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Post by tjohnusa on Oct 3, 2015 18:40:18 GMT -7
After reading some posts here I now know this require some or many adjustments. I have a BTK and am having one issue I hope to get some advice on. I am getting a pretty good heat rash on my inner thigh...I have a tube of 3% lydocane I received for shingles and that helps with the burn/itch but my insurance company did not authorize another prescription for this. I am down to 1/4 tube and would like to hear any suggestions on a over the counter substitute. Thanks for your help.
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Post by cherylm on Oct 9, 2015 2:34:03 GMT -7
Hi, tjohnusa, and welcome! Yes, your first year as an amputee can be chock full of adjustments to living with a prosthetic limb! Rashes and sweating are certainly among those common problems. If your heat rash is appearing under the liner or sleeve on a prosthetic leg, you might try a few simple things to try and alleviate it. First of all, make sure you're keeping your components clean...and that you're using a fragrance-free, hypoallergenic, antibacterial soap both on your thigh and on your liner/sleeve. Some over-the-counter creams can also help...I tend to rely on a basic hydrocortisone cream. There are also antiperspirants that can help...ask your leg team about that option.
Finally, it's not at all unusual for your body to adjust to the stresses of being encased in silicon and simply stop sweating. My first year, my own prosthetic was constantly slipping, sliding, and irritating my skin...by year two, all of that had basically disappeared. It now takes really, really hot and humid weather to trigge skin problems.
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SteveInMd
New Member
R. BKA Aug 2013. pin-lock prosthesis.
Posts: 24 
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Post by SteveInMd on Oct 13, 2015 19:21:28 GMT -7
I think Cheryl has given an excellent answer. I'd just quibble about a tiny point. Keeping the liner surface and skin scrupulously clean is, indeed, crucial. Trapping chemicals between impermeable surface and skin for a day at a time is a prescription for skin irritation or allergies, even when there'd be no reaction on skin exposed to air.
So, minor point, I'd recommend cleaning with a gentle *detergent* instead of "soap." Soaps chemically react with ions in water to form precipates, known as soap scale or bathtub rings. Detergents rinse clean. You could use a baby shampoo for the purpose, I happen to use a liquid dish detergent. Rinse, rinse, rinse until the liner surface is squeaky clean.
The skin of the stump also should be kept clean. Personally, I wipe the skin down with a moist wipe at bedtime, if it hasn't been freshly washed before bed.
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Post by tjohnusa on Feb 16, 2017 16:59:26 GMT -7
Follow up after a year....my leg did get used to the liner and the sweating is practically non existent. I now have a otterbock vacuum with a ossur liner (3 days in with it) My stump was getting quite beat up with the pin set-up and hope this works well for me. I know the stump will change again with the new system but it is what has to be done. I also used disinfecting wipes at night to clean liners and baby wipes for my stump, worked well.
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