain correct prosthesis alignment by wearing the appropriate heel height and ensuring a secure socket fit.

• Follow a healthy diet and stay hydrated (unless on fluid restrictions) to support skin health.

• Monitor glucose levels if you have diabetes to reduce infection risks.

Check for pressure areas frequently if you have decreased sensation in your limb by removing your prosthesis multiple times a day.

Even with preventive care, some complications may arise:

• Persistent Redness: If a red area does not fade after removing your prosthesis, check the prosthetic fit to prevent further irritation.

• Blisters from Friction or Pressure: Protect the blister without bursting it, and cover it with a sterile dressing (e.g., Telfa). If the blister opens, keep it clean and consult a nurse for appropriate care.

• Bacterial Infections (such as infected hair follicles or stitch abscesses) should be evaluated by a physician if you experience:

  • Warm or hot skin around the wound

  • Redness and swelling

  • Pus or white/yellow drainage

  • Red streaks extending from the wound

  • Sudden increase in pain or severe tenderness

  • Fever

If you notice any of the following, seek urgent medical care to prevent a life-threatening infection:

• Decreased circulation, with the limb feeling cool or cold

• Foul-smelling wound

• Swollen lymph nodes in the groin or armpits

• Thick, brown/gray discharge from the wound

• Skin around the wound turning black or gangrenous

These are some additional conditions to be aware of:

• If prescribed antibiotics, complete the full course even if symptoms improve. Follow your physician’s instructions carefully.

• Allergic Reactions: If you develop an itchy rash, try a topical antihistamine and ensure liners/socks are thoroughly rinsed after washing. Seek medical advice if the rash persists.

• Fungal Infections: If you experience an itchy, burning rash (similar to athlete’s foot), use a topical antifungal or diaper cream. If the rash worsens, consult a doctor.

• Verrucous Hyperplasia: This thickened, red, warty-looking skin condition occurs due to a vacuum effect from improper prosthetic fit. Seek medical advice and adjust your socket fit to prevent infection.

Here are some key reminders to maximize the success of your wound care:

• Address the cause and treat the problem simultaneously. If you have diabetes or peripheral vascular disease, monitor your limb closely and seek medical care at the first sign of an issue. Early treatment can often allow you to continue wearing your prosthesis while healing.

• Control swelling to prevent skin damage. After surgery, apply compression using an elastic bandage, shrinker, or postoperative prosthesis, and keep your limb elevated above heart level when possible.

• Prioritize overall health and well-being. A balanced diet, hydration, and regular skin checks will help strengthen your body’s ability to heal. If you notice any sign of infection, no matter how small, act quickly to prevent complications.