Prosthetic Orthotic Treatment Management of Leprocy

Definition
A chronic granulomatous infection caused by Mycobacterium Leprae. Lesions are manifested in the skin, the mucous membranes, and the peripheral nerves

Causes
Mycobacterium Leprae

Signs & Symptoms
• one or more hypopigmented (lighter than normal skin color) skin lesions that have decreased sensation to touch, heat, or pain
• skin lesions that do not heal after several weeks to months
• numbness or absent sensation in the hands and arms, or feet and legs
• muscle weakness resulting in signs such as foot drop

Orthotic Treatment
The leprosy patient usually loss their sensory, so any appliance either orthosis or prosthesis should be made in such a way that there should not be any soft tissue damaged by appliances. Orthosis is prescribed according to loss of function and mobility. If the patient having drop foot, dorsi flexion assists AFO (Leaf spring AFO) can be prescribed. If patient having wrist drop, the Cock up Splint can be prescribed and any other assistive devices according to patient needs.

Complications

If untreated, there can be progressive and permanent damage to the skin, nerves, limbs and eyes. Patient May lose their hands or feet (Amputation) due to repeated injury resulting from lack of sensation
Treatment post complication
When patient lost their feet or finger, Prosthesis is prescribed according to level of limb loss. One should consider the absent of sensation in leprosy patient. Socket should not harm the stump, patient will not feel the pain and injury may happens

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