Specialty Hospital clinics · Clinic 104+962 797 490 692Saturday – Thursday: 10 am – 6 pm

Limb Salvage: Avoiding Amputation

Limb salvage means assessing the wound and the circulation early, then treating infection, improving blood flow and caring for the wound. In many cases this may help protect the foot or limit the part affected. You can ask for an assessment in Amman before any decision is made.

Note: Go to the emergency department today if there is redness or swelling spreading quickly, fever or chills, pus or a bad smell from the wound, a toe or part of the foot turning blue or black, or sudden severe pain with a cold foot.

Signs that need a prompt assessment

  • A foot wound that is not healing.
  • A toe or part of the foot turning dark.
  • Foot pain at rest or at night.
  • A cold or pale foot.

Why might amputation be mentioned?

  • A severe infection that may reach the bone.
  • Very poor blood flow to the foot, as in critical limb ischemia.
  • A wound that was treated late.

What the assessment includes

  • Examining the wound, the foot and the pulses.
  • A foot circulation assessment; your doctor may request a Doppler ultrasound.
  • Scans and blood tests when needed to see how far infection has spread.

How we try to protect the foot

  1. Wound care and taking pressure off the wound.
  2. Treating infection.
  3. Cleaning the wound and removing dead tissue.
  4. Opening blocked arteries with angioplasty or surgery when needed.
  5. If amputation is necessary, aiming to keep as much of the foot as possible.

What to expect

  • A clear explanation of the foot's condition and the options.
  • A treatment plan with regular follow-up.
  • Results differ from person to person, and your doctor will explain what to expect.

When to book an appointment

  • A doctor has mentioned amputation.
  • A foot wound is not improving.
  • You notice a change in the colour or temperature of the foot.

Frequently asked questions

I was told my foot needs amputation. Can I get another opinion?

Yes, you can ask for an assessment of the wound and the circulation. But if there are danger signs, such as a fast-spreading infection, urgent treatment in the emergency department comes first.

Can the foot always be saved?

This cannot be guaranteed. But early assessment, treating infection and improving circulation may, in many cases, help protect the foot or limit the part affected.

What should I do until my appointment?

Keep the wound clean and covered, walk on the foot as little as possible and keep an eye on your blood sugar. If any emergency signs appear, do not wait for the appointment.

Medical references

  1. IWGDF — International Working Group on the Diabetic Foot Guidelines
  2. NHS — Gangrene
  3. NIDDK — Diabetes and Foot Problems

Book your appointment

The clinic of Dr. Walid Naser in Specialty Hospital Outpatient Clinics, Building B, First Floor, Clinic 104, Amman, Jordan.

Phone and WhatsApp: +962 797 490 692